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Published on: December 7, 2021
Streptococcus pyogenes Lineage ST62/emm87: The International Spread of This Potentially Invasive Lineage
Caroline Lopes Martini1, Deborah Nascimento Santos Silva1, Alice Slotfeldt Viana1
1Departamento de Microbiologia Médica, Universidade Federal do Rio de Janeiro, Rio de Janeiro 21941-902, RJ, Brazil.
Abstract:
Streptococcus pyogenes is known to be associated with a variety of infections, from pharyngitis to necrotizing fasciitis (flesh-eating disease). S. pyogenes of the ST62/emm87 lineage is recognized as one of the most frequently isolated lineages of invasive infections caused by this bacterium, which may be involved in hospital outbreaks and cluster infections. Despite this, comparative genomic and phylogenomic studies have not yet been carried out for this lineage. Thus, its virulence and antimicrobial susceptibility profiles are mostly unknown, as are the genetic relationships and evolutionary traits involving this lineage. Previously, a strain of S. pyogenes ST62/emm87 (37-97) was characterized in our lab for its ability to generate antibiotic-persistent cells, and therapeutic failure in severe invasive infections caused by this bacterial species is well-reported in the scientific literature. In this work, we analyzed genomic and phylogenomic characteristics and evaluated the virulence and resistance profiles of ST62/emm87 S. pyogenes from Brazil and international sources. Here we show that strains that form this lineage (ST62/emm87) are internationally spread, involved in invasive outbreaks, and share important virulence profiles with the most common emm types of S. pyogenes, such as emm1, emm3, emm12, and emm69, which are associated with most invasive infections caused by this bacterial species in the USA and Europe. Accordingly, the continued increase of ST62/emm87 in severe S. pyogenes diseases should not be underestimated.
Insights
The ST62/emm87 lineage of Streptococcus pyogenes is a globally spreading cause of invasive infections. This study reveals its shared virulence factors with common emm types, highlighting its underestimated threat in severe diseases.
Area of Science:
- Genomics and Phylogenomics
- Microbiology
- Infectious Diseases
Background:
- Streptococcus pyogenes causes diverse infections, from pharyngitis to necrotizing fasciitis.
- The ST62/emm87 lineage is frequently isolated from invasive infections and implicated in outbreaks.
- Limited genomic and phylogenomic data exist for the ST62/emm87 lineage, leaving virulence and resistance profiles largely unknown.
Purpose of the Study:
- To conduct comparative genomic and phylogenomic analyses of the ST62/emm87 Streptococcus pyogenes lineage.
- To evaluate the virulence and antimicrobial susceptibility profiles of this lineage.
- To understand the genetic relationships and evolutionary traits of ST62/emm87 strains.
Main Methods:
- Genomic and phylogenomic analyses were performed on ST62/emm87 Streptococcus pyogenes strains.
- Virulence and antimicrobial resistance profiles were evaluated.
- International and Brazilian isolates were included in the study.
Main Results:
- The ST62/emm87 lineage is internationally distributed and associated with invasive bacterial infections and outbreaks.
- These strains share significant virulence profiles with highly prevalent emm types (emm1, emm3, emm12, emm69).
- The study characterized the genomic and phylogenomic features of this globally spreading lineage.
Conclusions:
- The ST62/emm87 lineage of Streptococcus pyogenes is a significant global pathogen.
- Its shared virulence factors with common emm types warrant attention.
- The increasing prevalence of ST62/emm87 in severe S. pyogenes diseases should not be underestimated.
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