Evidence map›Paper›PMID 27891552›Full record

ArticleCellular and molecular life sciences : CMLS2017

Enteric glial cells are susceptible to Clostridium difficile toxin B.

Katia Fettucciari, Pamela Ponsini, Davide Gioè, Lara Macchioni, Camilla Palumbo, Elisabetta Antonelli, Stefano Coaccioli, Vincenzo Villanacci, Lanfranco Corazzi, Pierfrancesco Marconi and 1 more

Open access · bronzeAbstract read
In one paragraph

Article in Cellular and molecular life sciences : CMLS, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 39 papers.

0numbers the graph read from it
0cells of the map it votes in
39citing papers in PubMed
2.2field-weighted citation impact, top 12% 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

39 citing papers in PubMed, 78 citations in OpenAlex.

  1. 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
  2. Review
  3. Article
  4. Exploring the role of infectious pathogens in Alzheimer's disease neuroinflammation.Frontiers in cellular and infection microbiology · 2026
    Review
  5. Article
  6. Review
  7. Review
  8. Mechanisms ofFrontiers in cellular and infection microbiology · 2025
    Review
  9. Article
  10. Article
  11. Review
  12. Special Issue "Bacterial Toxins and Cancer".International journal of molecular sciences · 2024
    Article
  13. Pro-Inflammatory Cytokines Enhanced In Vitro Cytotoxic Activity ofInternational journal of molecular sciences · 2024
    Article
  14. Review
  15. Review
  16. International journal of molecular sciences · 2023
    Review
  17. Cytotoxic synergism ofWorld journal of gastroenterology · 2023
    Review
  18. Review
  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

11 authors at 3 institutions in 1 country.

Katia FettucciariDepartment of Experimental Medicine, Histology and Medical Embryology Section, Perugia University, Piazza Lucio Severi 1, Edificio B IV piano, Sant'Andrea delle Fratte, 06132, Perugia, Italy. katia.fettucciari@unipg.it.ORCID 0000-0001-8074-8243
Pamela PonsiniDepartment of Experimental Medicine, Histology and Medical Embryology Section, Perugia University, Piazza Lucio Severi 1, Edificio B IV piano, Sant'Andrea delle Fratte, 06132, Perugia, Italy.
Davide GioèDepartment of Experimental Medicine, Histology and Medical Embryology Section, Perugia University, Piazza Lucio Severi 1, Edificio B IV piano, Sant'Andrea delle Fratte, 06132, Perugia, Italy.
Lara MacchioniDepartment of Experimental Medicine, Physiology and Biochemistry Section, Perugia University, Perugia, Italy.
Camilla PalumboDepartment of Clinical Sciences and Translational Medicine, Tor Vergata University, Rome, Italy.
Elisabetta AntonelliGastroenterology Section, Perugia General Hospital, Perugia, Italy.
Stefano CoaccioliDepartment of Medicine, Internal Medicine, Rheumatology and Medical Therapy of Pain Section, Perugia University, District of Terni, Perugia, Italy.
Vincenzo VillanacciPathology Section, Spedali Civili, Brescia, Italy.
Lanfranco CorazziDepartment of Experimental Medicine, Physiology and Biochemistry Section, Perugia University, Perugia, Italy.
Pierfrancesco MarconiDepartment of Experimental Medicine, Histology and Medical Embryology Section, Perugia University, Piazza Lucio Severi 1, Edificio B IV piano, Sant'Andrea delle Fratte, 06132, Perugia, Italy.
Gabrio BassottiDepartment of Medicine, Gastroenterology, Hepatology and Digestive Endoscopy Section, Perugia University, Perugia, Italy.
University of Perugia · ITAzienda Socio Sanitaria Territoriale degli Spedali Civili di Brescia · ITUniversity of Rome Tor Vergata · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Clostridium difficile causes nosocomial/antibiotic-associated diarrhoea and pseudomembranous colitis. The major virulence factors are toxin A and toxin B (TcdB), which inactivate GTPases by monoglucosylation, leading to cytopathic (cytoskeleton alteration, cell rounding) and cytotoxic effects (cell-cycle arrest, apoptosis). C. difficile toxins breaching the intestinal epithelial barrier can act on underlying cells, enterocytes, colonocytes, and enteric neurons, as described in vitro and in vivo, but until now no data have been available on enteric glial cell (EGC) susceptibility. EGCs are crucial for regulating the enteric nervous system, gut homeostasis, the immune and inflammatory responses, and digestive and extradigestive diseases. Therefore, we evaluated the effects of C. difficile TcdB in EGCs. Rat-transformed EGCs were treated with TcdB at 0.1-10 ng/ml for 1.5-48 h, and several parameters were analysed. TcdB induces the following in EGCs: (1) early cell rounding with Rac1 glucosylation; (2) early G2/M cell-cycle arrest by cyclin B1/Cdc2 complex inactivation caused by p27 upregulation, the downregulation of cyclin B1 and Cdc2 phosphorylated at Thr161 and Tyr15; and (3) apoptosis by a caspase-dependent but mitochondria-independent pathway. Most importantly, the stimulation of EGCs with TNF-α plus IFN-γ before, concomitantly or after TcdB treatment strongly increased TcdB-induced apoptosis. Furthermore, EGCs that survived the cytotoxic effect of TcdB did not recover completely and showed not only persistent Rac1 glucosylation, cell-cycle arrest and low apoptosis but also increased production of glial cell-derived neurotrophic factor, suggesting self-rescuing mechanisms. In conclusion, the high susceptibility of EGCs to TcdB in vitro, the increased sensitivity to inflammatory cytokines related to apoptosis and the persistence of altered functions in surviving cells suggest an important in vivo role of EGCs in the pathogenesis of C. difficile infection.

Indexed as

AnimalsApoptosisBacterial ProteinsBacterial ToxinsCell Cycle CheckpointsCell LineClostridioides difficileEnterocolitis, PseudomembranousGastrointestinal TractGlial Cell Line-Derived Neurotrophic FactorNeurogliaRatsBacterial ProteinsBacterial ToxinsGlial Cell Line-Derived Neurotrophic FactortoxB protein, Clostridium difficileApoptosisCell-cycle arrestClostridium difficile toxin B (TcdB)Enteric glial cells (EGCs)Glial cell-derived neurotrophic factor (GDNF)Proinflammatory cytokinesRac1 glucosylation

Identifiers

PMID27891552
PMCPMC11107567
OpenAlexW2554163105

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.