“…Antibody responses toward GAS M protein have been extensively studied in both humans and various animal models (1,3,4,10,29), and identification of cardiac myosin (10,22) as an important autoantigen has indicated a role for autoimmunity in the pathogenesis of RHD (6,8). Opsonophagocytosis, mediated by serum opsonins, such as antibodies or complement, is a key mechanism for host protective immunity against streptococcal infection.…”