“…CDCs are intimately involved in the pathogenesis of more than 20 Gram-positive species including Arcanobacterium pyogenes, Clostridium perfringens, Bacillus cereus, Listeria monocytogenes, Streptococcus pyogenes and Streptococcus pneumoniae [ 14 - 18 ]. At high concentrations, CDCs function as cytotoxins, lysing host immune cells; Perfringolysin O, PFO, is cytolytic to macrophages; Pneumolysin, PLY, lyses murine macrophages and bovine PMNs, and; SLO of S. pyrogenes lyses human PMNs [ 19 - 22 ]. Many of these pathogens secrete CDCs in sub-lytic amounts that function to modulate phagocytic cell function by inhibiting chemotaxis, the oxidative burst, or phagocytosis, and activate complement [ 12 , 15 , 23 - 27 ].…”