Evidence map›Paper›PMID 27997854›Full record

ReviewCurrent opinion in microbiology2017

The emerging metabolic view of Clostridium difficile pathogenesis.

Andrew J Hryckowian, Kali M Pruss, Justin L Sonnenburg

Abstract readReview
In one paragraph

Review in Current opinion in microbiology, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 33 papers.

0numbers the graph read from it
0cells of the map it votes in
33citing papers in PubMed
–field-weighted citation impact
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

33 citing papers in PubMed.

  1. Metabolic Syndrome Is Associated With Increased Risk ofOpen forum infectious diseases · 2026
    Article
  2. Lipidomics, Microbiota, and IntestinalInternational journal of molecular sciences · 2025
    Review
  3. Article
  4. Unraveling Cecal Alterations inJournal of proteome research · 2024
    Article
  5. Article
  6. Article
  7. Article
  8. Antibacterial Activity of Ebselen.International journal of molecular sciences · 2023
    Review
  9. Review
  10. Article
  11. Article
  12. The impact of dietary fibers onFrontiers in cellular and infection microbiology · 2022
    Article
  13. Article
  14. Article
  15. Article
  16. Article
  17. Article
  18. Invisible steps for a global endemy: molecular strategies adopted byTherapeutic advances in gastroenterology · 2021
    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

3 authors.

Andrew J HryckowianDepartment of Microbiology and Immunology, Stanford University, CA, United States.
Kali M PrussDepartment of Microbiology and Immunology, Stanford University, CA, United States.
Justin L SonnenburgDepartment of Microbiology and Immunology, Stanford University, CA, United States. Electronic address: jsonnenburg@stanford.edu.

Funding

MOLECULAR BASIS OF HOST-PARASITE INTERACTIONT32AI007328 · NIAID · STANFORD UNIVERSITY · PI JUSTIN L SONNENBURG · 1987 to 2026
$11.9M
Impact of Diet on Intestinal Microbiota-Host DynamicsR01DK085025 · NIDDK · STANFORD UNIVERSITY · PI JUSTIN L SONNENBURG · 2010 to 2026
$6.4M
NIDDK NIH HHS R01 DK085025
6 · The paper itself

Abstract

It is widely accepted that Clostridium difficile exploits dysbiosis and leverages inflammation to thrive in the gut environment, where it can asymptomatically colonize humans or cause a toxin-mediated disease ranging in severity from frequent watery diarrhea to pseudomembranous colitis or toxic megacolon. Here, we synthesize recent findings from the gut microbiota and enteric pathogenesis fields to inform the next steps toward a better understanding of C. difficile infection (CDI). In this review, we present a model in which the lifestyle of C. difficile is dictated by the metabolic state of the distal gut ecosystem. Contributions by C. difficile (specifically the production and action of the large glycosylating toxins TcdA and TcdB), the microbiota, and the host dictate whether the gut environment is supportive to the pathogen. Mechanistic, metabolic pathway-focused approaches encompassing the roles of all of these players are helping to elucidate the molecular ecology of the distal gut underlying a diseased or healthy ecosystem. A new generation of therapeutic strategies that are more targeted (and palatable) than fecal microbiota transplants or broad-spectrum antibiotics will be fueled by insight into the interspecies (host-microbe and microbe-microbe) interactions that differentiate healthy from pathogen-infested microbiotas.

Indexed as

Gastrointestinal MicrobiomeHost-Pathogen InteractionsAnimalsAnti-Bacterial AgentsClostridioides difficileClostridium InfectionsDysbiosisFecal Microbiota TransplantationHumansInflammationIntestinal DiseasesIntestinal MucosaIntestinesMiceAnti-Bacterial Agents

Identifiers

PMID27997854
PMCPMC5474191

What OpenQuestion holds

Textmetadata
LicenceTDM
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.