Journal article

Immune Cross-Opsonization within emm Clusters Following Group A Streptococcus Skin Infection: Broadening the Scope of Type-Specific Immunity

HR Frost, D Laho, ML Sanderson-Smith, P Licciardi, S Donath, N Curtis, J Kado, JB Dale, AC Steer, PR Smeesters

Clinical Infectious Diseases | OXFORD UNIV PRESS INC | Published : 2017

Open access

Abstract

Background Group A Streptococcus (GAS) skin infections are particularly prevalent in developing nations. The GAS M protein, by which strains are differentiated into >220 different emm types, is immunogenic and elicits protective antibodies. A major obstacle for vaccine development has been the traditional understanding that immunity following infection is restricted to a single emm type. However, recent evidence has led to the hypothesis of immune cross-reactivity between emm types. Methods We investigated the human serological response to GAS impetigo in Fijian schoolchildren, focusing on 3 major emm clusters (E4, E6, and D4). Pre- and postinfection sera were assayed by enzyme-linked immuno..

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