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  1. Article ; Online: Tissue tropisms in group A Streptococcus: what virulence factors distinguish pharyngitis from impetigo strains?

    Bessen, Debra E

    Current opinion in infectious diseases

    2016  Volume 29, Issue 3, Page(s) 295–303

    Abstract: Purpose of review: Group A streptococci (GAS) are a common cause of pharyngitis and impetigo, and distinct throat strains and skin strains have been long recognized. This review aims to describe recent advances in molecular differences between throat ... ...

    Abstract Purpose of review: Group A streptococci (GAS) are a common cause of pharyngitis and impetigo, and distinct throat strains and skin strains have been long recognized. This review aims to describe recent advances in molecular differences between throat and skin strains, and the pathogenic mechanisms used by virulence factors that may distinguish between these two groups.
    Recent findings: Recent findings include a new typing scheme for GAS strains based on sequence clusters of genes encoding the entire surface-exposed portion of M protein; correlations between emm-based typing schemes, clinical disease and surface adhesins; covalent bond formation mediated by GAS pili and other adhesins in binding to host ligands; a key role for superantigens in oropharyngeal infection via binding major histocompatibility complex class II antigen; and migration of GAS-specific Th17 cells from the upper respiratory tract to the brain, which may be relevant to autoimmune sequelae.
    Summary: The gap between molecular markers of disease (correlation) and virulence mechanisms (causation) in the establishment of tissue tropisms for GAS infection currently remains wide, but the gap also continues to narrow. Whole genome sequencing combined with mutant construction and improvements in animal models for oropharyngeal infection by GAS may help pave the way for new discoveries.
    MeSH term(s) Bacterial Proteins ; Humans ; Impetigo/microbiology ; Pharyngitis/microbiology ; Streptococcal Infections/microbiology ; Streptococcus pyogenes/classification ; Streptococcus pyogenes/pathogenicity ; Viral Tropism ; Virulence Factors
    Chemical Substances Bacterial Proteins ; Virulence Factors
    Language English
    Publishing date 2016-02-19
    Publishing country United States
    Document type Journal Article ; Review ; Research Support, N.I.H., Extramural ; Research Support, Non-U.S. Gov't
    ZDB-ID 645085-4
    ISSN 1473-6527 ; 1535-3877 ; 0951-7375 ; 1355-834X
    ISSN (online) 1473-6527 ; 1535-3877
    ISSN 0951-7375 ; 1355-834X
    DOI 10.1097/QCO.0000000000000262
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  2. Article ; Online: Population genomics: an investigative tool for epidemics.

    Bessen, Debra E

    The American journal of pathology

    2012  Volume 180, Issue 4, Page(s) 1358–1361

    MeSH term(s) Animals ; Female ; Humans ; Male ; Streptococcal Infections/epidemiology ; Streptococcus pyogenes/genetics
    Language English
    Publishing date 2012-02-28
    Publishing country United States
    Document type Journal Article ; Comment
    ZDB-ID 2943-9
    ISSN 1525-2191 ; 0002-9440
    ISSN (online) 1525-2191
    ISSN 0002-9440
    DOI 10.1016/j.ajpath.2012.01.007
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  3. Article ; Online: Recombinational exchange of M-fibril and T-pilus genes generates extensive cell surface diversity in the global group A

    Bessen, Debra E / Beall, Bernard W / Hayes, Andrew / Huang, Weihua / DiChiara, Jeanne M / Velusamy, Srinivasan / Tettelin, Hervé / Jolley, Keith A / Fallon, John T / Chochua, Sopio / Alobaidallah, Mosaed S A / Higgs, Charlie / Barnett, Timothy C / Steemson, John T / Proft, Thomas / Davies, Mark R

    mBio

    2024  , Page(s) e0069324

    Abstract: Among genes present in all group A streptococci (GAS), those encoding M-fibril and T-pilus proteins display the highest levels of sequence diversity, giving rise to the two primary serological typing schemes historically used to define strain. A new ... ...

    Abstract Among genes present in all group A streptococci (GAS), those encoding M-fibril and T-pilus proteins display the highest levels of sequence diversity, giving rise to the two primary serological typing schemes historically used to define strain. A new genotyping scheme for the pilin adhesin and backbone genes is developed and, when combined with
    Language English
    Publishing date 2024-04-09
    Publishing country United States
    Document type Journal Article
    ZDB-ID 2557172-2
    ISSN 2150-7511 ; 2161-2129
    ISSN (online) 2150-7511
    ISSN 2161-2129
    DOI 10.1128/mbio.00693-24
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  4. Article ; Online: Molecular Epidemiology, Ecology, and Evolution of Group A Streptococci.

