“…Evidence suggested that LTA accounted for approximately 60% of adhesion to epithelial cells, indicating that other adhesins were involved in the adherence of group A streptococci to epithelial cells. In a recent review (226), Hasty and Courtney state that at least 11 adhesins have been described for group A streptococci, including M protein (90,136,168,169,401,540), LTA (106,109,111,398,488,489), protein F/Sfb (223, 224), a 29-kDa fibronectinbinding protein (105), glyceraldehyde-3-phosphate dehydrogenase (412,563), a 70-kDa galactose-binding protein (201,535), a vitronectin-binding protein (526), a collagen-binding protein (533), serum opacity factor (310), a 54-kDa fibronectin binding-protein, FBP54 (109), and the hyaluronate capsule (549). Several extracellular host cell proteins have been implicated in attachment or adherence to group A streptococci, including fibronectin (105,488), fibrinogen (463), collagen (533), vitronectin (526), a fucosylated glycoprotein (541), and integral membrane proteins including CD46, the membrane cofactor protein on keratinocytes (400), and CD44, the hyaluronatebinding receptor on keratinocytes (471).…”