“…Many different surface molecules mediate the attachment of GAS to human extracellular matrix components, including fibronectin, fibrinogen, laminin, and collagen, and the interaction with human plasma proteins (33,62). Among these streptococcal surface proteins, M protein binds to fibrinogen and plasminogen (50,54), the adhesin protein F binds to fibronectin (26,46), Lbp has been described to bind laminin (60), PAM binds to plasminogen (3,22), and Cpa binds to type I collagen (34,64). Based on in vitro binding assays, we observed that deletion of the spy1536 gene resulted in a drastically reduced interaction of S. pyogenes with all human extracellular matrix proteins tested.…”