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Updated model of group A Streptococcus M proteins based on a comprehensive worldwide study
Journal article   Open access   Peer reviewed

Updated model of group A Streptococcus M proteins based on a comprehensive worldwide study

David J McMillan, P A Drèze, T Vu, D E Bessen, J Guglielmini, A C Steer, J R Carapetis, L Van Melderen, K S Sriprakash and P R Smeesters
Clinical Microbiology and Infection, Vol.19(5), pp.E222-E229
2013
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https://doi.org/10.1111/1469-0691.12134View
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Abstract

streptococcus pyogened m protein virulence epidemiology typing vaccine
Background: Group A Streptococcus (GAS) M protein is an important virulence factor and potential vaccine antigen, and constitutes the basis for strain typing (emm-typing). Although >200 emm-types are characterized, structural data were obtained from only a limited number of emm-types. We aim to evaluate the sequence diversity of near-full-length M proteins from worldwide sources and analyse their structure, sequence conservation and classification. Methods: GAS isolates recovered from throughout the world during the last two decades underwent emm-typing and complete emm gene sequencing. Predicted amino acid sequence analyses, secondary structure predictions and vaccine epitope mapping were performed using MUSCLE and Geneious software. Results: 1086 isolates from 31 countries were analysed, representing 175 emm-types. Emm-type is predictive of the whole protein structure, independent of geographic origin or clinical association. Findings of an emm-type paired with multiple, highly divergent central regions were not observed. M protein sequence length, the presence or absence of sequence repeats, and predicted secondary structure was assessed in the context of the latest vaccine developments. Conclusions: Based on these global data, the M6 protein model is updated to a three representative M protein (M5, M80, M77) model, to aid in epidemiological analysis, vaccine development and M protein-related pathogenesis studies.

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