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Updated: Mar 12, 2026

A Fluorescence-based Method to Study Bacterial Gene Regulation in Infected Tissues
Published on: February 19, 2019
Evolutionary dynamics and virulence factor variability in invasive Streptococcus pyogenes in Norway, 2017-2023
Ola Brønstad Brynildsrud1, Hilde S Vollan Gjerdrum1, Einar Sverre Berg2
1Department of Method Development and Analytics, Division of Infection Control, Norwegian Institute of Public Health, Oslo, Norway.
Invasive Group A Streptococcus (iGAS) infections in Norway increased due to evolving bacterial strains carrying new virulence factors. Researchers identified dynamic phage activity and antibiotic resistance patterns, highlighting the need for ongoing surveillance of these dangerous pathogens.
Area of Science:
- Microbiology
- Epidemiology
- Genomics
Background:
- Invasive Group A Streptococcus (iGAS) infections have risen in Europe, particularly post-COVID-19.
- Understanding the genetic factors driving this increase is crucial for public health.
Purpose of the Study:
- To investigate the association between increased iGAS incidence in Norway and the acquisition of new virulence factors by bacterial variants.
- To analyze the genomic characteristics, antibiotic resistance, and virulence factor content of iGAS isolates.
Main Methods:
- Whole genome sequencing of 1,163 iGAS isolates collected between January 2017 and April 2023.
- Analysis of antibiotic resistance profiles and virulence factor genes, including temperate phages.
Main Results:
- 15.6% of iGAS isolates showed resistance to at least one antibiotic; tetracycline resistance was most prevalent.
- Dominant emm types included emm1 (30.9%), emm12 (13.8%), and emm89 (9.3%).
- Significant dynamic turnover of temperate phages carrying virulence factors speC and spd1 was observed, with four new phages identified.
Conclusions:
- The increase in iGAS infections in Norway is linked to the spread of variants with acquired virulence factors, particularly those involving dynamic phage activity.
- Continuous surveillance of emm types, antibiotic resistance, and virulence factors is essential for managing iGAS epidemiology.
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