Evidence map›Paper›PMID 26243278›Full record

ArticleBMC infectious diseases2015

Streptococcus pyogenes strains in Sao Paulo, Brazil: molecular characterization as a basis for StreptInCor coverage capacity analysis.

Samar Freschi de Barros, Karine Marafigo De Amicis, Raquel Alencar, Pierre Robert Smeesters, Ariel Trunkel, Edilberto Postól, João Nóbrega Almeida Junior, Flavia Rossi, Antonio Carlos Campos Pignatari, Jorge Kalil and 1 more

Open access · goldAbstract read
In one paragraph

Article in BMC infectious diseases, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
1.3field-weighted citation impact, top 17% 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

3 citing papers in PubMed, 14 citations in OpenAlex.

  1. Genomic analysis of Streptococcus pyogenes emm1-type isolates reveals M1European journal of clinical microbiology & infectious diseases : official publication of the European Society of Clinical Microbiology · 2026
    Article
  2. Review
  3. 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

11 authors at 4 institutions in 3 countries.

Samar Freschi de BarrosHeart Institute (InCor), School of Medicine, University of Sao Paulo, Sao Paulo, 01246-000, Brazil. sfreschi@usp.br.
Karine Marafigo De AmicisHeart Institute (InCor), School of Medicine, University of Sao Paulo, Sao Paulo, 01246-000, Brazil. karineamicis@gmail.com.
Raquel AlencarHeart Institute (InCor), School of Medicine, University of Sao Paulo, Sao Paulo, 01246-000, Brazil. quelalencar@yahoo.com.
Pierre Robert SmeestersLaboratoire de Génétique et Physiologie Bactérienne, Institute de Biologie et de Médecine Moléculaires, Faculté des Sciences, Université Libre de Bruxelles, Bruxelles, 1050, Belgium. pierre.smeesters@mcri.edu.au.
Ariel TrunkelHeart Institute (InCor), School of Medicine, University of Sao Paulo, Sao Paulo, 01246-000, Brazil. attsp@uol.com.br.
Edilberto PostólHeart Institute (InCor), School of Medicine, University of Sao Paulo, Sao Paulo, 01246-000, Brazil. edilpostol@yahoo.com.br.
João Nóbrega Almeida JuniorMicrobiology Laboratory of Clinical Hospital, School of Medicine, University of Sao Paulo, Sao Paulo, 01246-000, Brazil. jnaj99@gmail.com.
Flavia RossiMicrobiology Laboratory of Clinical Hospital, School of Medicine, University of Sao Paulo, Sao Paulo, 01246-000, Brazil. flaviarossi61@gmail.com.
Antonio Carlos Campos PignatariSpecial Clinical Microbiolgy Laboratory (LEMC), Federal Univeristy of São Paulo/UNIFESP, São Paulo, Brazil. pignatari@terra.com.br.
Jorge KalilHeart Institute (InCor), School of Medicine, University of Sao Paulo, Sao Paulo, 01246-000, Brazil. jkalil@usp.br.
Luiza GuilhermeHeart Institute (InCor), School of Medicine, University of Sao Paulo, Sao Paulo, 01246-000, Brazil. luizagui@usp.br.
Universidade de São Paulo · BRHospital São Paulo · BRMurdoch Children's Research Institute · AUUniversidade Federal de São Paulo · BR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundSeveral human diseases are caused by Streptococcus pyogenes, ranging from common infections to autoimmunity. Characterization of the most prevalent strains worldwide is a useful tool for evaluating the coverage capacity of vaccines under development. In this study, a collection of S. pyogenes strains from Sao Paulo, Brazil, was analyzed to describe the diversity of strains and assess the vaccine coverage capacity of StreptInCor.

methodsMolecular epidemiology of S. pyogenes strains was performed by emm-genotyping the 229 isolates from different clinical sites, and PCR was used for superantigen profile analysis. The emm-pattern and tissue tropism for these M types were also predicted and compared based on the emm-cluster classification.

resultsThe strains were fit into 12 different emm-clusters, revealing a diverse phylogenetic origin and, consequently, different mechanisms of infection and escape of the host immune system. Forty-eight emm-types were distinguished in 229 samples, and the 10 most frequently observed types accounted for 69 % of all isolates, indicating a diverse profile of circulating strains comparable to other countries under development. A similar proportion of E and A-C emm-patterns were observed, whereas pattern D was less frequent, indicating that the strains of this collection primarily had a tissue tropism for the throat. In silico analysis of the coverage capacity of StreptInCor, an M protein-conserved regionally based vaccine candidate developed by our group, had a range of 94.5 % to 59.7 %, with a mean of 71.0 % identity between the vaccine antigen and the predicted amino acid sequence of the emm-types included here.

conclusionsThis is the first report of S. pyogenes strain characterization in Sao Paulo, one of the largest cities in the world; thus, the strain panel described here is a representative sample for vaccine coverage capacity analysis. Our results enabled evaluation of StreptInCor candidate vaccine coverage capacity against diverse M-types, indicating that the vaccine candidate likely would induce protection against the diverse strains worldwide.

Indexed as

Amino Acid SequenceAntigens, BacterialBacterial VaccinesBrazilCluster AnalysisDNA, BacterialGenotypeHumansMolecular Sequence DataPhenotypePhylogenyPolymerase Chain ReactionSequence AlignmentStreptococcal InfectionsStreptococcus pyogenesSuperantigensAntigens, BacterialBacterial VaccinesDNA, BacterialSuperantigens

Identifiers

PMID26243278
PMCPMC4525746
OpenAlexW2107133939

What OpenQuestion holds

Textmetadata
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.