Evidence map›Paper›PMID 26038560›Full record

ArticleProceedings of the National Academy of Sciences of the United States of America2015

Identification of an epithelial cell receptor responsible for Clostridium difficile TcdB-induced cytotoxicity.

Michelle E LaFrance, Melissa A Farrow, Ramyavardhanee Chandrasekaran, Jinsong Sheng, Donald H Rubin, D Borden Lacy

Open access · bronzeAbstract read
In one paragraph

Article in Proceedings of the National Academy of Sciences of the United States of America, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 105 papers.

0numbers the graph read from it
0cells of the map it votes in
105citing papers in PubMed
12.4field-weighted citation impact, top 1% 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

105 citing papers in PubMed, 168 citations in OpenAlex.

  1. Review
  2. Review
  3. Monoclonal Antibodies Targeting Bacterial Infections: A Broad Review of the Field.BioDrugs : clinical immunotherapeutics, biopharmaceuticals and gene therapy · 2026
    Review
  4. CSPG4 Mediates Inflammatory, Cell Death, and Senescence Responses in Enteric Glia Exposed to Clostridioides difficile Toxins.FASEB journal : official publication of the Federation of American Societies for Experimental Biology · 2026
    Article
  5. Clostridioides difficile pathogenesis and control.Nature reviews. Microbiology · 2026
    Review
  6. Article
  7. Article
  8. Review
  9. Review
  10. Review
  11. Review
  12. AgainstToxins · 2025
    Review
  13. MappingmBio · 2025
    Article
  14. bioRxiv : the preprint server for biology · 2025
    Article
  15. Mechanisms ofFrontiers in cellular and infection microbiology · 2025
    Review
  16. Article
  17. Article
  18. Toxins · 2024
    Review
  19. Review
  20. Article

45 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

6 authors at 2 institutions in 1 country.

Michelle E LaFranceDepartment of Biochemistry, Vanderbilt University School of Medicine, Nashville, TN 37232;
Melissa A FarrowDepartment of Pathology, Microbiology and Immunology, Vanderbilt University School of Medicine, Nashville, TN 37232;
Ramyavardhanee ChandrasekaranDepartment of Pathology, Microbiology and Immunology, Vanderbilt University School of Medicine, Nashville, TN 37232;
Jinsong ShengDepartment of Medicine, Vanderbilt University School of Medicine, Nashville, TN 37232;
Donald H RubinDepartment of Pathology, Microbiology and Immunology, Vanderbilt University School of Medicine, Nashville, TN 37232; Department of Medicine, Vanderbilt University School of Medicine, Nashville, TN 37232; Department of Research Medicine, Veterans Affairs Tennessee Valley Healthcare System, Nashville, TN 37212.
D Borden LacyDepartment of Biochemistry, Vanderbilt University School of Medicine, Nashville, TN 37232; Department of Pathology, Microbiology and Immunology, Vanderbilt University School of Medicine, Nashville, TN 37232; borden.lacy@vanderbilt.edu.
Vanderbilt University · USVA Tennessee Valley Healthcare System · US

Funding

Translational Analysis CoreP30DK058404 · NIDDK · VANDERBILT UNIVERSITY MEDICAL CENTER · PI RICHARD M. PEEK · 2002 to 2026
$29.9M
Structural mechanisms of Clostridium difficile pathogenesisR01AI095755 · NIAID · VANDERBILT UNIVERSITY MEDICAL CENTER · PI LACY, DANA BORDEN · 2011 to 2020
$3.9M
Structural Mechanisms of Clostridioides difficile pathogenesisR37AI095755 · NIAID · VANDERBILT UNIVERSITY MEDICAL CENTER · PI Dana Borden Lacy · 2021 to 2026
$3.2M
NIAID NIH HHS R01 AI095755NIAID NIH HHS R01AI095755NIAID NIH HHS R37 AI095755NIDDK NIH HHS P30 DK058404NIDDK NIH HHS P30DK058404
6 · The paper itself

Abstract

Clostridium difficile is the leading cause of hospital-acquired diarrhea in the United States. The two main virulence factors of C. difficile are the large toxins, TcdA and TcdB, which enter colonic epithelial cells and cause fluid secretion, inflammation, and cell death. Using a gene-trap insertional mutagenesis screen, we identified poliovirus receptor-like 3 (PVRL3) as a cellular factor necessary for TcdB-mediated cytotoxicity. Disruption of PVRL3 expression by gene-trap mutagenesis, shRNA, or CRISPR/Cas9 mutagenesis resulted in resistance of cells to TcdB. Complementation of the gene-trap or CRISPR mutants with PVRL3 resulted in restoration of TcdB-mediated cell death. Purified PVRL3 ectodomain bound to TcdB by pull-down. Pretreatment of cells with a monoclonal antibody against PVRL3 or prebinding TcdB to PVRL3 ectodomain also inhibited cytotoxicity in cell culture. The receptor is highly expressed on the surface epithelium of the human colon and was observed to colocalize with TcdB in both an explant model and in tissue from a patient with pseudomembranous colitis. These data suggest PVRL3 is a physiologically relevant binding partner that can serve as a target for the prevention of TcdB-induced cytotoxicity in C. difficile infection.

Indexed as

Analysis of VarianceAntibodies, MonoclonalBacterial ProteinsBacterial ToxinsCaco-2 CellsCell Adhesion MoleculesClostridioides difficileColonEnterotoxinsEpithelial CellsGenetic Complementation TestHeLa CellsHumansMutagenesis, InsertionalNectinsAntibodies, MonoclonalBacterial ProteinsBacterial ToxinsCell Adhesion MoleculesEnterotoxinsNECTIN3 protein, humanNectinstoxB protein, Clostridium difficilenectin-3PVRL3toxin

Identifiers

PMID26038560
PMCPMC4460460
OpenAlexW1588236156

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.