Natural variation of the streptococcal group A carbohydrate biosynthesis genes impacts host-pathogen interaction.

ABSTRACT: Streptococcus pyogenes is a leading cause of infection-related mortality in humans globally. The characteristic cell wall-anchored group A carbohydrate (GAC) is expressed by all S. pyogenes strains and consists of a polyrhamnose backbone with alternating N-acetylglucosamine (GlcNAc) side chains, of which 25% are decorated with glycerol phosphate (GroP). The genes in the gacA-L cluster are critical for GAC biosynthesis, with gacH-L being responsible for the characteristic GlcNAc-GroP decoration, which confers the agglutination in rapid test diagnostic assays and contributes to S. pyogenes pathogenicity. Historical research papers described S. pyogenes isolates, so-called A-variant strains, that lost the characteristic GlcNAc side chain follow

SUBMITTER: Schipper K 

PROVIDER: S-EPMC12282279 | biostudies-literature | 2025 Jul

REPOSITORIES: biostudies-literature