    Bessen, Debra E / Smeesters, Pierre R / Beall, Bernard W

    Microbiology spectrum

    2018  Volume 6, Issue 5

    Abstract: The clinico-epidemiological features of diseases caused by group A streptococci (GAS) is presented through the lens of the ecology, population genetics, and evolution of the organism. The serological targets of three typing schemes (M, T, SOF) are ... ...

    Abstract The clinico-epidemiological features of diseases caused by group A streptococci (GAS) is presented through the lens of the ecology, population genetics, and evolution of the organism. The serological targets of three typing schemes (M, T, SOF) are themselves GAS cell surface proteins that have a myriad of virulence functions and a diverse array of structural forms. Horizontal gene transfer expands the GAS antigenic cell surface repertoire by generating numerous combinations of M, T, and SOF antigens. However, horizontal gene transfer of the serotype determinant genes is not unconstrained, and therein lies a genetic organization that may signify adaptations to a narrow ecological niche, such as the primary tissue reservoirs of the human host. Adaptations may be further shaped by selection pressures such as herd immunity. Understanding the molecular evolution of GAS on multiple levels-short, intermediate, and long term-sheds insight on mechanisms of host-pathogen interactions, the emergence and spread of new clones, rational vaccine design, and public health interventions.
    MeSH term(s) Ecology ; Evolution, Molecular ; Gene Transfer, Horizontal ; Host-Pathogen Interactions ; Humans ; Molecular Epidemiology ; Streptococcal Infections/epidemiology ; Streptococcal Infections/microbiology ; Streptococcus pyogenes/genetics ; Streptococcus pyogenes/pathogenicity ; Virulence
    Language English
    Publishing date 2018-09-07
    Publishing country United States
    Document type Journal Article ; Research Support, N.I.H., Extramural ; Research Support, Non-U.S. Gov't ; Review
    ISSN 2165-0497
    ISSN (online) 2165-0497
    DOI 10.1128/microbiolspec.CPP3-0009-2018
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  5. Article ; Online: Population biology of the human restricted pathogen, Streptococcus pyogenes.

    Bessen, Debra E

    Infection, genetics and evolution : journal of molecular epidemiology and evolutionary genetics in infectious diseases

    2009  Volume 9, Issue 4, Page(s) 581–593

    Abstract: Streptococcus pyogenes, also referred to as beta-hemolytic group A streptococci, are strictly human pathogens with a global distribution and high prevalence of infection. The organisms are characterized by high levels of genetic recombination, extensive ... ...

    Abstract Streptococcus pyogenes, also referred to as beta-hemolytic group A streptococci, are strictly human pathogens with a global distribution and high prevalence of infection. The organisms are characterized by high levels of genetic recombination, extensive strain diversity, and a narrow habitat. This review highlights many key features of the population genetics and molecular epidemiology of this biologically diverse bacterial species, with special emphasis on ecological subdivisions and tissue-specific infections, strain diversity and population dynamics in communities, selection pressures arising from the specific host immune response and antibiotic exposure, and within-host selection during the course of invasive disease.
    MeSH term(s) Anti-Bacterial Agents/pharmacology ; Drug Resistance, Bacterial ; Ecology ; Evolution, Molecular ; Genetics, Population ; Humans ; Molecular Epidemiology ; Phylogeny ; Selection, Genetic ; Streptococcal Infections/classification ; Streptococcal Infections/epidemiology ; Streptococcal Infections/microbiology ; Streptococcus pyogenes/classification ; Streptococcus pyogenes/drug effects ; Streptococcus pyogenes/genetics ; Streptococcus pyogenes/pathogenicity
    Chemical Substances Anti-Bacterial Agents
    Language English
    Publishing date 2009-03-21
    Publishing country Netherlands
    Document type Journal Article ; Research Support, N.I.H., Extramural ; Review
    ZDB-ID 2037068-4
    ISSN 1567-7257 ; 1567-1348
    ISSN (online) 1567-7257
    ISSN 1567-1348
    DOI 10.1016/j.meegid.2009.03.002
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  6. Article ; Online: The search for a genetic divide between streptococcal pathogens and commensals.

    Bessen, Debra E

    Clinical infectious diseases : an official publication of the Infectious Diseases Society of America

    2007  Volume 44, Issue 11, Page(s) 1455–1456

    MeSH term(s) Cluster Analysis ; Gene Expression Profiling ; Humans ; Oligonucleotide Array Sequence Analysis ; Phylogeny ; Streptococcus/genetics ; Streptococcus/isolation & purification ; Streptococcus/pathogenicity ; Virulence Factors/genetics
    Chemical Substances Virulence Factors
    Language English
    Publishing date 2007-06-01
    Publishing country United States
    Document type Comment ; Editorial
    ZDB-ID 1099781-7
    ISSN 1537-6591 ; 1058-4838
    ISSN (online) 1537-6591
    ISSN 1058-4838
    DOI 10.1086/517533
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  7. Article ; Online: Inter-species gene flow drives ongoing evolution of Streptococcus pyogenes and Streptococcus dysgalactiae subsp. equisimilis.

