The human pathogenic bacterium Streptococcus pyogenes causes pharyngit
is, acute rheumatic fever, glomerulonephritis and toxic-shock-like syn
drome. The bacterium synthesizes several extracellular products, inclu
ding the recently described streptococcal superantigen SSA, a molecule
that shares considerable homology with several Staphylococcus aureus
enterotoxins. While studying allelic variation at the ssa locus, six i
solates expressing serotypes M4, M23, M33, M41, M43, and provisional t
ype PT4854, were identified that had PCR products about 40-bp larger t
han expected, and one isolate (M15) had an amplified fragment that was
more than 1-kb larger than expected. All six isolates have a 34-bp in
sert located 103 bp 5' of the ssa start codon. The larger product is a
result of a 1110-bp insertion at the analogous location. The compleme
ntary strand of this insert has a 981-bp open reading frame that poten
tially encodes a 326-amino-acid polypeptide with substantial homology
to the Escherichia coli IS30 transposase. Results of Southern blot ana
lysis showed that at least twelve copies of the sequence are present i
n the serotype M15 S. pyogenes isolate. This element, designated IS123
9, is the first simple insertion sequence described in group-A strepto
cocci. Results of PCR screening showed that 26 of 78 (33%) S. pyogenes
isolates expressing distinct M protein serotypes contained-sequences
with homology to IS1239, which means that the element is widely distri
buted in the species.