“…Finally, a number of these antigens exhibit toxic effects in the host or possess enzymatic activity, including SOF, ScpA, SpeB, Sse, Sib35, SpyCEP, SLO, ADI, and TF. The incorporation of the active forms of these antigens into GAS vaccine preparations may raise safety concerns, and consequently, inactive forms of these antigens have been engineered by employing site-directed mutagenesis for use in vaccine studies, including SOF (581), ScpA (571), SpeB (575), SpyCEP (578,582), SLO (582,583), and ADI (584).…”