    Xie, Ouli / Morris, Jacqueline M / Hayes, Andrew J / Towers, Rebecca J / Jespersen, Magnus G / Lees, John A / Ben Zakour, Nouri L / Berking, Olga / Baines, Sarah L / Carter, Glen P / Tonkin-Hill, Gerry / Schrieber, Layla / McIntyre, Liam / Lacey, Jake A / James, Taylah B / Sriprakash, Kadaba S / Beatson, Scott A / Hasegawa, Tadao / Giffard, Phil /
    Steer, Andrew C / Batzloff, Michael R / Beall, Bernard W / Pinho, Marcos D / Ramirez, Mario / Bessen, Debra E / Dougan, Gordon / Bentley, Stephen D / Walker, Mark J / Currie, Bart J / Tong, Steven Y C / McMillan, David J / Davies, Mark R

    Nature communications

    2024  Volume 15, Issue 1, Page(s) 2286

    Abstract: Streptococcus dysgalactiae subsp. equisimilis (SDSE) is an emerging cause of human infection with invasive disease incidence and clinical manifestations comparable to the closely related species, Streptococcus pyogenes. Through systematic genomic ... ...

    Abstract Streptococcus dysgalactiae subsp. equisimilis (SDSE) is an emerging cause of human infection with invasive disease incidence and clinical manifestations comparable to the closely related species, Streptococcus pyogenes. Through systematic genomic analyses of 501 disseminated SDSE strains, we demonstrate extensive overlap between the genomes of SDSE and S. pyogenes. More than 75% of core genes are shared between the two species with one third demonstrating evidence of cross-species recombination. Twenty-five percent of mobile genetic element (MGE) clusters and 16 of 55 SDSE MGE insertion regions were shared across species. Assessing potential cross-protection from leading S. pyogenes vaccine candidates on SDSE, 12/34 preclinical vaccine antigen genes were shown to be present in >99% of isolates of both species. Relevant to possible vaccine evasion, six vaccine candidate genes demonstrated evidence of inter-species recombination. These findings demonstrate previously unappreciated levels of genomic overlap between these closely related pathogens with implications for streptococcal pathobiology, disease surveillance and prevention.
    MeSH term(s) Humans ; Streptococcus pyogenes/genetics ; Gene Flow ; Streptococcal Infections ; Vaccines ; Streptococcus
    Chemical Substances Vaccines
    Language English
    Publishing date 2024-03-13
    Publishing country England
    Document type Journal Article
    ZDB-ID 2553671-0
    ISSN 2041-1723 ; 2041-1723
    ISSN (online) 2041-1723
    ISSN 2041-1723
    DOI 10.1038/s41467-024-46530-2
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  8. Article ; Online: Tissue tropisms in group A streptococcal infections.

    Bessen, Debra E / Lizano, Sergio

    Future microbiology

    2010  Volume 5, Issue 4, Page(s) 623–638

    Abstract: Group A Streptococcus (GAS) is a human-specific pathogen that is highly prevalent throughout the world. The vast majority of GAS infections lead to a mild disease involving the epithelial surfaces of either the throat or skin. The concept of distinct ... ...

    Abstract Group A Streptococcus (GAS) is a human-specific pathogen that is highly prevalent throughout the world. The vast majority of GAS infections lead to a mild disease involving the epithelial surfaces of either the throat or skin. The concept of distinct sets of 'throat' and 'skin' strains of GAS has long been conceived. From an ecological standpoint, the epithelium of the throat and skin are important because it is where the organism is most successful in reproducing and transmitting to new hosts. This article examines key features of the epidemiology, population biology and molecular pathogenesis that underlie the tissue site preferences for infection exhibited by GAS, with an emphasis on work from our laboratory on skin tropisms. Recombinational replacement with orthologous gene forms, following interspecies transfer, appears to be an important genetic step leading up to the exploitation of new niches by GAS.
    MeSH term(s) Bacterial Proteins/genetics ; Bacterial Proteins/physiology ; Bacterial Typing Techniques ; Epithelium/microbiology ; Genotype ; Humans ; Pharynx/microbiology ; Skin/microbiology ; Streptococcal Infections/epidemiology ; Streptococcal Infections/microbiology ; Streptococcus pyogenes/classification ; Streptococcus pyogenes/genetics ; Streptococcus pyogenes/isolation & purification ; Streptococcus pyogenes/pathogenicity ; Virulence Factors/genetics ; Virulence Factors/physiology
    Chemical Substances Bacterial Proteins ; Virulence Factors
    Language English
    Publishing date 2010-03-30
    Publishing country England
    Document type Journal Article ; Research Support, N.I.H., Extramural ; Research Support, Non-U.S. Gov't ; Review
    ISSN 1746-0921
    ISSN (online) 1746-0921
    DOI 10.2217/fmb.10.28
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  9. Article ; Online: Wiring the streptococcal network for alternative lifestyles.

