“…Streptococcus pneumoniae produces at least three distinct neuraminidases (41); NanA is the neuraminidase that is most active and most highly expressed at the transcriptional level (5,31), and it is conserved in all strains (21,24,41). Production of NanA can be detected in vivo, and its expression is upregulated upon interaction with host cells (27,39,46,58). The pneumococcal neuraminidase modifies host glycoconjugates, including immune defense proteins (22,23), and exposes potential binding receptors (3,26,28,54,55).…”