Evidence map›Paper›PMID 12438391›Full record

ArticleInfection and immunity2002

Characterization of two novel pyrogenic toxin superantigens made by an acute rheumatic fever clone of Streptococcus pyogenes associated with multiple disease outbreaks.

Laura M Smoot, John K McCormick, James C Smoot, Nancy P Hoe, Ian Strickland, Robert L Cole, Kent D Barbian, Cathleen A Earhart, Douglas H Ohlendorf, L George Veasy and 4 more

Open access · greenAbstract read
In one paragraph

Article in Infection and immunity, 2002. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers.

0numbers the graph read from it
0cells of the map it votes in
19citing papers in PubMed
7.4field-weighted citation impact, top 3% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

19 citing papers in PubMed, 73 citations in OpenAlex.

  1. Distribution ofSouthern African journal of infectious diseases · 2025
    Article
  2. Review
  3. Molecular Characteristics ofFrontiers in microbiology · 2021
    Article
  4. Article
  5. Article
  6. Review
  7. Superantigen gene complement of Streptococcus pyogenes--relationship with other typing methods and short-term stability.European journal of clinical microbiology & infectious diseases : official publication of the European Society of Clinical Microbiology · 2013
    Article
  8. Article
  9. Review
  10. Article
  11. Article
  12. Article
  13. Article
  14. Review
  15. Article
  16. Article
  17. Review
  18. Article
  19. Bacterial superantigens.Clinical and experimental immunology · 2003
    Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

14 authors at 5 institutions in 1 country.

Laura M SmootLaboratory of Human Bacterial Pathogenesis, Rocky Mountain Laboratories, National Institute of Allergy and Infectious Diseases, National Institutes of Health, Hamilton, Montana 59840, USA.
John K McCormick
James C Smoot
Nancy P Hoe
Ian Strickland
Robert L Cole
Kent D Barbian
Cathleen A Earhart
Douglas H Ohlendorf
L George Veasy
Harry R Hill
Donald Y M Leung
Patrick M Schlievert
James M Musser
National Institute of Allergy and Infectious Diseases · USNational Institutes of Health · USNational Jewish Health · USUniversity of Minnesota Medical Center · USUniversity of Utah · US

Funding

Signaling Memory in Chronic AsthmaP01HL036577 · NHLBI · NATIONAL JEWISH HEALTH · PI DAKHAMA, AZZEDDINE · 1986 to 2011
$18.7M
THE ROLE OF BACTERIAL TOXINS IN HUMAN SKIN DISEASER01AR041256 · NIAMS · NATIONAL JEWISH HEALTH · PI GOLEVA, ELENA, LEUNG, DONALD YM · 1992 to 2020
$5.9M
CARDIOTOXICITY OF STREPTOCOCCAL PYROGENIC EXOTOXINSR01HL036611 · NHLBI · UNIVERSITY OF MINNESOTA TWIN CITIES · PI SCHLIEVERT, PATRICK M · 1986 to 2006
$1.3M
PATHOGENESIS AND ETIOLOGY OF KAWASAKI SYNDROME.R37HL037260 · NHLBI · NATIONAL JEWISH HEALTH · PI LEUNG, DONALD YM · 1995 to 2004
$1.2M
Structural Genomics of S. aureus Pathogenicity IslandsR01AI051607 · NIAID · UNIVERSITY OF MINNESOTA TWIN CITIES · PI OHLENDORF, DOUGLAS H · 2002 to 2005
$1.0M
Molecular Pathogenomics Of Group A StreptococcusZ01AI000921 · NIAID · NIAID EXTRAMURAL ACTIVITIES · PI MUSSER, JAMES M · 2002 to 2003
–
PATHOGENESIS AND ETIOLOGY OF KAWASAKI SYNDROMER01HL037260 · NHLBI · NATIONAL JEWISH HEALTH · PI LEUNG, DONALD YM · 1987 to 1994
–
CARDIOTOXICITY OF STREPTOCOCCAL PYROGENIC EXOTOXINR55HL036611 · NHLBI · UNIVERSITY OF MINNESOTA TWIN CITIES · PI SCHLIEVERT, PATRICK M · 1992 to 1992
–
NHLBI NIH HHS HL36577NHLBI NIH HHS HL36611NHLBI NIH HHS HL37260NHLBI NIH HHS P01 HL036577NHLBI NIH HHS R01 HL036611NHLBI NIH HHS R37 HL037260NIAID NIH HHS AI51607NIAID NIH HHS N01 AO022749NIAID NIH HHS N01-AO-22749NIAID NIH HHS R01 AI051607NIAMS NIH HHS AR41256NIAMS NIH HHS R01 AR041256
6 · The paper itself

Abstract

The pathogenesis of acute rheumatic fever (ARF) is poorly understood. We identified two contiguous bacteriophage genes, designated speL and speM, encoding novel inferred superantigens in the genome sequence of an ARF strain of serotype M18 group A streptococcus (GAS). speL and speM were located at the same genomic site in 33 serotype M18 isolates, and no nucleotide sequence diversity was observed in the 33 strains analyzed. Furthermore, the genes were absent in 13 non-M18 strains tested. These data indicate a recent acquisition event by a distinct clone of serotype M18 GAS. speL and speM were transcribed in vitro and upregulated in the exponential phase of growth. Purified SpeL and SpeM were pyrogenic and mitogenic for rabbit splenocytes and human peripheral blood mononuclear cells in picogram amounts. SpeL preferentially expanded human T cells expressing T-cell receptors Vbeta1, Vbeta5.1, and Vbeta23, and SpeM had specificity for Vbeta1 and Vbeta23 subsets, indicating that both proteins had superantigen activity. SpeL was lethal in two animal models of streptococcal toxic shock, and SpeM was lethal in one model. Serologic studies indicated that ARF patients were exposed to serotype M18 GAS, SpeL, and SpeM. The data demonstrate that SpeL and SpeM are pyrogenic toxin superantigens and suggest that they may participate in the host-pathogen interactions in some ARF patients.

Indexed as

Disease OutbreaksAcute DiseaseAmino Acid SequenceAnimalsBacterial ProteinsHumansLeukocytes, MononuclearMolecular Sequence DataPyrogensRabbitsRecombinant ProteinsRheumatic FeverSequence Analysis, DNAShock, SepticStreptococcal InfectionsStreptococcus pyogenesBacterial ProteinsPyrogensRecombinant ProteinsspeL protein, Streptococcus pyogenesSpeM protein, Streptococcus pyogenesSuperantigens

Identifiers

PMID12438391
PMCPMC133074
OpenAlexW2145269008

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.