“…Streptococcus pyogenes is an exclusive human pathogen that causes diseases ranging from pharyngitis, impetigo, abscesses, cellulitis, sepsis, necrotizing fasciitis, and streptococcal toxic shock syndrome to acute post-streptococcal glomerulonephritis, acute rheumatic fever, and rheumatic heart disease (Carapetis et al, 2005;Walker et al, 2014). In this bacterium, CiaRH was regulated by the CovRS TCS and was associated with virulence (Graham et al, 2002), and CiaRH sensed SpeA to modulate biofilm formation (Babbar et al, 2019;Figure 2C). In addition, a study conducted by Riani et al (2007) established transcriptome analyses between the wild-type strain and the ciaH mutant, which revealed that CiaH influences the transcription of 132 genes (63 genes were upregulated and 69 genes were downregulated in the ciaH mutant compared with the wild-type strain), including genes that encode divalent cation and other ion transporters, PTS systems, ribosomal proteins, virulence proteins, stress response proteins, and hypothetical and phage proteins (Figure 2C).…”