Related Experiment Video
Updated: May 11, 2026

Assays for Studying the Role of Vitronectin in Bacterial Adhesion and Serum Resistance
Published on: October 16, 2018
Factor H binds to the hypervariable region of many Streptococcus pyogenes M proteins but does not promote
Mattias C U Gustafsson1, Jonas Lannergård, O Rickard Nilsson
1Medical Microbiology Section, Department of Laboratory Medicine, Medical Faculty, Lund University, Lund, Sweden.
Abstract:
Many pathogens express a surface protein that binds the human complement regulator factor H (FH), as first described for Streptococcus pyogenes and the antiphagocytic M6 protein. It is commonly assumed that FH recruited to an M protein enhances virulence by protecting the bacteria against complement deposition and phagocytosis, but the role of FH-binding in S. pyogenes pathogenesis has remained unclear and controversial. Here, we studied seven purified M proteins for ability to bind FH and found that FH binds to the M5, M6 and M18 proteins but not the M1, M3, M4 and M22 proteins. Extensive immunochemical analysis indicated that FH binds solely to the hypervariable region (HVR) of an M protein, suggesting that selection has favored the ability of certain HVRs to bind FH. These FH-binding HVRs could be studied as isolated polypeptides that retain ability to bind FH, implying that an FH-binding HVR represents a distinct ligand-binding domain. The isolated HVRs specifically interacted with FH among all human serum proteins, interacted with the same region in FH and showed species specificity, but exhibited little or no antigenic cross-reactivity. Although these findings suggested that FH recruited to an M protein promotes virulence, studies in transgenic mice did not demonstrate a role for bound FH during acute infection. Moreover, phagocytosis tests indicated that ability to bind FH is neither sufficient nor necessary for S. pyogenes to resist killing in whole human blood. While these data shed new light on the HVR of M proteins, they suggest that FH-binding may affect S. pyogenes virulence by mechanisms not assessed in currently used model systems.
Insights
Streptococcus pyogenes M proteins can bind human factor H (FH), primarily through their hypervariable regions (HVRs). However, this binding does not appear to be essential for bacterial virulence or resistance to phagocytosis.
Area of Science:
- Microbiology and Immunology
- Bacterial Pathogenesis
- Complement System
Background:
- Many bacterial pathogens, including Streptococcus pyogenes, express surface M proteins that bind human factor H (FH).
- FH binding to M proteins is widely assumed to enhance bacterial virulence by inhibiting complement deposition and phagocytosis.
- The precise role of FH-binding in S. pyogenes pathogenesis remains controversial and poorly understood.
Purpose of the Study:
- To investigate the ability of purified S. pyogenes M proteins to bind human factor H (FH).
- To characterize the specific region of M proteins responsible for FH binding.
- To assess the functional significance of FH-binding in bacterial virulence and resistance to host defenses.
Main Methods:
- Purification of seven different S. pyogenes M proteins.
- Immunochemical analysis to determine FH binding specificity and location.
- Studies using isolated M protein hypervariable regions (HVRs) as distinct ligand-binding domains.
- Transgenic mouse models and in vitro phagocytosis assays using whole human blood.
Main Results:
- FH binding was observed for M5, M6, and M18 proteins, but not for M1, M3, M4, and M22.
- FH binding was localized exclusively to the hypervariable region (HVR) of the M proteins.
- Isolated HVRs retained specific FH-binding capacity, demonstrating they function as distinct domains.
- FH-binding was neither sufficient nor necessary for S. pyogenes to resist killing in human blood.
- Transgenic mouse studies did not reveal a role for bound FH during acute infection.
Conclusions:
- The hypervariable region (HVR) of certain M proteins represents a distinct FH-binding domain.
- FH-binding mediated by M protein HVRs does not appear to be a critical factor for S. pyogenes virulence in the studied models.
- Alternative mechanisms may be involved in how FH-binding influences S. pyogenes pathogenesis.
Related Concept Videos
Conjugation
Mechanism of Antibiotic Resistance in MRSA
Defense Against Bacterial Pathogens
Phagocytes
Phagocytes are the frontline soldiers of the immune system. They include neutrophils and macrophages. Neutrophils are the most abundant type of white blood cell and are quickly mobilized to the site of infection. Macrophages are larger cells that patrol...
Gastritis II: Pathophysiology
Regulation of Bacterial Virulence
Factors Affecting Protein-Drug Binding: Drug-Related Factors
One crucial factor in drug-protein binding is the drug's lipophilicity or its affinity for fat. More lipophilic drugs tend to have higher binding extents. For example, highly lipophilic drugs like cloxacillin exhibit substantial protein binding, with as much as 95% of the drug binding to proteins. In contrast,...
