Comparative clinical outcomes evaluation of hospitalized patients infected with Clostridioides difficile ribotype 106 vs. other toxigenic strains
This study demonstrated that the emergent C. difficile RT 106 was associated with increased rates of poor clinical outcomes compared to RT 014-020 and comparable poor clinical outcomes to RT 027. These findings can help to better understand the clinical significance of this and future emerging ribot …
External Validation and Comparison of Clostridioides difficile Severity Scoring Systems
No published CDI severity score showed stable, good predictive ability for adverse outcomes across multiple cohorts/institutions or in a combined multicenter cohort.
c-di-AMP signaling is required for bile salts resistance and long-term colonization by Clostridioides difficile | bioRxiv
To cause disease, the important human enteropathogen Clostridioides difficile must colonize the gastro-intestinal tract but little is known on how this organism senses and responds to the harsh host environment to adapt and multiply. Nucleotide second messengers are signaling molecules used by bacteria to respond to changing environmental conditions. In this study, we showed for the first time that c-di-AMP is produced by C. difficile and controls the uptake of potassium, making it essential for growth. We found that c-di-AMP is involved in biofilm formation, cell wall homeostasis, osmotolerance as well as detergent and bile salt resistance in C. difficile . In a colonization mouse model, a strain lacking GdpP, a c-di-AMP degrading enzyme, failed to persist in the gut in contrast to the parental strain. We identified OpuR as a new regulator that binds c-di-AMP and represses the expression of the compatible solute transporter OpuC. Interestingly, an opuR mutant is highly resistant to a hyperosmotic or bile salt stress compared to the parental strain while an opuCA mutant is more susceptible A short exposure of C. difficile cells to bile salts resulted in a decrease of the c-di-AMP concentrations reinforcing the hypothesis that changes in membrane characteristics due to variations of the cellular turgor or membrane damages constitute a signal for the adjustment of the intracellular c-di-AMP concentration. Thus, c-di-AMP is a signaling molecule with pleiotropic effects that controls osmolyte uptake to confer osmotolerance and bile salt resistance in C. difficile and that is important for colonization of the host. One Sentence Summary c-di-AMP is an essential regulatory molecule conferring resistance to osmotic and bile salt stresses by controlling osmolyte uptake and contributing to gut persistence in the human enteropathogen Clostridioides difficile . ### Competing Interest Statement The authors have declared no competing interest.
Severe C. difficile Infection in Colon Triggers aHUS in Young Woman - aHUS News
Severe colon infection caused by the bacteria Clostridioides difficile triggered a rare case of atypical hemolytic uremic syndrome (aHUS) in a healthy young woman, a case study reported. She...
Teaching old mice new tricks: the utility of aged mouse models of C. difficile infection to study pathogenesis and rejuvenate immune response
The aged mouse presents an important in vivo model to study CDI and elucidate the mechanisms underlying advanced age as an important risk factor for severe disease.
IL-27 induces LL-37/CRAMP expression from intestinal epithelial cells: implications for immunotherapy of Clostridioides difficile infection
Clostridioides difficile infection is currently the leading cause of nosocomial antibiotic-associated diarrhea and pseudomembranous colitis worldwide. Cathelicidins, a major group of natural antimicrobial peptides, have antimicrobial and immunomodulatory activities in …
Protospacer-Adjacent Motif Specificity during Clostridioides difficile Type I-B CRISPR-Cas Interference and Adaptation
CRISPR (clustered regularly interspaced short palindromic repeats)-Cas (CRISPR-associated) systems provide prokaryotes with efficient protection against foreign n …
Does accepted definition of Clostridioides difficile infection (CDI) severity predict poor outcomes in older adults?
The accepted definition of CDI severity was not useful in predicting CDI poor outcomes in older adults. In this population, we suggest advanced dementia and low albumin among others as CDI severity markers.
