“…M proteins bind C4BP and factor H, which inhibits activation of the complement system through the alternative pathway, while binding of the Fc part of immunoglobulin G (IgG) by M proteins inhibits activation through the classical pathway (6,23,25,29). The M and M-like surface proteins bind several plasma proteins, including fibronectin, albumin, plasminogen, and the Fc part of IgG and IgA, thereby covering the bacteria with host proteins (1,7,18,20,38). Production of a hyaluronic capsule as a coat is another way by which GAS avoid the action of the immune system (3,36,41).…”