Evidence map›Paper›PMID 26238711›Full record

ArticleInfection and immunity2015

Streptolysin S Promotes Programmed Cell Death and Enhances Inflammatory Signaling in Epithelial Keratinocytes during Group A Streptococcus Infection.

Rebecca A Flaherty, Jessica M Puricelli, Dustin L Higashi, Claudia J Park, Shaun W Lee

Open access · bronzeAbstract read
In one paragraph

Article in Infection and immunity, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 27 papers.

0numbers the graph read from it
0cells of the map it votes in
27citing papers in PubMed
4.0field-weighted citation impact, top 7% 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

27 citing papers in PubMed, 46 citations in OpenAlex.

  1. An in-depth review on antimicrobial efficacy of melittin in vivo.World journal of microbiology & biotechnology · 2026
    Review
  2. Viruses · 2025
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  3. Article
  4. Review
  5. Article
  6. Article
  7. StreptococcusVirulence · 2023
    Article
  8. Article
  9. Review
  10. Streptococcal peptides and their roles in host-microbe interactions.Frontiers in cellular and infection microbiology · 2023
    Review
  11. AssessingFrontiers in cellular and infection microbiology · 2022
    Article
  12. Article
  13. Distinct Group BInfection and immunity · 2021
    Article
  14. Article
  15. Article
  16. Article
  17. Article
  18. Article
  19. The Pathogenesis OfInfection and drug resistance · 2019
    Article
  20. 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 1 institution in 1 country.

Rebecca A FlahertyDepartment of Biological Sciences, University of Notre Dame, Notre Dame, Indiana, USA Eck Institute for Global Health, University of Notre Dame, Notre Dame, Indiana, USA.
Jessica M PuricelliDepartment of Biological Sciences, University of Notre Dame, Notre Dame, Indiana, USA.
Dustin L HigashiDepartment of Biological Sciences, University of Notre Dame, Notre Dame, Indiana, USA.
Claudia J ParkDepartment of Biological Sciences, University of Notre Dame, Notre Dame, Indiana, USA.
Shaun W LeeDepartment of Biological Sciences, University of Notre Dame, Notre Dame, Indiana, USA Eck Institute for Global Health, University of Notre Dame, Notre Dame, Indiana, USA lee.310@nd.edu.
University of Notre Dame · US

Funding

Design and Use of Novel BacteriocinsDP2OD008468 · OD · UNIVERSITY OF NOTRE DAME · PI LEE, SHAUN · 2011 to 2011
$2.3M
NIH HHS DP2 OD008468NIH HHS DP2 OD008468-01
6 · The paper itself

Abstract

Streptococcus pyogenes, or group A Streptococcus (GAS), is a pathogen that causes a multitude of human diseases from pharyngitis to severe infections such as toxic shock syndrome and necrotizing fasciitis. One of the primary virulence factors produced by GAS is the peptide toxin streptolysin S (SLS). In addition to its well-recognized role as a cytolysin, recent evidence has indicated that SLS may influence host cell signaling pathways at sublytic concentrations during infection. We employed an antibody array-based approach to comprehensively identify global host cell changes in human epithelial keratinocytes in response to the SLS toxin. We identified key SLS-dependent host responses, including the initiation of specific programmed cell death and inflammatory cascades with concomitant downregulation of Akt-mediated cytoprotection. Significant signaling responses identified by our array analysis were confirmed using biochemical and protein identification methods. To further demonstrate that the observed SLS-dependent host signaling changes were mediated primarily by the secreted toxin, we designed a Transwell infection system in which direct bacterial attachment to host cells was prevented, while secreted factors were allowed access to host cells. The results using this approach were consistent with our direct infection studies and reveal that SLS is a bacterial toxin that does not require bacterial attachment to host cells for activity. In light of these findings, we propose that the production of SLS by GAS during skin infection promotes invasive outcomes by triggering programmed cell death and inflammatory cascades in host cells to breach the keratinocyte barrier for dissemination into deeper tissues.

Indexed as

ApoptosisBacterial ProteinsHumansKeratinocytesSignal TransductionStreptococcal InfectionsStreptococcus pyogenesStreptolysinsBacterial Proteinsstreptolysin SStreptolysins

Identifiers

PMID26238711
PMCPMC4567650
OpenAlexW1855255346

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.