2016
DOI: 10.1038/nmicrobiol.2016.155
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Conserved patterns hidden within group A Streptococcus M protein hypervariability recognize human C4b-binding protein

Abstract: No vaccine exists against group A Streptococcus (GAS), a leading cause of worldwide morbidity and mortality. A severe hurdle is the hypervariability of its major antigen, the M protein, with >200 different M types known. Neutralizing antibodies typically recognize M protein hypervariable regions (HVRs) and confer narrow protection. In stark contrast, human C4b-binding protein (C4BP), which is recruited to the GAS surface to block phagocytic killing, interacts with a remarkably large number of M protein HVRs (a… Show more

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Cited by 50 publications
(113 citation statements)
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“…Due to the pronounced hypervariability of the N-terminal domain (B-repeats included) across M proteins, a single common pattern for the M proteins that activates IL-1β is unlikely. However, it has recently been recognized by x-ray crystallography that the three-dimensional structure of different M proteins in complex with host factors may reveal conserved sequence patterns hidden within hypervariability 42 .…”
Section: Discussionmentioning
confidence: 99%
“…Due to the pronounced hypervariability of the N-terminal domain (B-repeats included) across M proteins, a single common pattern for the M proteins that activates IL-1β is unlikely. However, it has recently been recognized by x-ray crystallography that the three-dimensional structure of different M proteins in complex with host factors may reveal conserved sequence patterns hidden within hypervariability 42 .…”
Section: Discussionmentioning
confidence: 99%
“…Unlike some previous reports of structure based vaccine design, we have focused only on the array of native peptide structures expressed by GAS. The feasibility of this approach is partly supported by the observation that the structures of the N-terminal regions of M proteins are constrained by their function(s) in virulence, including binding of the complement regulatory proteins C4BP [25, 26], factor H (and factor H-like protein) [27] and protection from proteolytic digestion [28]. Thus, the new cluster-based system predicts groups of related peptide structures whose diversity is limited by functional constraints.…”
Section: Discussionmentioning
confidence: 99%
“…FGG coding for fibrinogen-gamma was shown to be induced by pro-inflammatory cytokines 34 and to be elevated in lung pneumonia and infection 33 . C4BPA, coding for C4BP and part of the complement system, was found to recognize and bind pneumonia-causing streptococci in the lung epithelium 35,36 . It is noteworthy that many patients with COVID-19 (e.g.…”
Section: Discussionmentioning
confidence: 99%
“…A cutoff of absolute gene expression fold-change >1.2 and an FDR q-value < 0.05 were applied to select DEGs between ACE2-expressing and ACE2-absent AT2 cells. We found genes upregulated in ACE2-expressing AT2 cells that are highly pertinent to lung epithelial biology and disease such as HHIP (lung branching and chronic obstructive pulmonary disease/COPD, 31,32 ), FGG (fibrosis, pneumonia and inflammation, 33,34 ) and C4BPA (complement system, pneumonia and infection, 35,36 ) ( Fig. 3).…”
Section: Abundance and Expression Patterns Of The Sars-cov-2 Receptormentioning
confidence: 98%