“…52 Another important molecule whose RNA was present in high amounts in our tissue model was GAS cysteine protease SpeB, which has been shown to cleave many host proteins including cytokine precursors, cell receptors, fibrin, vitronectin, matrix proteoglycans, cationic antimicrobial peptides, and immunoglobulins, thereby contributing to endothelial and epidermal damage, tissue destruction, and bacterial dissemination. [53][54][55] SpeB enzymatic activity also releases fragments of fibrinogen-complexed M1 protein [fibrinogen-M1], thereby contributing to vascular leakage and host tissue damage. 52 However, at the same time, we detected virtually no grab transcripts, which encode a host protease inhibitor ␣ 2 -macroglobulin-binding bacterial surface protein designated GRAB.…”