Evidence map›Paper›PMID 21857653›Full record

ArticleNature medicine2011

Host S-nitrosylation inhibits clostridial small molecule-activated glucosylating toxins.

Tor C Savidge, Petri Urvil, Numan Oezguen, Kausar Ali, Aproteem Choudhury, Vinay Acharya, Irina Pinchuk, Alfredo G Torres, Robert D English, John E Wiktorowicz and 10 more

Registry-linked trialAbstract read
In one paragraph

Article in Nature medicine, 2011. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03926741 (Methods to Identify and Treat Severe Asthma Patients Project 1), which is not on this map. Cited by 54 papers.

0numbers the graph read from it
0cells of the map it votes in
54citing papers in PubMed
6.0field-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.

NCT03926741 early_phase1completednot on this mapstarted 2019, after this paper: background citation

Methods to Identify and Treat Severe Asthma Patients Project 1: GSNOR Phenotyping and GSNO Challenge

TypeinterventionalSponsorJames ReynoldsRan2019 to 2024Enrolled48ConditionsAsthmaArmsGSNO Challenge
3 · Its place in the literature

Who cites it

54 citing papers in PubMed, 91 citations in OpenAlex.

  1. Allosterically switchable network orientsProceedings of the National Academy of Sciences of the United States of America · 2025
    Article
  2. Article
  3. Mechanisms ofFrontiers in cellular and infection microbiology · 2025
    Review
  4. Article
  5. Article
  6. Review
  7. ThemBio · 2022
    Article
  8. Review
  9. Large Clostridial Toxins: Mechanisms and Roles in Disease.Microbiology and molecular biology reviews : MMBR · 2021
    Review
  10. Article
  11. Host Immune Responses toFrontiers in microbiology · 2021
    Review
  12. Article
  13. Article
  14. Review
  15. Article
  16. Article
  17. Article
  18. Article
  19. Article
  20. Article
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

20 authors at 7 institutions in 1 country.

Tor C SavidgeDepartment of Gastroenterology & Hepatology, University of Texas Medical Branch, Galveston, Texas, USA. tcsavidg@utmb.edu
Petri Urvil
Numan Oezguen
Kausar Ali
Aproteem Choudhury
Vinay Acharya
Irina Pinchuk
Alfredo G Torres
Robert D English
John E Wiktorowicz
Michael Loeffelholz
Raj Kumar
Lianfa Shi
Weijia Nie
Werner Braun
Bo Herman
Alfred Hausladen
Hanping Feng
Jonathan S Stamler
Charalabos Pothoulakis
The University of Texas Medical Branch at Galveston · USTufts University · USUniversity Hospitals Case Medical Center · USCase Western Reserve University · USCommonwealth Medical College · USNational Heart Lung and Blood Institute · USUniversity of California, Los Angeles · US

