“…By differential gene expression, GAS successfully transitions through three stages of host infection: namely, 1) establishment of infection, 2) adaptation, and 3) dissemination ( Figure 6). Information about stage 1 is based on an expanding body of work, 8,10,11,34,103 and our results support this information by combined early expression of Mga, Ihk/Irr, and FasBCA/X regulatory systems that promote evasion of immune and innate host defenses and enhance host cell contact through surface adhesin production. Down-regulation of the negative regulatory systems of PerR, CovR/S, and CrgR promote production of reactive oxygen species detoxifying enzymes, hyaluronic acid capsule, and antimicrobial peptide resistance mechanisms, respectively, 8,35,[103][104][105][106][107] and our soft tissue model demonstrates similar results.…”