[HTML][HTML] Adhesion and invasion of Streptococcus pyogenes into host cells and clinical relevance of intracellular streptococci

M Rohde, PP Cleary - Streptococcus pyogenes: Basic Biology to …, 2022 - ncbi.nlm.nih.gov
M Rohde, PP Cleary
Streptococcus pyogenes: Basic Biology to Clinical Manifestations …, 2022ncbi.nlm.nih.gov
The heterogeneous genus of Streptococci plays an important role in human disease.
Streptococci are estimated to cause 700 million human infections each year worldwide, with
an estimated total of 500,000 deaths (Carapetis, McDonald, & Wilson, 2005). Louis Pasteur
recognized streptococci as one of the first microorganisms to cause contagious disease in
1879. For family physicians, Streptococcus pyogenes has generally been associated with a
sore throat (strep throat) and less often associated with complications, like rheumatic fever or …
Abstract
The heterogeneous genus of Streptococci plays an important role in human disease. Streptococci are estimated to cause 700 million human infections each year worldwide, with an estimated total of 500,000 deaths (Carapetis, McDonald, & Wilson, 2005). Louis Pasteur recognized streptococci as one of the first microorganisms to cause contagious disease in 1879. For family physicians, Streptococcus pyogenes has generally been associated with a sore throat (strep throat) and less often associated with complications, like rheumatic fever or glomerulonephritis. Since the late 1980s, a resurgence of severe infections by S. pyogenes have been reported, which involve expanding and invasive soft tissue infections, as well as necrotizing fasciitis, and which are often accompanied by streptococcal toxic shock syndrome (STSS)(Reglinski & Sriskandan, 2014). In 1998, a sudden onset of neuropsychiatric illness, pediatric autoimmune neuropsychiatric disorders associated with streptococcal infections (PANDAS) following pharyngitis, was described (Swedo, et al., 1998). During the last decade, it became clear that a related species, S. dysgalactiae subsp. equisimilis, can cause many of the same kinds of human infections with similar complications. Over the past 20 years, β-hemolytic species of streptococci were recognized as highly capable intracellular pathogens that are able to efficiently invade human cells in cell culture.(LaPenta, Rubens, Chi, & Cleary, 1994; Greco, De Martino, Donnarumma, Conte, Seganti, & Valenti, 1995; Rohde & Chhatwal, 2013). Evidence indicates that streptococci can survive and persist within human cells and remain impervious to antibiotic treatment and innate immune defenses.
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