Virtual Oral 21st Lancefield International Symposium for Streptococci and Streptococcal Diseases 2022

Endopeptidase PepO as a potential marker for the identification of invasive group A Streptococcus (#52)

Yong An Shi 1 , Tzu-Ching Chen 2 , Yen-Shan Liu 3 , Chuan Chiang-Ni 1 3 4
  1. Graduate Institute of Biomedical Sciences, College of Medicine, Chang Gung University, Taoyuan, Taiwan
  2. Department of Medical Biotechnology and Laboratory Science, College of Medicine, Chang Gung University, Taoyuan, Taiwan
  3. Department of Microbiology and Immunology, College of Medicine, Chang Gung University, Taoyuan, Taiwan
  4. Molecular Infectious Disease Research Center, Chang Gung Memorial Hospital at Linkou, Taoyuan, Taiwan

Streptococcus pyogenes (group A Streptococcus, GAS) is a pathogen that causes necrotizing fasciitis and toxic shock syndrome. Necrotizing fasciitis, a disease characterized by severe tissue destruction, and toxic shock syndrome, a systemic response to infection, result in significant mortality. GAS isolates with spontaneous inactivating mutations in the CovR/CovS two-component regulatory system are frequently isolated from patients who present with these conditions; therefore, CovR/CovS-inactivated mutations are positively correlated with invasive GAS infection. CovR/CovS-inactivated mutants frequently exhibit an encapsulated/mucoid phenotype as a result of the derepression of capsule synthesis. However, in this study, we found that 69% (20/29) of CovR/CovS-inactivated mutants did not demonstrate a distinguishable encapsulated colony morphology. In lieu of encapsulation as a marker, we identified and verified that the endopeptidase PepO can be potentially used to distinguish between CovR/CovS-activated and -inactivated isolates via sodium dodecyl-sulfate polyacrylamide gel electrophoresis and western blot hybridization. RocA is the upstream regulator of CovR/CovS, and we demonstrated that PepO expression was upregulated in the RocA-inactivated mutant isolates, including emm3-type GAS isolates (with truncated RocA). This study revealed that PepO could be a candidate marker of invasive GAS isolates with defects in the CovR/CovS pathway, informing the development of rapid detection methods to identify invasive GAS isolates.