In this review data on the pathogenicity factors of streptococci and their genetic control are presented. Attention is paid mainly to protein antigens alpha and beta, C5a peptidase, CAMP factor, R, Rib and X proteins. The problems of making the genetic and physical charts of the genome of group B streptococci, the genetic regulation of the synthesis of pathogenicity factors and the specific features of the damaging action of the infective agent are discussed.