Some isolates of the significant human pathogen Streptococcus pyogenes, including virulent strains of the M1 serotype, secrete protein SIC. This molecule, secreted in large quantities, interferes with complement function. As a result of natural selection, SIC shows a high degree of variation. Here we provide a plausible explanation for this variation and the fact that strains of the M1 serotype are the most frequent cause of severe invasive S. pyogenes infections. Thus, protein SIC was found to inactivate human neutrophil ␣-defensin and LL-37, two major antibacterial peptides involved in bacterial clearance. This inactivation protected S. pyogenes against the antibacterial effect of the peptides. Moreover, SIC isolated from S. pyogenes of the M1 serotype was more powerful in this respect than SIC variants from strains of M serotypes 12 and 55, serotypes rarely connected with invasive infections.Streptococcus pyogenes is one of the most common and important human bacterial pathogens. It causes relatively mild infections such as pharyngitis (strep throat) and impetigo but also serious clinical conditions like rheumatic fever, poststreptococcal glomerulonephritis, necrotizing fasciitis, septicemia, and a toxic-shock syndrome (1, 2). Increases in the number of life-threatening systemic S. pyogenes infections have been reported world-wide since the late 1980s and have attracted considerable attention and concern (3, 4). Based on the highly polymorphic M protein, a surface protein of S. pyogenes (for references see Ref. 5), isolates are divided into more than 100 serological subtypes, and systemic infections are most frequently caused by organisms of the M1 serotype (6).Protein SIC was originally isolated from the growth medium of an M1 strain (7). All strains of the M1 serotype secrete SIC and so do M57 organisms, whereas strains of 53 other serotypes were found to lack the sic gene (7). Subsequent work has identified distantly related sic variants also in M12 and M55 strains (8). SIC stands for streptococcal inhibitor of complement, as the protein incorporates into the membrane attack complex of complement and inhibits complement-mediated lysis of sensitized erythrocytes (7). This inhibition of membrane attack complex was recently shown to be the result of SIC preventing uptake of C567 onto cell membranes (9). A remarkable property of SIC was reported by Stockbauer et al. (10). They found that the sequences of a large number of sic genes from different strains of the M1 serotype showed a unique degree of variation, which is in striking contrast to the lack of M1 protein variation. Moreover, in a mouse model of infection, Hoe et al. (11) discovered that SIC variants arise rapidly on mucosal surfaces by natural selection. They also reported that the inhibition of complement-mediated lysis by SIC was not affected in the new SIC variants arising from natural selection, suggesting that complement inhibition is not the only function of SIC. Complement belongs to the innate immune system, and antibacterial peptides represe...