The interaction of streptococci with human fibrinogen and platelets on damaged endocardium is a central event in the pathogenesis of infective endocarditis.
Streptococcus oralis
can bind platelets via the interaction of bacteriophage lysin
SM1
with fibrinogen on the platelet surface, and this process has been associated with increased virulence in an animal model of endocarditis. We now report that lysin
SM1
binds to the αC region of the human fibrinogen Aα chain.