Evidence map›Paper›PMID 19794915›Full record

ArticlePloS one2009

Functional dissection of Streptococcus pyogenes M5 protein: the hypervariable region is essential for virulence.

Johan Waldemarsson, Margaretha Stålhammar-Carlemalm, Charlotta Sandin, Francis J Castellino, Gunnar Lindahl

Open access · goldAbstract read
In one paragraph

Article in PloS one, 2009. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed
2.3field-weighted citation impact, top 12% 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

16 citing papers in PubMed, 22 citations in OpenAlex.

  1. Role of serotype and virulence determinants ofFrontiers in cellular and infection microbiology · 2023
    Article
  2. Article
  3. Subdominance in Antibody Responses: Implications for Vaccine Development.Microbiology and molecular biology reviews : MMBR · 2020
    Review
  4. Article
  5. Review
  6. Frontiers in microbiology · 2018
    Article
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  8. Article
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  14. Review
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  16. Article
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

5 authors at 2 institutions in 2 countries.

Johan WaldemarssonDepartment of Laboratory Medicine, Division of Medical Microbiology, Lund University, Lund, Sweden.
Margaretha Stålhammar-Carlemalm
Charlotta Sandin
Francis J Castellino
Gunnar Lindahl
Lund University · SEUniversity of Notre Dame · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The surface-localized M protein of Streptococcus pyogenes is a major virulence factor that inhibits phagocytosis, as determined ex vivo. Because little is known about the role of M protein in vivo we analyzed the contribution of different M protein regions to virulence, using the fibrinogen (Fg)-binding M5 protein and a mouse model of acute invasive infection. This model was suitable, because M5 is required for mouse virulence and binds mouse and human Fg equally well, as shown here. Mixed infection experiments with wild type bacteria demonstrated that mutants lacking the N-terminal hypervariable region (HVR) or the Fg-binding B-repeat region were strongly attenuated, while a mutant lacking the conserved C-repeats was only slightly attenuated. Because the HVR of M5 is not required for phagocytosis resistance, our data imply that this HVR plays a major but unknown role during acute infection. The B-repeat region is required for phagocytosis resistance and specifically binds Fg, suggesting that it promotes virulence by binding Fg. However, B-repeat mutants were attenuated even in Fg-deficient mice, implying that the B-repeats may have a second function, in addition to Fg-binding. These data demonstrate that two distinct M5 regions, including the HVR, are essential to virulence during the early stages of an infection. In particular, our data provide the first in vivo evidence that the HVR of an M protein plays a major role in virulence, focusing interest on the molecular role of this region.

Indexed as

VirulenceAnimalsAntigens, BacterialBacterial Outer Membrane ProteinsCarrier ProteinsChromatography, AffinityComplementarity Determining RegionsFemaleFibrinogenHumansMaleMiceMice, Inbred BALB CMice, Inbred C3HMice, Inbred C57BLPhagocytosisAntigens, BacterialBacterial Outer Membrane ProteinsCarrier ProteinsComplementarity Determining RegionsFibrinogenstreptococcal M protein

Identifiers

PMID19794915
PMCPMC2749438
OpenAlexW2149173205

What OpenQuestion holds

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LicenceCC BY
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.