Antimicrobial resistance in Clostridioides difficile
Antimicrobial resistance (AMR) in Clostridioides difficile remains a significant threat to global healthcare systems, not just for the treatment of C. difficile infection (CDI), but as a reservoir of AMR genes that could be potentially transferred to other pathogens. The mechanisms of resistance for …
#EditorsChoiceReview paper: "Alteration of #GutMicrobiota in #InflammatoryBowelDisease (IBD): Cause or Consequence? #IBD Treatment Targeting the Gut Microbiome", by Dr. Chunjiang Zhang et al., is published.👉see more at https://t.co/s2wJNWOt34#pathogenesis#probiotics#FMT pic.twitter.com/ZY2t8oUi54— Pathogens MDPI (@Pathogens_MDPI) August 23, 2021
Antibiotic Resistance and Biofilm Production Capacity in Clostridioides difficile
Our results suggest an association between reduced antibiotic susceptibility and biofilm production capacity. This finding reinforces the importance of antibiotic susceptibility testing, mainly in recurrence infections that may be induced by a strain that is both antibiotic tolerant and biofilm prod …
Clostridioides difficile SpoVAD and SpoVAE interact and are required for DPA uptake into spores
Clostridioides difficile spores, like the spores from most endospore-forming organisms, are a metabolically dormant stage of development with a complex structure that conveys considerable resistance to environmental conditions, e.g., wet heat. This resistance is due to the large amount …
VirB4- and VirD4-like ATPases, components of a putative type 4C secretion system in Clostridioides difficile
The type 4 secretion system (T4SS) represents a bacterial nanomachine capable of trans-cell wall transportation of proteins and DNA and has attracted intense interest due to its roles in the pathogenesis of infectious diseases. In the current investigation, we uncovered three distinct gene clusters …
alpha-galactosylceramide-reactive NKT cells increase IgG1 class switch against a C. difficile polysaccharide antigen and enhance immunity against a live pathogen challenge
All clinical Clostridioides difficile strains identified to date express a surface capsule-like polysaccharide structure known as polysaccharide II (PSII). The PSII antigen is immunogenic and when conjugated to a protein carrier induces a protective antibody response in animal models. Given t …
RT @MicroMindy: Its been so great seeing all the #biofilmweek images! It inspired me throw this one into the mix- here is a SEM of C. diffi…
Its been so great seeing all the #biofilmweek images! It inspired me throw this one into the mix- here is a SEM of C. difficile and F. nucleatum biofilms! #biofilmsinthelab #biofilm #Cdiff #Fusobacterium pic.twitter.com/1rPPpJse7q— Mindy Engevik (@MicroMindy) August 21, 2021
Invisible steps for a global endemy: molecular strategies adopted by Clostridioides difficile
Clostridioides difficile infection (CDI) is on the rise worldwide and is associated with an increase in deaths and socio-health burden. C. difficile has become ubiquitous in anthropized environments because of the extreme resistance of its spores. Based on the epidemiological data and …
Characterization of an operon required for growth on cellobiose in Clostridioides difficile
Cellobiose metabolism is linked to the virulence properties in numerous bacterial pathogens. Here, we characterized a putative cellobiose PTS operon of Clostridiodes difficile to investigate the role of cellobiose metabolism in C. difficile pathogenesis. Our gene knockout experiments d …
Blastocystis and Clostridioides difficile: Evidence for a Synergistic Role in Colonization Among IBD Patients with Emphasis on Ulcerative Colitis
The co-existence of Blastocystis and C. difficile in IBD patients was observed in the current study. Moreover, it can be proposed that these microorganisms may have synergistic effects on their colonization in the gastrointestinal tract.
Does caloric restriction prime the microbiome for pathogenic bacteria?
A recent study in Nature finds significant shifts in the gut microbiome of post-menopausal
women on severe calorie restriction concomitant with weight loss. Microbiota transplantation
to germ-free mice display a similar weight loss, along with a bloom in C. difficile,
unlocking clues to microbial metabolic alteration in weight loss.
It takes less than a minute to download C diff and You app.Available from the Apple Store and Google Play Store 📱We place the C. diff. community in the palm of your hands 🤲 #cdiff #CDI #Cdifficile #healthcare #clinicaltrials #nutrition #support #microbiome #Cdiffeducation pic.twitter.com/EaXHWJaYA7— C DIFF FOUNDATION (@cdiffFoundation) August 9, 2021
C. diff. Annual H/C Conference Nov. 4-5 9th Annual International C. diff. Conference and Health EXPO: Live-Online, Two-Day Event Dedicated to Healthcare Professionals Worldwide November 4 ̵… cdifffoundation.org