Description of the Pathogenic Features of Streptococcus pyogenes Isolates from Invasive and Non-Invasive Diseases in
Masakado Matsumoto1, Kazuhiro Yamada, Masahiro Suzuki
1Department of Microbiology and Medical Zoology, Aichi Prefectural Institute of Public Health.
Abstract:
We identified hypervirulent Streptococcus pyogenes in 27 and 420 isolates from patients with invasive and non-invasive diseases, respectively, in Aichi Prefecture, Japan, between 2003 and 2012, in an attempt to understand why the prevalence of streptococcal toxic shock syndrome (STSS) suddenly increased in this location during 2011. Hypervirulent strains belong to the emm1 genotype, with a mutation in the covR/S genes that regulate many other genes, encoding virulence determinants and resulting in the absence of the proteinase streptococcal exotoxin B and the production of virulence factors such as the superantigen streptococcal exotoxin A, the nuclease streptococcal DNase, the cytotoxin NAD-glycohydrolase, and the hemolysin streptolysin O. We found 1 strain from invasive disease and 1 from non-invasive disease with traits similar to those of hypervirulent strains, except that the sda1 gene was absent. We also found 1 non-emm1 strain with phenotypic and genetic traits identical to those of the emm1 hypervirulent strains except that it did not belong to emm1 genotype, from non-invasive diseases cases in 2011. These findings suggested that hypervirulent and hypervirulent-like strains from invasive and non-invasive disease cases could have at least partially contributed to the sudden increase in the number of patients with STSS in Aichi during 2011.
Insights
Hypervirulent Streptococcus pyogenes strains, particularly emm1 genotype, were identified in Aichi, Japan, potentially explaining the 2011 rise in streptococcal toxic shock syndrome (STSS). These strains possess specific genetic mutations affecting virulence factor production.
Area of Science:
- Microbiology
- Infectious Diseases
- Genetics
Background:
- Streptococcal toxic shock syndrome (STSS) prevalence increased suddenly in Aichi Prefecture, Japan, during 2011.
- Understanding the microbial factors driving this increase is crucial for public health.
- Streptococcus pyogenes is a significant human pathogen responsible for various infections.
Purpose of the Study:
- To investigate the characteristics of Streptococcus pyogenes isolates from invasive and non-invasive diseases in Aichi Prefecture between 2003 and 2012.
- To determine if specific hypervirulent strains of Streptococcus pyogenes contributed to the observed increase in STSS.
- To elucidate the genetic and phenotypic traits of these potentially hypervirulent strains.
Main Methods:
- Identification and characterization of Streptococcus pyogenes isolates from patient samples.
- Genotyping of isolates, focusing on the emm genotype and mutations in covR/S genes.
- Analysis of virulence factor gene expression and protein production, including streptococcal exotoxin B, streptococcal exotoxin A, streptococcal DNase, NAD-glycohydrolase, and streptolysin O.
Main Results:
- Hypervirulent Streptococcus pyogenes strains, predominantly emm1 genotype, were identified in both invasive (27 isolates) and non-invasive (420 isolates) disease cases.
- These hypervirulent strains exhibited mutations in covR/S genes, leading to the absence of streptococcal exotoxin B and production of key virulence factors (streptococcal exotoxin A, streptococcal DNase, NAD-glycohydrolase, streptolysin O).
- Hypervirulent-like strains lacking the sda1 gene and a non-emm1 strain with similar phenotypic and genetic traits to hypervirulent emm1 strains were also identified, particularly in 2011.
Conclusions:
- Hypervirulent and hypervirulent-like Streptococcus pyogenes strains likely played a role in the 2011 surge of STSS in Aichi.
- The genetic makeup of these strains, including covR/S mutations and specific virulence factor production, contributes to their hypervirulence.
- These findings highlight the importance of molecular surveillance for understanding and controlling outbreaks of invasive streptococcal diseases.
Related Concept Videos
Bacterial Phylum Spirochaetes
Staphylococcal Skin Infections
Bacterial Gastroenteritis
Endocarditis II: Clinical Features of Infective Endocarditis
Atypical Pneumonia
Factors Affecting the Risk of Infection
The integrity and count of the white blood cells help the body resist pathogens and fight infection. When impaired, it reduces the body's resistance to pathogens. The acidic pH levels of the gastrointestinal, genitourinary tracts, and skin...


