Evidence map›Paper›PMID 19808679›Full record

ArticleThe Journal of biological chemistry2009

Cwp84, a surface-associated cysteine protease, plays a role in the maturation of the surface layer of Clostridium difficile.

Jonathan M Kirby, Helen Ahern, April K Roberts, Vivek Kumar, Zoe Freeman, K Ravi Acharya, Clifford C Shone

Open access · hybridAbstract read
In one paragraph

Article in The Journal of biological chemistry, 2009. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 61 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
61citing papers in PubMed, 1 pooled it
5.7field-weighted citation impact, top 3% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

61 citing papers in PubMed, 1 synthesis or guideline pooled it, 116 citations in OpenAlex.

  1. Antibiotic-Associated Diarrhea BeyondThe Brown journal of hospital medicine · 2023
    Pooled it
  2. Clostridioides difficile pathogenesis and control.Nature reviews. Microbiology · 2026
    Review
  3. Article
  4. Review
  5. Article
  6. Article
  7. Clostridioides difficile Biofilm.Advances in experimental medicine and biology · 2024
    Article
  8. Immunization Strategies Against Clostridioides difficile.Advances in experimental medicine and biology · 2024
    Review
  9. Review
  10. Review
  11. Article
  12. Article
  13. Review
  14. Microbiology (Reading, England) · 2023
    Review
  15. Article
  16. Article
  17. Genetic Mechanisms of Vancomycin Resistance inAntibiotics (Basel, Switzerland) · 2022
    Review
  18. Review
  19. Article
  20. Article

1 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors at 1 institution in 1 country.

Jonathan M KirbyResearch Department, Health Protection Agency, Porton Down, Salisbury, Wiltshire SP4 0JG, UK.
Helen Ahern
April K Roberts
Vivek Kumar
Zoe Freeman
K Ravi Acharya
Clifford C Shone
University of Bath · GB

Funding

Department of Health
6 · The paper itself

Abstract

Clostridium difficile is a major and growing problem as a hospital-associated infection that can cause severe, recurrent diarrhea. The mechanism by which the bacterium colonizes the gut during infection is poorly understood but undoubtedly involves protein components within the surface layer (S-layer), which play a role in adhesion. In C. difficile, the S-layer is composed of two principal components, the high and low molecular weight S-layer proteins, which are formed from the post-translational cleavage of a single precursor, SlpA. In the present study, we demonstrate that a recently characterized cysteine protease, Cwp84 plays a role in maturation of SlpA. Using a gene knock-out approach, we show that inactivation of the Cwp84 gene in C. difficile 630DeltaErm results in a bacterial phenotype in which only immature, single chain SlpA comprises the S-layer. The Cwp84 knock-out mutants (CDDeltaCwp84) displayed significantly different colony morphology compared with the wild-type strain and grew more slowly in liquid medium. SlpA extracted from CDDeltaCwp84 was readily cleaved into its mature subunits by trypsin treatment. Addition of trypsin to the growth medium also cleaved SlpA on CDDeltaCwp84 and increased the growth rate of the bacterium in a dose-dependent manner. Using the hamster model for C. difficile infection, CDDeltaCwp84 was found to be competent at causing disease with a similar pathology to the wild-type strain. The data show that whereas Cwp84 plays a role in the cleavage of SlpA, it is not an essential virulence factor and that bacteria expressing immature SlpA are able to cause disease.

Indexed as

Amino Acid SequenceAnimalsBacterial AdhesionBacterial ProteinsClostridioides difficileCricetinaeCricetulusCysteine EndopeptidasesEnterocolitis, PseudomembranousGene Knockout TechniquesHumansMesocricetusMolecular Sequence DataSurvival RateBacterial ProteinsCwp84 protein, Clostridium difficileCysteine Endopeptidasessurface layer protein A, Bacteria

Identifiers

PMID19808679
PMCPMC2787329
OpenAlexW2047204678

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.