Evidence map›Paper›PMID 30125334›Full record

ArticlePLoS pathogens2018

The C. difficile clnRAB operon initiates adaptations to the host environment in response to LL-37.

Emily C Woods, Adrianne N Edwards, Kevin O Childress, Joshua B Jones, Shonna M McBride

Open access · goldAbstract read
In one paragraph

Article in PLoS pathogens, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers.

0numbers the graph read from it
0cells of the map it votes in
19citing papers in PubMed
2.6field-weighted citation impact, top 10% 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

19 citing papers in PubMed, 31 citations in OpenAlex.

  1. Serine protease HtrA promotesScience advances · 2026
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  3. Unravelling three-way interactions betweenJournal of medical microbiology · 2025
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  5. Glycine fermentation byInfection and immunity · 2023
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  10. An RNA-centric global view ofProceedings of the National Academy of Sciences of the United States of America · 2021
    Article
  11. Review
  12. Article
  13. Article
  14. Review
  15. Article
  16. Article
  17. Regulation and Anaerobic Function of theAntimicrobial agents and chemotherapy · 2019
    Article
  18. Article
  19. Review
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 1 institution in 1 country.

Emily C WoodsDepartment of Microbiology and Immunology, and Emory University Antibiotic Resistance Center, Emory University School of Medicine, Atlanta, GA, United States of America.
Adrianne N EdwardsDepartment of Microbiology and Immunology, and Emory University Antibiotic Resistance Center, Emory University School of Medicine, Atlanta, GA, United States of America.
Kevin O ChildressDepartment of Microbiology and Immunology, and Emory University Antibiotic Resistance Center, Emory University School of Medicine, Atlanta, GA, United States of America.ORCID 0000-0002-9082-5318
Joshua B JonesDepartment of Microbiology and Immunology, and Emory University Antibiotic Resistance Center, Emory University School of Medicine, Atlanta, GA, United States of America.
Shonna M McBrideDepartment of Microbiology and Immunology, and Emory University Antibiotic Resistance Center, Emory University School of Medicine, Atlanta, GA, United States of America.ORCID 0000-0001-6221-714X
Emory University · US

Funding

Yerkes National Primate Research Center Role of type-I IFN in regulating COVID-19 induced inflammation and pathogenesisP51OD011132 · OD · EMORY UNIVERSITY · PI Joon Sup Lee · 2012 to 2026
$167.0M
MEDICAL SCIENTIST TRAINING PROGRAMT32GM008169 · NIGMS · EMORY UNIVERSITY · PI GROSS, ROBERT E · 1987 to 2021
$20.3M
Host-induced Initiation of Clostridium difficile SporulationR01AI116933 · NIAID · EMORY UNIVERSITY · PI SHONNA M. MCBRIDE · 2015 to 2026
$4.8M
Polymeric Agents for the Treatment of Clostridium difficile InfectionsR33AI121684 · NIAID · EMORY UNIVERSITY · PI GELLMAN, SAMUEL H., MCBRIDE, SHONNA M. · 2018 to 2020
$1.4M
Molecular Mechanisms of Clostridium difficile Resistance to Innate Host DefensesK01DK087763 · NIDDK · TUFTS UNIVERSITY BOSTON · PI MCBRIDE, SHONNA M. · 2011 to 2015
$713k
Polymeric Agents for the Treatment of Clostridium difficile InfectionsR21AI121684 · NIAID · EMORY UNIVERSITY · PI GELLMAN, SAMUEL H., MCBRIDE, SHONNA M. · 2016 to 2017
$415k
Regulation of Clostridium difficile Spore FormationR56AI109526 · NIAID · EMORY UNIVERSITY · PI MCBRIDE, SHONNA M. · 2014 to 2014
$383k
Role of Antimicrobial Resistance in Epidemic Clostridium difficile InfectionsR03DK101870 · NIDDK · EMORY UNIVERSITY · PI MCBRIDE, SHONNA M. · 2014 to 2015
$156k
NIAID NIH HHS R01 AI116933NIAID NIH HHS R21 AI121684NIAID NIH HHS R33 AI121684NIAID NIH HHS R56 AI109526NIDDK NIH HHS K01 DK087763NIDDK NIH HHS R03 DK101870NIGMS NIH HHS T32 GM008169NIH HHS P51 OD011132
6 · The paper itself

Abstract

To cause disease, Clostridioides (Clostridium) difficile must resist killing by innate immune effectors in the intestine, including the host antimicrobial peptide, cathelicidin (LL-37). The mechanisms that enable C. difficile to adapt to the intestine in the presence of antimicrobial peptides are unknown. Expression analyses revealed an operon, CD630_16170-CD630_16190 (clnRAB), which is highly induced by LL-37 and is not expressed in response to other cell-surface active antimicrobials. This operon encodes a predicted transcriptional regulator (ClnR) and an ABC transporter system (ClnAB), all of which are required for function. Analyses of a clnR mutant indicate that ClnR is a pleiotropic regulator that directly binds to LL-37 and controls expression of numerous genes, including many involved in metabolism, cellular transport, signaling, gene regulation, and pathogenesis. The data suggest that ClnRAB is a novel regulatory mechanism that senses LL-37 as a host signal and regulates gene expression to adapt to the host intestinal environment during infection.

Indexed as

Adaptation, PhysiologicalAnimalsAntimicrobial Cationic PeptidesCathelicidinsClostridioides difficileClostridium InfectionsCricetinaeFemaleGene Expression Regulation, BacterialGenes, BacterialHost-Pathogen InteractionsImmune EvasionMaleMesocricetusMiceMice, Inbred C57BLAntimicrobial Cationic PeptidesCathelicidins

Identifiers

PMID30125334
PMCPMC6117091
OpenAlexW2949365787

What OpenQuestion holds

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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.