Funding

Regulation of Beta-Adrenergic Receptor Signaling by S-NitrosylationP01HL075443 · NHLBI · DUKE UNIVERSITY · PI ROCKMAN, HOWARD A · 2004 to 2019
$26.1M
UTMB CLINICAL AND TRANSLATIONAL SCIENCE AWARD: NASA BED REST STUDIESUL1RR029876 · NCRR · UNIVERSITY OF TEXAS MED BR GALVESTON · PI BRASIER, ALLAN R. · 2009 to 2011
$17.7M
Redox Signalling by Nitric Oxide in Skeletal MuscleR01HL059130 · NHLBI · DUKE UNIVERSITY · PI STAMLER, JONATHAN S. · 1997 to 2011
$3.1M
Development of Vaccines against Clostridium difficile InfectionR01AI088748 · NIAID · UNIVERSITY OF MARYLAND BALTIMORE · PI FENG, HANPING, TZIPORI, SAUL R · 2010 to 2014
$3.1M
Epithelium, dendritic cells, and Clostridium difficile associated colitisR01DK084509 · NIDDK · UNIVERSITY OF MARYLAND BALTIMORE · PI FENG, HANPING · 2010 to 2014
$1.7M
Red Blood Cell S-nitrosothiols and OxygenationR01HL091876 · NHLBI · DUKE UNIVERSITY · PI STAMLER, JONATHAN S. · 2009 to 2012
$1.6M
Restoration and Function of S-nitrosothiol in Stored BloodR01HL095463 · NHLBI · CASE WESTERN RESERVE UNIVERSITY · PI STAMLER, JONATHAN S. · 2009 to 2012
$1.5M
The role of dendritic cells in T cell immunity to CryptosporidiumK01DK076549 · NIDDK · TUFTS UNIVERSITY BOSTON · PI FENG, HANPING · 2007 to 2011
$605k
S-nitrosoglutathione regulation of intestinal barrier function in Crohn's diseaseR21DK078032 · NIDDK · UNIVERSITY OF TEXAS MED BR GALVESTON · PI SAVIDGE, TOR C. · 2009 to 2010
$376k
GENETICS AND ROLE OF ALGINATE IN P. AERUGINOSA INFECTIONR29AI030050 · NIAID · UNIVERSITY OF VIRGINIA CHARLOTTESVILLE · PI GOLDBERG, JOANNA B. · 1991 to 1995
–
Howard Hughes Medical InstituteNCRR NIH HHS 1UL1RR029876-01NCRR NIH HHS UL1 RR029876NHLBI NIH HHS N01-HV-00245NHLBI NIH HHS P01 HL075443NHLBI NIH HHS P01-HL075443-06ANHLBI NIH HHS R01 HL059130NHLBI NIH HHS R01-HL059130NHLBI NIH HHS R01 HL091876NHLBI NIH HHS R01-HL091876NHLBI NIH HHS R01 HL095463NHLBI NIH HHS R01-HL095463NIAID NIH HHS N01 AI030050NIAID NIH HHS R01 AI088748NIAID NIH HHS R01AI088748NIDDK NIH HHS K01 DK076549NIDDK NIH HHS K01DK076549NIDDK NIH HHS R01 DK084509NIDDK NIH HHS R01DK084509NIDDK NIH HHS R21 DK078032NIDDK NIH HHS R21-DK078032-01
6 · The paper itself

Abstract

The global prevalence of severe Clostridium difficile infection highlights the profound clinical significance of clostridial glucosylating toxins. Virulence is dependent on the autoactivation of a toxin cysteine protease, which is promoted by the allosteric cofactor inositol hexakisphosphate (InsP(6)). Host mechanisms that protect against such exotoxins are poorly understood. It is increasingly appreciated that the pleiotropic functions attributed to nitric oxide (NO), including host immunity, are in large part mediated by S-nitrosylation of proteins. Here we show that C. difficile toxins are S-nitrosylated by the infected host and that S-nitrosylation attenuates virulence by inhibiting toxin self-cleavage and cell entry. Notably, InsP(6)- and inositol pyrophosphate (InsP(7))-induced conformational changes in the toxin enabled host S-nitrosothiols to transnitrosylate the toxin catalytic cysteine, which forms part of a structurally conserved nitrosylation motif. Moreover, treatment with exogenous InsP(6) enhanced the therapeutic actions of oral S-nitrosothiols in mouse models of C. difficile infection. Allostery in bacterial proteins has thus been successfully exploited in the evolutionary development of nitrosothiol-based innate immunity and may provide an avenue to new therapeutic approaches.

Indexed as

Models, MolecularProtein ConformationAnimalsBacterial ToxinsCaco-2 CellsClostridioides difficileClostridium InfectionsCysteine ProteasesEnterotoxinsHumansIleumMiceNitric OxidePhytic AcidS-NitrosothiolsStatistics, NonparametricBacterial ToxinsCysteine ProteasesEnterotoxinsNitric OxidePhytic AcidS-NitrosothiolstcdA protein, Clostridium difficile

Identifiers

PMID21857653
PMCPMC3277400
OpenAlexW2095619798

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Registered trials

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.