{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2024,8,11]],"date-time":"2024-08-11T19:53:20Z","timestamp":1723406000850},"reference-count":21,"publisher":"Microbiology Society","issue":"4","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2014,4,1]]},"abstract":"<jats:p>Streptococcal toxic shock syndrome (STSS) is a re-emerging infectious disease in many developed countries. Recent studies have suggested that mutations in CovRS, a two-component regulatory system in <jats:italic>Streptococcus pyogenes<\/jats:italic>, play important roles in the pathogenesis of STSS. However, <jats:italic>in vivo<\/jats:italic> evidence of the significance of CovRS in human infections has not been fully demonstrated. We investigated five <jats:italic>S. pyogenes<\/jats:italic> strains isolated simultaneously from the pharynx, sputum, knee joint, cerebrospinal fluid and blood of a single STSS patient. All were <jats:italic>emm<\/jats:italic>89-type strains, and multilocus sequence typing (MLST) analysis revealed that the strains of pharynx and blood were isogenic. The growth rates of the strains from pharynx and sputum were faster than those of the other strains. Protein profiles of the culture supernatants of strains from the pharynx and sputum were also different from those of the other strains. Sequence analyses revealed that strains from the knee joint, cerebrospinal fluid and blood contained a single nucleotide difference in the <jats:italic>covS<\/jats:italic> coding region, resulting in one amino acid change, compared with the other strains. Introduction of a plasmid containing the <jats:italic>covS<\/jats:italic> gene from the pharynx strain to the blood strain increased the production of SpeB protein. This suggests that the one amino acid alteration in CovS was relevant to pathogenesis. This report supports the idea that mutated CovS plays important roles <jats:italic>in vivo<\/jats:italic> in the dissemination of <jats:italic>S. pyogenes<\/jats:italic> from the upper respiratory tract of human to aseptic tissues such as blood and cerebrospinal fluid.<\/jats:p>","DOI":"10.1099\/jmm.0.070300-0","type":"journal-article","created":{"date-parts":[[2014,1,26]],"date-time":"2014-01-26T01:40:31Z","timestamp":1390700431000},"page":"504-507","source":"Crossref","is-referenced-by-count":13,"title":["Simultaneous isolation of emm89-type Streptococcus pyogenes strains with a wild-type or mutated covS gene from a single streptococcal toxic shock syndrome patient"],"prefix":"10.1099","volume":"63","author":[{"given":"Katsuaki","family":"Masuno","sequence":"first","affiliation":[{"name":"Nagoya City Public Health Research Institute, Nagoya, Japan"},{"name":"Department of Bacteriology, Nagoya City University Graduate School of Medical Sciences, Nagoya, 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