CAMP factor is not essential for systemic virulence of Group B Streptococcus
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Updated: Jul 11, 2026

A Murine Model of Group B Streptococcus Vaginal Colonization
Published on: November 16, 2016
Mary E Hensler1, Darin Quach, Chia-Jun Hsieh
1Division of Pediatric Pharmacology and Drug Discovery, School of Medicine, University of California-San Diego, 9500 Gilman Drive, La Jolla, CA 92093-0687, USA.
Insights
Group B Streptococcus (GBS) produces CAMP factor, a toxin not essential for GBS virulence. Deleting the CAMP factor gene did not affect GBS
Area of Science:
- Microbiology
- Pathogenesis
- Bacterial toxins
Background:
- Group B Streptococcus (GBS) is a major cause of neonatal bacterial infections.
- CAMP factor is a GBS-produced pore-forming toxin that exhibits synergistic hemolysis with Staphylococcus aureus beta-toxin.
- The role of CAMP factor in GBS pathogenesis remains incompletely understood.
Purpose of the Study:
- To investigate the contribution of CAMP factor to the virulence of GBS.
- To determine if CAMP factor is essential for GBS systemic infection.
Main Methods:
- Genetic manipulation: precise allelic replacement was used to delete the cfb gene encoding CAMP factor, creating an isogenic GBS Deltacfb mutant.
- In vitro assays: phagocyte resistance and endothelial cell invasiveness were assessed.
- In vivo assays: a mouse model of infection was employed to evaluate virulence.
Main Results:
- The GBS Deltacfb mutant exhibited equivalent resistance to phagocytosis compared to wild-type GBS.
- The mutant strain showed similar invasiveness against endothelial cells as the wild-type strain.
- In a mouse model, the GBS Deltacfb mutant demonstrated full virulence, comparable to wild-type GBS.
Conclusions:
- CAMP factor, in its native context, is not essential for the systemic virulence of Group B Streptococcus.
- The pore-forming toxin does not play a critical role in GBS pathogenesis during systemic infection.
- Further research may be needed to elucidate the precise role, if any, of CAMP factor in specific GBS infection types or stages.
Abstract:
The Gram-positive pathogen Group B Streptococcus (GBS) is the leading cause of bacterial pneumonia, sepsis, and meningitis in human newborns. GBS elaborates a pore-forming toxin known as CAMP factor that synergizes with Staphylococcus aureus beta-toxin, generating a co-hemolytic reaction useful in identification of GBS in the clinical laboratory. To evaluate the indirect evidence implicating CAMP factor in GBS pathogenesis, the cfb gene encoding the pore-forming cytotoxin was deleted by precise allelic replacement. The virulence properties of the CAMP factor mutant were then explored by a series of in vitro and in vivo assays. Compared to wild-type, the isogenic GBS Deltacfb mutant demonstrated equivalent phagocyte resistance and endothelial cell invasiveness and also retained full virulence in a mouse model of infection. Our data suggest that CAMP factor expressed in its native context is not essential for systemic virulence of GBS.
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