The M protein is an important surface-located virulence factor of Streptococcus pyogenes, the group A streptococcus (GAS). Expression of M protein is primarily controlled by Mga, a transcriptional activator protein. A recent report suggested that the sag locus, which includes nine genes necessary and sufficient for production of streptolysin S, another GAS virulence factor, is also needed for transcription of emm, encoding the M protein (Z. Li, D. D. Sledjeski, B. Kreikemeyer, A. Podbielski, and M. D. Boyle, J. Bacteriol. 181:6019-6027, 1999). To investigate this in more detail, we constructed an insertion-deletion mutation in sagA, the first gene in the sag locus, in the M6 strain JRS4. The resulting strain, JRS470, produced no detectable streptolysin S and showed a drastic reduction in cell surface-associated M protein, as measured by cell aggregation and Western blot analysis. However, transcription of the emm gene was unaffected by the sagA mutation. Detailed analysis with monoclonal antibodies and an antipeptide antibody showed that the M protein in the sagA mutant strain was truncated so that it lacks the C-repeat region and the C-terminal domain required for anchoring it to the cell surface. This truncated M protein was largely found, as expected, in the culture supernatant. Lack of surface-located M protein made the sagA mutant strain susceptible to phagocytosis. Thus, although sagA does not affect transcription of the M6 protein gene, it is needed for the surface localization of this important virulence factor.
Streptococcus pyogenes (the group A streptococcus [GAS]) is a serious human pathogen capable of producing a wide variety of diseases. Such infections range from mild suppurative diseases, such as pharyngitis and pyoderma, to more severe and life-threatening invasive diseases, including myositis, necrotizing fasciitis, and the recently recognized and often fatal streptococcal toxic shock syndrome (for a recent review, see reference 11). The primary infections may also lead to serious sequelae such as acute rheumatic fever, glomerulonephritis, and reactive arthritis (6). It appears that many GAS strains can cause more than one of these diseases.Different strains of GAS produce various virulence factors that are involved in the survival and persistence of this organism within its host. Among them, M protein, which appears as hair-like projections on the cell surface (52), is considered to be a major virulence factor. Probably the most important role of M protein in the virulence of the GAS is that it confers resistance to complement-mediated killing by polymorphonuclear leukocytes and macrophages (27), thus protecting the bacteria from phagocytosis. In addition, M protein is required for attachment of the GAS to keratinocytes and thus is likely to play a critical role in infections initiated at the skin surface. M protein also causes the GAS to aggregate when they attach to tonsillar epithelial cells (9), so it may also play a critical role in initiation of colonization of the respiratory mucosa.The...