    Bessen, Debra E / Tengra, Farah K

    The Journal of infectious diseases

    2010  Volume 201, Issue 6, Page(s) 800–802

    MeSH term(s) Animals ; Antigens, Bacterial/genetics ; Bacterial Outer Membrane Proteins/genetics ; Bacterial Proteins/biosynthesis ; Bacterial Proteins/genetics ; Carrier Proteins/genetics ; Disease Models, Animal ; Exotoxins/biosynthesis ; Exotoxins/genetics ; Histidine Kinase ; Humans ; Intracellular Signaling Peptides and Proteins/genetics ; Intracellular Signaling Peptides and Proteins/metabolism ; Membrane Proteins/biosynthesis ; Membrane Proteins/genetics ; Mice ; Mutation ; Streptococcal Infections/microbiology ; Streptococcus pyogenes/genetics ; Streptococcus pyogenes/pathogenicity
    Chemical Substances Antigens, Bacterial ; Bacterial Outer Membrane Proteins ; Bacterial Proteins ; Carrier Proteins ; Exotoxins ; Intracellular Signaling Peptides and Proteins ; Membrane Proteins ; SpeA protein, Streptococcus pyogenes ; erythrogenic toxin ; streptococcal M protein ; CovS protein, Streptococcus pyogenes (EC 2.7.13.1) ; Histidine Kinase (EC 2.7.13.1)
    Language English
    Publishing date 2010-02-12
    Publishing country United States
    Document type Editorial ; Comment
    ZDB-ID 3019-3
    ISSN 1537-6613 ; 0022-1899
    ISSN (online) 1537-6613
    ISSN 0022-1899
    DOI 10.1086/651020
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  10. Article ; Online: Incremental Contributions of FbaA and Other Impetigo-Associated Surface Proteins to Fitness and Virulence of a Classical Group A Streptococcal Skin Strain.

    Rouchon, Candace N / Ly, Anhphan T / Noto, John P / Luo, Feng / Lizano, Sergio / Bessen, Debra E

    Infection and immunity

    2017  Volume 85, Issue 11

    Abstract: Group A streptococci (GAS) are highly prevalent human pathogens whose primary ecological niche is the superficial epithelial layers of the throat and/or skin. Many GAS strains with a strong tendency to cause pharyngitis are distinct from strains that ... ...

    Abstract Group A streptococci (GAS) are highly prevalent human pathogens whose primary ecological niche is the superficial epithelial layers of the throat and/or skin. Many GAS strains with a strong tendency to cause pharyngitis are distinct from strains that tend to cause impetigo; thus, genetic differences between them may confer host tissue-specific virulence. In this study, the FbaA surface protein gene was found to be present in most skin specialist strains but largely absent from a genetically related subset of pharyngitis isolates. In an Δ
    MeSH term(s) Animals ; Bacterial Proteins/genetics ; Bacterial Proteins/metabolism ; Blood Cells/immunology ; Blood Cells/microbiology ; Carrier Proteins/genetics ; Carrier Proteins/metabolism ; Disease Models, Animal ; Gene Expression Regulation, Bacterial ; Genetic Fitness ; Host-Pathogen Interactions ; Humans ; Impetigo/immunology ; Impetigo/microbiology ; Impetigo/pathology ; Mice ; Pharyngitis/immunology ; Pharyngitis/microbiology ; Pharyngitis/pathology ; Pharynx/immunology ; Pharynx/microbiology ; Pharynx/pathology ; Protein Isoforms/genetics ; Protein Isoforms/metabolism ; Skin/immunology ; Skin/microbiology ; Skin/pathology ; Streptococcal Infections/immunology ; Streptococcal Infections/microbiology ; Streptococcal Infections/pathology ; Streptococcus pyogenes/genetics ; Streptococcus pyogenes/metabolism ; Streptococcus pyogenes/pathogenicity ; Virulence
    Chemical Substances Bacterial Proteins ; Carrier Proteins ; Fba protein, Streptococcus pyogenes ; Protein Isoforms ; plasminogen-binding protein, bacteria
    Language English
    Publishing date 2017-11
    Publishing country United States
    Document type Journal Article
    ZDB-ID 218698-6
    ISSN 1098-5522 ; 0019-9567
    ISSN (online) 1098-5522
    ISSN 0019-9567
    DOI 10.1128/IAI.00374-17
    Database MEDical Literature Analysis and Retrieval System OnLINE

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