“…In particular, LPS appears to be the major virulence factor of EnPEC, stimulating TLR4-dependent inflammatory responses by endometrial cells (Sheldon et al 2010, Cronin et al 2012. On the other hand, the presence of T. pyogenes is associated with pus in the uterus, the severity of clinical signs and the extent of the subsequent subfertility (Bonnett et al 1991, Westermann et al 2010. The major virulence factor produced by all isolates of T. pyogenes is pyolysin, which is a heat-labile exotoxin that mulitmerises in cholesterol-rich domains of the plasma membrane of mammalian cells, creating transmembrane pores, 30-50 nm diameter, to disrupt ion balances and cause cytolysis (Jost & Billington 2005, Amos et al 2014.…”