Genome sequence of a serotype M28 strain of group a streptococcus: potential new insights into puerperal sepsis and bacterial disease specificity
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Updated: Aug 16, 2026

A Murine Model of Group B Streptococcus Vaginal Colonization
Published on: November 16, 2016
Nicole M Green1, Shizhen Zhang, Stephen F Porcella
1Laboratory of Human Bacterial Pathogenesis, Rocky Mountain Laboratories, National Institute of Allergy and Infectious Disease, National Institutes of Health, Hamilton, Montana, USA.
Abstract:
Puerperal sepsis, a major cause of death of young women in Europe in the 1800s, was due predominantly to the gram-positive pathogen group A Streptococcus. Studies conducted during past decades have shown that serotype M28 strains are the major group A Streptococcus organisms responsible for many of these infections. To begin to increase our understanding of their enrichment in puerperal sepsis, we sequenced the genome of a genetically representative strain. This strain has genes encoding a novel array of prophage virulence factors, cell-surface proteins, and other molecules likely to contribute to host-pathogen interactions. Importantly, genes for 7 inferred extracellular proteins are encoded by a 37.4-kb foreign DNA element that is shared with group B Streptococcus and is present in all serotype M28 strains. Proteins encoded by the 37.4-kb element were expressed extracellularly and in human infections. Acquisition of foreign genes has helped create a disease-specialist clone of this pathogen.
Insights
Group A Streptococcus serotype M28 strains, linked to puerperal sepsis, possess unique foreign genes. These genes encode proteins expressed during infection, contributing to the pathogen
Area of Science:
- Microbiology
- Genomics
- Infectious Diseases
Background:
- Puerperal sepsis was a leading cause of mortality in 19th-century Europe.
- Group A Streptococcus, particularly serotype M28, is a significant pathogen in puerperal sepsis.
- Understanding the genetic basis of M28 strain virulence is crucial for combating infections.
Purpose of the Study:
- To investigate the genomic basis for the prevalence of group A Streptococcus serotype M28 in puerperal sepsis.
- To identify novel virulence factors and host-pathogen interaction molecules in M28 strains.
Main Methods:
- Whole-genome sequencing of a representative group A Streptococcus serotype M28 strain.
- Bioinformatic analysis to identify virulence factors and foreign DNA elements.
- Analysis of gene expression and protein localization.
Main Results:
- The sequenced M28 strain genome contains genes for prophage virulence factors and cell-surface proteins.
- A 37.4-kb foreign DNA element, shared with group B Streptococcus, encodes 7 extracellular proteins.
- These proteins are expressed extracellularly and detected in human infections, indicating their role in pathogenesis.
Conclusions:
- Acquisition of foreign genetic material has facilitated the evolution of group A Streptococcus serotype M28 into a specialized pathogen.
- The identified virulence factors and expressed proteins offer potential targets for therapeutic interventions.
- Genomic insights into M28 strains advance our understanding of puerperal sepsis and streptococcal infections.
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