Trading Capsule for Increased Cytotoxin Production: Contribution to Virulence of a Newly Emerged Clade of <italic toggle="yes">emm89</italic> <named-content content-type="genus-species">Streptococcus pyogenes</named-content>

ABSTRACT Strains of emm89 Streptococcus pyogenes have become one of the major causes of invasive infections worldwide in the last 10 years. We recently sequenced the genome of 1,125 emm89 strains and identified three major phylogenetic groups, designated clade 1, clade 2, and the epidemic clade 3. E...

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Autores principales: Luchang Zhu, Randall J. Olsen, Waleed Nasser, Ivan de la Riva Morales, James M. Musser
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Publicado: American Society for Microbiology 2015
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spelling oai:doaj.org-article:fc90050479464179993c9577968831c02021-11-15T15:41:30ZTrading Capsule for Increased Cytotoxin Production: Contribution to Virulence of a Newly Emerged Clade of <italic toggle="yes">emm89</italic> <named-content content-type="genus-species">Streptococcus pyogenes</named-content>10.1128/mBio.01378-152150-7511https://doaj.org/article/fc90050479464179993c9577968831c02015-10-01T00:00:00Zhttps://journals.asm.org/doi/10.1128/mBio.01378-15https://doaj.org/toc/2150-7511ABSTRACT Strains of emm89 Streptococcus pyogenes have become one of the major causes of invasive infections worldwide in the last 10 years. We recently sequenced the genome of 1,125 emm89 strains and identified three major phylogenetic groups, designated clade 1, clade 2, and the epidemic clade 3. Epidemic clade 3 strains, which now cause the great majority of infections, have two distinct genetic features compared to clade 1 and clade 2 strains. First, all clade 3 organisms have a variant 3 nga promoter region pattern, which is associated with increased production of secreted cytolytic toxins SPN (S. pyogenes NADase) and SLO (streptolysin O). Second, all clade 3 strains lack the hasABC locus mediating hyaluronic acid capsule synthesis, whereas this locus is intact in clade 1 and clade 2 strains. We constructed isogenic mutant strains that produce different levels of SPN and SLO toxins and capsule (none, low, or high). Here we report that emm89 strains with elevated toxin production are significantly more virulent than low-toxin producers. Importantly, we also show that capsule production is dispensable for virulence in strains that already produce high levels of SPN and SLO. Our results provide new understanding about the molecular mechanisms contributing to the rapid emergence and molecular pathogenesis of epidemic clade 3 emm89 S. pyogenes. IMPORTANCE S. pyogenes (group A streptococcus [GAS]) causes pharyngitis (“strep throat”), necrotizing fasciitis, and other human infections. Serious infections caused by emm89 S. pyogenes strains have recently increased in frequency in many countries. Based on whole-genome sequence analysis of 1,125 strains recovered from patients on two continents, we discovered that a new emm89 clone, termed clade 3, has two distinct genetic features compared to its predecessors: (i) absence of the genes encoding antiphagocytic hyaluronic acid capsule virulence factor and (ii) increased production of the secreted cytolytic toxins SPN and SLO. emm89 S. pyogenes strains with the clade 3 phenotype (absence of capsule and high expression of SPN and SLO) are highly virulent in mice. These findings provide new understanding of how new virulent clones emerge and cause severe infections worldwide. This newfound knowledge of S. pyogenes virulence can be used to help understand future epidemics and conduct new translational research.Luchang ZhuRandall J. OlsenWaleed NasserIvan de la Riva MoralesJames M. MusserAmerican Society for MicrobiologyarticleMicrobiologyQR1-502ENmBio, Vol 6, Iss 5 (2015)
institution DOAJ
collection DOAJ
language EN
topic Microbiology
QR1-502
spellingShingle Microbiology
QR1-502
Luchang Zhu
Randall J. Olsen
Waleed Nasser
Ivan de la Riva Morales
James M. Musser
Trading Capsule for Increased Cytotoxin Production: Contribution to Virulence of a Newly Emerged Clade of <italic toggle="yes">emm89</italic> <named-content content-type="genus-species">Streptococcus pyogenes</named-content>
