Antibodies against a Surface Protein of Streptococcus pyogenes Promote a Pathological Inflammatory Response
2008

How Antibodies Against Streptococcus pyogenes Can Make Infections Worse

Sample size: 19 publication 10 minutes Evidence: moderate

Author Information

Author(s): Fredrik Kahn, Matthias Mörgelin, Oonagh Shannon, Anna Norrby-Teglund, Heiko Herwald, Anders I. Olin, Lars Björck

Primary Institution: Lund University

Hypothesis

Do IgG antibodies against the M1 protein of Streptococcus pyogenes contribute to the severity of streptococcal toxic shock syndrome?

Conclusion

The study found that certain IgG antibodies can exacerbate the inflammatory response and severity of disease caused by Streptococcus pyogenes.

Supporting Evidence

  • IgG antibodies against M1 protein were found to be necessary for the release of HBP.
  • Individuals with high anti-M1 antibody titers showed a significant response in HBP release.
  • M1 protein forms complexes with fibrinogen and IgG that activate neutrophils.

Takeaway

Some antibodies that usually help fight infections can actually make things worse by causing more inflammation.

Methodology

The study involved analyzing blood samples from responders and non-responders to M1 protein to assess HBP release and the role of IgG antibodies.

Potential Biases

Potential bias in selecting participants based on their immune response to M1 protein.

Limitations

The study primarily focused on a specific protein and may not account for other factors influencing the immune response.

Participant Demographics

The study included healthy individuals with varying responses to M1 protein.

Statistical Information

P-Value

p<0.001

Statistical Significance

p<0.001

Digital Object Identifier (DOI)

10.1371/journal.ppat.1000149

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