1978
DOI: 10.1126/science.351810
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Adherence of Group A Streptococci to Pharyngeal Cells: A Role In The Pathogenesis of Rheumatic Fever

Abstract: We used an assay in vitro to investigate the possible role of streptococcal adherence to human pharyngeal cells in the pathogenesis of acute rheumatic fever. There was no difference in adherence of rheumatic fever-associated and non-associated strains of group A streptococci to pooled pharyngeal cells of normal people. Likewise, streptococci not associated with rheumatic fever adhered equally well to cells taken from normal people and from patients with rheumatic heart disease. However, the pharyngeal cells of… Show more

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Cited by 43 publications
(9 citation statements)
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References 10 publications
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“…Certain individuals may be prone to develop caries because strains of caries-inducing streptococci adhere more avidly to their-teeth than to the teeth of other individuals. Thus the findings in this study seem to parallel those on adherence to pharyngeal cells of group A streptococci associated with rheumatic fever (20).…”
supporting
confidence: 76%
“…Certain individuals may be prone to develop caries because strains of caries-inducing streptococci adhere more avidly to their-teeth than to the teeth of other individuals. Thus the findings in this study seem to parallel those on adherence to pharyngeal cells of group A streptococci associated with rheumatic fever (20).…”
supporting
confidence: 76%
“…Though M protein and other virulence factors elaborated by GAS are important, the pathogenesis of severe GAS infections is also affected by host immunity or host cell responses [1]. For example, oral mucosa samples from different donors have been shown to vary in epithelial cell composition and to change according to the donor's diet [29] and general health [30]. Changes in epithelial cell population, such as an increase or decrease in the number of M cells [31], or fluctuations in the health of the oral epithelium in patients may help to describe how a single strain of GAS can cause different clinical manifestations in different people [32].…”
Section: Discussionmentioning
confidence: 99%
“…We have also shown that this strain does not possess measurable exoenzyme activities like collagenase, neuraminidase, DNase, hyaluronidase, chondroitin sulfatase, or hemolytic activity, which are known to be involved in the development of the infection process through their role in the degradation of the extracellular matrix (33,37,43). A further important prerequisite for a microorganism to exert pathogenic effects is its binding to the cells of the host (41). Using the Caco-2 model, we have demonstrated that strain B. xylanisolvens DSM 23964 does not stably bind to human intestinal epithelial cells.…”
Section: Discussionmentioning
confidence: 96%