Dynamic tethering of M protein drives pathological inflammation during group A Streptococcus infections

Ananya Dash1, Stephanie Guerra1, Doris L LaRock1

  • 1Department of Microbiology and Immunology, Atlanta, Georgia, United States of America.

Plos Pathogens
|July 15, 2026
PubMed

Insights

Group A Streptococcus M protein is released by the SpeB protease, contributing to inflammation and bacterial survival during invasive infections. This proteolytic release mechanism is crucial for pathogenesis.

Area of Science:

  • Microbiology
  • Immunology
  • Bacterial Pathogenesis

Background:

  • M protein is a key virulence factor of Group A Streptococcus (GAS), mediating superficial and invasive infections and immune sequelae like rheumatic heart disease.
  • M protein is typically anchored to the GAS surface but can be found free during infection, suggesting a release mechanism impacting immune interactions.

Purpose of the Study:

  • To investigate the mechanism of M protein release from the GAS surface.
  • To determine the distinct roles of surface-bound versus secreted M protein in disease pathogenesis.

Main Methods:

  • Identification of the protease responsible for cleaving M protein from the GAS surface.
  • Engineering GAS strains with either surface-locked or constitutively secreted M protein.
  • Evaluation of disease contribution, inflammation, and neutrophil response in a mouse model of invasive infection.

Main Results:

  • The GAS protease SpeB cleaves M protein, releasing a stable, nearly full-length fragment.
  • Secreted M protein, but not surface-locked M protein, drives inflammation and neutrophil influx in an invasive infection mouse model.
  • M protein release enhances bacterial survival, indicating its importance in GAS pathogenesis.

Conclusions:

  • Proteolytic cleavage by SpeB is a mechanism for releasing M protein from GAS.
  • Secreted M protein plays a critical role in driving inflammation and bacterial survival during invasive infections.
  • Regulation of surface protein localization via proteolysis is a significant factor in bacterial pathogenesis.

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