“…Information about stage 1 is based on an expanding body of work, 8,10,11,34,103 and our results support this information by combined early expression of Mga, Ihk/Irr, and FasBCA/X regulatory systems that promote evasion of immune and innate host defenses and enhance host cell contact through surface adhesin production. Down-regulation of the negative regulatory systems of PerR, CovR/S, and CrgR promote production of reactive oxygen species detoxifying enzymes, hyaluronic acid capsule, and antimicrobial peptide resistance mechanisms, respectively, 8,35,[103][104][105][106][107] and our soft tissue model demonstrates similar results. Interestingly, we have discovered that transcription of transport and central metabolism genes appears tailored to unique GAS environments where host glycopeptides and complex carbohydrates are available, including maltodextrins, but which must be used under acidic and hypoxic conditions.…”