description ABSTRACT Strains of emm89 Streptococcus pyogenes have become one of the major causes of invasive infections worldwide in the last 10 years. We recently sequenced the genome of 1,125 emm89 strains and identified three major phylogenetic groups, designated clade 1, clade 2, and the epidemic clade 3. Epidemic clade 3 strains, which now cause the great majority of infections, have two distinct genetic features compared to clade 1 and clade 2 strains. First, all clade 3 organisms have a variant 3 nga promoter region pattern, which is associated with increased production of secreted cytolytic toxins SPN (S. pyogenes NADase) and SLO (streptolysin O). Second, all clade 3 strains lack the hasABC locus mediating hyaluronic acid capsule synthesis, whereas this locus is intact in clade 1 and clade 2 strains. We constructed isogenic mutant strains that produce different levels of SPN and SLO toxins and capsule (none, low, or high). Here we report that emm89 strains with elevated toxin production are significantly more virulent than low-toxin producers. Importantly, we also show that capsule production is dispensable for virulence in strains that already produce high levels of SPN and SLO. Our results provide new understanding about the molecular mechanisms contributing to the rapid emergence and molecular pathogenesis of epidemic clade 3 emm89 S. pyogenes. IMPORTANCE S. pyogenes (group A streptococcus [GAS]) causes pharyngitis (“strep throat”), necrotizing fasciitis, and other human infections. Serious infections caused by emm89 S. pyogenes strains have recently increased in frequency in many countries. Based on whole-genome sequence analysis of 1,125 strains recovered from patients on two continents, we discovered that a new emm89 clone, termed clade 3, has two distinct genetic features compared to its predecessors: (i) absence of the genes encoding antiphagocytic hyaluronic acid capsule virulence factor and (ii) increased production of the secreted cytolytic toxins SPN and SLO. emm89 S. pyogenes strains with the clade 3 phenotype (absence of capsule and high expression of SPN and SLO) are highly virulent in mice. These findings provide new understanding of how new virulent clones emerge and cause severe infections worldwide. This newfound knowledge of S. pyogenes virulence can be used to help understand future epidemics and conduct new translational research.
format article
author Luchang Zhu
Randall J. Olsen
Waleed Nasser
Ivan de la Riva Morales
James M. Musser
author_facet Luchang Zhu
Randall J. Olsen
Waleed Nasser
Ivan de la Riva Morales
James M. Musser
author_sort Luchang Zhu
title Trading Capsule for Increased Cytotoxin Production: Contribution to Virulence of a Newly Emerged Clade of <italic toggle="yes">emm89</italic> <named-content content-type="genus-species">Streptococcus pyogenes</named-content>
title_short Trading Capsule for Increased Cytotoxin Production: Contribution to Virulence of a Newly Emerged Clade of <italic toggle="yes">emm89</italic> <named-content content-type="genus-species">Streptococcus pyogenes</named-content>
title_full Trading Capsule for Increased Cytotoxin Production: Contribution to Virulence of a Newly Emerged Clade of <italic toggle="yes">emm89</italic> <named-content content-type="genus-species">Streptococcus pyogenes</named-content>
title_fullStr Trading Capsule for Increased Cytotoxin Production: Contribution to Virulence of a Newly Emerged Clade of <italic toggle="yes">emm89</italic> <named-content content-type="genus-species">Streptococcus pyogenes</named-content>
title_full_unstemmed Trading Capsule for Increased Cytotoxin Production: Contribution to Virulence of a Newly Emerged Clade of <italic toggle="yes">emm89</italic> <named-content content-type="genus-species">Streptococcus pyogenes</named-content>
title_sort trading capsule for increased cytotoxin production: contribution to virulence of a newly emerged clade of <italic toggle="yes">emm89</italic> <named-content content-type="genus-species">streptococcus pyogenes</named-content>
publisher American Society for Microbiology
publishDate 2015
url https://doaj.org/article/fc90050479464179993c9577968831c0
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