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Updated: Jul 20, 2026

A Murine Model of Group B Streptococcus Vaginal Colonization
Published on: November 16, 2016
Group A streptococcus
Judith M Martin1, Michael Green
1Department of Pediatrics, University of Pittsburgh School of Medicine, Division of Infectious Diseases, Children's Hospital of Pittsburgh, Pittsburgh, PA 15213, USA. Judy.martin@chp.edu
Abstract:
Group A streptococci (GAS) are gram positive cocci that can be divided into more than 100 M-serotypes or emm types based on their M proteins. Their virulence is related directly to the M protein on the cell surface that inhibits phagocytosis. Although it is more commonly thought of in the context of causing clinical illness, Streptococcus pyogenes can colonize the pharynx and skin. Infections due to GAS include pharyngitis, impetigo, ecthyma, erysipelas, and cellulitis. These infections, as well as the manifestations of invasive disease including streptococcal toxic shock syndrome and necrotizing fasciitis, will be reviewed in this article. Also included will be the nonsuppurative complications of GAS infections, acute rheumatic fever and post streptococcal glomerular nephritis. GAS is an important cause of infections in children in both the ambulatory and hospital settings. Current efforts aimed at the development of a vaccine are warranted but remain in preliminary stages at this time.
Insights
Group A streptococci (GAS) cause various infections by inhibiting phagocytosis with M proteins. Vaccine development is underway but still in early stages.
Area of Science:
- Microbiology
- Immunology
- Infectious Diseases
Background:
- Group A streptococci (GAS), or Streptococcus pyogenes, are Gram-positive cocci identified by M protein serotypes.
- M proteins on the GAS cell surface are key virulence factors, inhibiting phagocytosis.
- GAS colonizes the pharynx and skin, leading to diverse clinical manifestations.
Purpose of the Study:
- To review the spectrum of infections caused by GAS.
- To discuss both suppurative and nonsuppurative complications of GAS infections.
- To highlight the importance of GAS in pediatric infections and current vaccine research.
Main Methods:
- Literature review of GAS infections and complications.
- Analysis of GAS virulence factors, particularly M proteins.
- Overview of current vaccine development status.
Main Results:
- GAS infections range from pharyngitis and skin infections to invasive diseases like toxic shock syndrome and necrotizing fasciitis.
- Nonsuppurative sequelae include acute rheumatic fever and post-streptococcal glomerulonephritis.
- GAS remains a significant cause of pediatric infections in various healthcare settings.
Conclusions:
- GAS infections present a broad clinical spectrum, necessitating comprehensive understanding.
- Effective vaccines against GAS are needed but are currently in preliminary development.
- Continued research into GAS pathogenesis and prevention is crucial.
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