A1 Refereed original research article in a scientific journal

Rapid selection of complement-inhibiting protein variants in group A Streptococcus epidemic waves




AuthorsHoe NP, Nakashima K, Lukomski S, Grigsby D, Liu M, Kordari P, Dou SJ, Pan X, Vuopio-Varkila J, Salmelinna S, McGeer A, Low DE, Schwartz B, Schuchat A, Naidich S, Fu YX, De Lorenzo D, Musser JM

Publication year1999

JournalNature Medicine

Journal name in sourceNature medicine

Journal acronymNat Med

Volume5

Issue8

First page 924

Last page9

Number of pages6

ISSN1078-8956

DOIhttps://doi.org/10.1038/11369


Abstract
Serotype M1 group A Streptococcus strains cause epidemic waves of human infections long thought to be mono- or pauciclonal. The gene encoding an extracellular group A Streptococcus protein (streptococcal inhibitor of complement) that inhibits human complement was sequenced in 1,132 M1 strains recovered from population-based surveillance of infections in Canada, Finland and the United States. Epidemic waves are composed of strains expressing a remarkably heterogeneous array of variants of streptococcal inhibitor of complement that arise very rapidly by natural selection on mucosal surfaces. Thus, our results enhance the understanding of pathogen population dynamics in epidemic waves and infectious disease reemergence.



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