Evidence map›Paper›PMID 24336451›Full record

ArticleGenome biology and evolution2014

Evolutionary history of the Clostridium difficile pathogenicity locus.

Kate E Dingle, Briony Elliott, Esther Robinson, David Griffiths, David W Eyre, Nicole Stoesser, Alison Vaughan, Tanya Golubchik, Warren N Fawley, Mark H Wilcox and 5 more

Open access · goldAbstract read
In one paragraph

Article in Genome biology and evolution, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 127 papers.

0numbers the graph read from it
0cells of the map it votes in
127citing papers in PubMed
5.9field-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

127 citing papers in PubMed, 186 citations in OpenAlex.

  1. The prevalence and molecular epidemiology ofEmerging microbes & infections · 2026
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  7. Phylogenomic analysis of the collagen-like BclA proteins inApplied and environmental microbiology · 2026
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  12. Phenotypic analysis of variousApplied and environmental microbiology · 2025
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  14. Unique growth and morphology properties of Clade 5bioRxiv : the preprint server for biology · 2025
    Article
  15. Community-AcquiredInternational journal of molecular sciences · 2025
    Review
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  17. Microbiology spectrum · 2025
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  19. Mechanisms ofFrontiers in cellular and infection microbiology · 2025
    Review
  20. A multivalent mRNA-LNP vaccine protects againstScience (New York, N.Y.) · 2024
    Article

67 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

15 authors at 7 institutions in 2 countries.

Kate E DingleNuffield Department of Clinical Medicine, Oxford University, John Radcliffe Hospital, United Kingdom.
Briony Elliott
Esther Robinson
David Griffiths
David W Eyre
Nicole Stoesser
Alison Vaughan
Tanya Golubchik
Warren N Fawley
Mark H Wilcox
Timothy E Peto
A Sarah Walker
Thomas V Riley
Derrick W Crook
Xavier Didelot
University of Oxford · GBJohn Radcliffe Hospital · GBNational Institute for Health Research · GBUniversity of Western Australia · AUImperial College London · GBLeeds General Infirmary · GBUniversity of Leeds · GB

Funding

Biotechnology and Biological Sciences Research CouncilDepartment of Health DRF-2010-03-40Medical Research Council G0800778Medical Research Council MR/K010174/1Wellcome TrustWellcome Trust 087646/Z/08/Z
6 · The paper itself

Abstract

The symptoms of Clostridium difficile infection are caused by toxins expressed from its 19 kb pathogenicity locus (PaLoc). Stable integration of the PaLoc is suggested by its single chromosomal location and the clade specificity of its different genetic variants. However, the PaLoc is variably present, even among closely related strains, and thus resembles a mobile genetic element. Our aim was to explain these apparently conflicting observations by reconstructing the evolutionary history of the PaLoc. Phylogenetic analyses and annotation of the regions spanning the PaLoc were performed using C. difficile population-representative genomes chosen from a collection of 1,693 toxigenic (PaLoc present) and nontoxigenic (PaLoc absent) isolates. Comparison of the core genome and PaLoc phylogenies demonstrated an eventful evolutionary history, with distinct PaLoc variants acquired clade specifically after divergence. In particular, our data suggest a relatively recent PaLoc acquisition in clade 4. Exchanges and losses of the PaLoc DNA have also occurred, via long homologous recombination events involving flanking chromosomal sequences. The most recent loss event occurred ∼30 years ago within a clade 1 genotype. The genetic organization of the clade 3 PaLoc was unique in containing a stably integrated novel transposon (designated Tn6218), variants of which were found at multiple chromosomal locations. Tn6218 elements were Tn916-related but nonconjugative and occasionally contained genes conferring resistance to clinically relevant antibiotics. The evolutionary histories of two contrasting but clinically important genetic elements were thus characterized: the PaLoc, mobilized rarely via homologous recombination, and Tn6218, mobilized frequently through transposition.

Indexed as

Evolution, MolecularGenes, BacterialGenetic LociBase SequenceClostridioides difficileDNA Transposable ElementsHomologous RecombinationMolecular Sequence DataPhylogenyVirulenceDNA Transposable Elementsbacterial evolutionClostridium difficilemobile genetic elementPaLocpathogenicity locustoxin

Identifiers

PMID24336451
PMCPMC3914685
OpenAlexW2143373317

What OpenQuestion holds

Textmetadata
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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.