“…17,59 In addition, high levels of expression of sagA (ranked 28th), which encodes the potent cytolysin SLS, was notable because SLS is thought to accelerate necrotic fascial injury through cytotoxic or apoptotic effects on many cell types including, but not limited to, neutrophils. 60 The untranslated mRNA of the pleiotropic effect locus (pel), which incidentally contains sagA, also acts as an antisense RNA transcriptional regulator, augmenting GAS virulence factor expression [SIC, M-protein, extracellular NAD-glycohydrolase (NADase encoded by nga/spn), plasminogen activator streptokinase encoded by ska, and SpeB] when pel RNA expression is induced. 61,62 We detected abundant sagA transcripts; thus pel-induced virulence gene expression may be predicted, as was observed in this study for all but nga (ranked 780th in WT extracts).…”