2019
DOI: 10.1016/j.celrep.2019.11.001
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Group A Streptococcal S Protein Utilizes Red Blood Cells as Immune Camouflage and Is a Critical Determinant for Immune Evasion

Abstract: Highlights d S protein promotes red blood cell binding to group A Streptococcus (GAS) cell surface d Red blood cell membrane binding is an immune evasion tactic used by GAS d Lack of S protein results in a drastic reduction of virulence during systemic infection d Attenuated virulence during Dess infection is associated with altered immunity

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Cited by 27 publications
(23 citation statements)
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“…Here, we demonstrate that 5448AP is not only resistant to neutrophil-mediated killing but proliferates in the presence of functional neutrophils. GAS survival has been demonstrated intracellularly in murine neutrophils and human macrophages ( Medina et al., 2003a ; Medina et al., 2003b ; O’Neill et al., 2016 ) and can even be facilitated by host red blood cells ( Wierzbicki et al., 2019 ). Increased 5448AP proliferation may result from the reduction in neutrophil ROS response during infection.…”
Section: Discussionmentioning
confidence: 99%
“…Here, we demonstrate that 5448AP is not only resistant to neutrophil-mediated killing but proliferates in the presence of functional neutrophils. GAS survival has been demonstrated intracellularly in murine neutrophils and human macrophages ( Medina et al., 2003a ; Medina et al., 2003b ; O’Neill et al., 2016 ) and can even be facilitated by host red blood cells ( Wierzbicki et al., 2019 ). Increased 5448AP proliferation may result from the reduction in neutrophil ROS response during infection.…”
Section: Discussionmentioning
confidence: 99%
“…were observed correlated with red blood cell count ( p < 0.05), such as S. mitis (p= 1.99 × 10 −12 ) and S. pseudopneumoniae (p = 4.51 × 10 −12 ) . These results suggested that commensal Streptococcus species might utilize red blood cells as camouflage to avoid being engulfed by phagocytic immune cells in addition to the well-known group A Streptococcus ( S. pyogenes ) 33 . Our results also supported previous findings that Streptococcus spp .…”
Section: Resultsmentioning
confidence: 95%
“…Fractions were next analyzed using tandem mass spectrometry (MS2/MS3) on an Orbitrap Fusion mass spectrometer (Thermo Fisher Scientific) with an in-line EASY-nLC 1000 instrument (Thermo Fisher Scientific). Separation and acquisition settings were performed using the previously defined methods [ 44 ].…”
Section: Methodsmentioning
confidence: 99%