Evidence map›Paper›PMID 27153087›Full record

ReviewToxins2016

Clostridium difficile Toxins A and B: Insights into Pathogenic Properties and Extraintestinal Effects.

Stefano Di Bella, Paolo Ascenzi, Steven Siarakas, Nicola Petrosillo, Alessandra di Masi

Open access · goldAbstract readReview
In one paragraph

Review in Toxins, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 149 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
149citing papers in PubMed, 1 pooled it
11.4field-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

149 citing papers in PubMed, 1 synthesis or guideline pooled it, 241 citations in OpenAlex.

  1. Biological Mechanisms of Polyphenols againstInfectious disorders drug targets · 2025
    Pooled it
  2. Review
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  4. Review
  5. Observational
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  7. Predictors of RecurrentDiagnostics (Basel, Switzerland) · 2026
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  8. Oncology research · 2026
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  9. Addressing Unmet Needs inCurrent medicinal chemistry · 2026
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  10. Article
  11. Article
  12. Article
  13. The emerging view on the roles of butyrate inInfection and immunity · 2025
    Review
  14. Review
  15. Extraintestinal Manifestations ofAntibiotics (Basel, Switzerland) · 2025
    Review
  16. iScience · 2025
    Article
  17. Healthcare-AssociatedMicroorganisms · 2025
    Article
  18. Genomic Characterization of Linezolid-ResistantBiotech (Basel (Switzerland)) · 2025
    Article
  19. Article
  20. Review

89 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

5 authors at 3 institutions in 2 countries.

Stefano Di Bella2nd Infectious Diseases Division, National Institute for Infectious Diseases "L. Spallanzani", Rome 00149, Italy. stefano932@gmail.com.
Paolo AscenziDepartment of Science, Roma Tre University, Rome 00154, Italy. paolo.ascenzi@uniroma3.it.
Steven SiarakasDepartment of Microbiology and Infectious Diseases, Concord Repatriation General Hospital, Sydney 2139, Australia. steven.siarakas@sswahs.nsw.gov.au.
Nicola Petrosillo2nd Infectious Diseases Division, National Institute for Infectious Diseases "L. Spallanzani", Rome 00149, Italy. nicola.petrosillo@inmi.it.
Alessandra di MasiDepartment of Science, Roma Tre University, Rome 00154, Italy. alessandra.dimasi@uniroma3.it.
Istituto Nazionale per le Malattie Infettive Lazzaro Spallanzani · ITRoma Tre University · ITConcord Repatriation General Hospital · AU

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Clostridium difficile infection (CDI) has significant clinical impact especially on the elderly and/or immunocompromised patients. The pathogenicity of Clostridium difficile is mainly mediated by two exotoxins: toxin A (TcdA) and toxin B (TcdB). These toxins primarily disrupt the cytoskeletal structure and the tight junctions of target cells causing cell rounding and ultimately cell death. Detectable C. difficile toxemia is strongly associated with fulminant disease. However, besides the well-known intestinal damage, recent animal and in vitro studies have suggested a more far-reaching role for these toxins activity including cardiac, renal, and neurologic impairment. The creation of C. difficile strains with mutations in the genes encoding toxin A and B indicate that toxin B plays a major role in overall CDI pathogenesis. Novel insights, such as the role of a regulator protein (TcdE) on toxin production and binding interactions between albumin and C. difficile toxins, have recently been discovered and will be described. Our review focuses on the toxin-mediated pathogenic processes of CDI with an emphasis on recent studies.

Indexed as

Bacterial ProteinsBacterial ToxinsEnterotoxinsAnimalsClostridium InfectionsHumansToxemiaBacterial ProteinsBacterial ToxinsEnterotoxinstcdA protein, Clostridium difficiletoxB protein, Clostridium difficileClostridium difficilepathogenesistoxins

Identifiers

PMID27153087
PMCPMC4885049
OpenAlexW2346636740

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.