2001
DOI: 10.1128/mmbr.65.2.187-207.2001
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Pneumococcal Virulence Factors: Structure and Function

Abstract: The overall goal for this review is to summarize the current body of knowledge about the structure and function of major known antigens of Streptococcus pneumoniae, a major gram-positive bacterial pathogen of humans. This information is then related to the role of these proteins in pneumococcal pathogenesis and in the development of new vaccines and/or other antimicrobial agents. S. pneumoniae is the most common cause of fatal community-acquired pneumonia in the elderly and is also one of the most common cause… Show more

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Cited by 411 publications
(378 citation statements)
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References 170 publications
(181 reference statements)
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“…Such additional protection might also be independent of the serotypes, as it seems to be the case for PspA at least in the investigated animal models (20). Therefore, the development of either a protein antigen(s)-based vaccine or a two-component vaccine comprising a polysaccharide and a nonpolysaccharide part, such as a protein discussed above, PspA, might be the best approach (20,(43)(44)(45)(46).…”
Section: Polysaccharide-based Vaccines and Other Approaches To Develomentioning
confidence: 99%
“…Such additional protection might also be independent of the serotypes, as it seems to be the case for PspA at least in the investigated animal models (20). Therefore, the development of either a protein antigen(s)-based vaccine or a two-component vaccine comprising a polysaccharide and a nonpolysaccharide part, such as a protein discussed above, PspA, might be the best approach (20,(43)(44)(45)(46).…”
Section: Polysaccharide-based Vaccines and Other Approaches To Develomentioning
confidence: 99%
“…In S. pneumoniae, hyaluronate lyase, neuraminidases, autolysin, choline-binding protein A, and pneumococcal surface protein A are suggested to function as cell surface virulent factors (12). Hyaluronate lyase degrades the extracellular matrix component hyaluronan in mammalian cells through the ␤-elimination reaction and releases unsaturated disaccharide, indicating that the enzyme produced by pathogenic bacteria functions as a spreading factor (13).…”
mentioning
confidence: 99%
“…Pneumolysin (PLY), a 53-kDa protein toxin produced by virtually all clinical isolates of S. pneumoniae, has been regarded as a key virulence factor of this bacterium (7) and as one of the candidates for vaccine development against pneumococcal infection (21). PLY is one of the cholesterol-dependent cytolysins (24) that are known to form ring-or arc-shaped pores on cholesterol-containing membranes and whose activity is blocked by free cholesterol (40,50).…”
mentioning
confidence: 99%