Evidence map›Paper›PMID 30451870›Full record

ArticleNature communications2018

Apoptosis of intestinal epithelial cells restricts Clostridium difficile infection in a model of pseudomembranous colitis.

Pedro H V Saavedra, Linyan Huang, Farzaneh Ghazavi, Stephanie Kourula, Tom Vanden Berghe, Nozomi Takahashi, Peter Vandenabeele, Mohamed Lamkanfi

Open access · goldAbstract read
In one paragraph

Article in Nature communications, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 55 papers.

0numbers the graph read from it
0cells of the map it votes in
55citing papers in PubMed
4.5field-weighted citation impact, top 4% 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

55 citing papers in PubMed, 77 citations in OpenAlex.

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  14. Mechanisms ofFrontiers in cellular and infection microbiology · 2025
    Review
  15. Article
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  17. Clinical microbiology reviews · 2024
    Review
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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

8 authors at 3 institutions in 2 countries.

Pedro H V SaavedraDepartment of Internal Medicine, Ghent University, Ghent, B-9052, Belgium.ORCID http://orcid.org/0000-0002-7659-4533
Linyan HuangDepartment of Internal Medicine, Ghent University, Ghent, B-9052, Belgium.
Farzaneh GhazaviVIB-UGent Center for Inflammation Research, VIB, Ghent, B-9052, Belgium.
Stephanie KourulaVIB-UGent Center for Inflammation Research, VIB, Ghent, B-9052, Belgium.
Tom Vanden BergheVIB-UGent Center for Inflammation Research, VIB, Ghent, B-9052, Belgium.
Nozomi TakahashiVIB-UGent Center for Inflammation Research, VIB, Ghent, B-9052, Belgium.
Peter VandenabeeleVIB-UGent Center for Inflammation Research, VIB, Ghent, B-9052, Belgium.ORCID http://orcid.org/0000-0002-6669-8822
Mohamed LamkanfiDepartment of Internal Medicine, Ghent University, Ghent, B-9052, Belgium. mlamkanf@its.jnj.com.
Ghent University · BEJanssen (Belgium) · BEXuzhou Medical College · CN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Clostridium difficile is the leading cause of pseudomembranous colitis in hospitalized patients. C. difficile enterotoxins TcdA and TcdB promote this inflammatory condition via a cytotoxic response on intestinal epithelial cells (IECs), but the underlying mechanisms are incompletely understood. Additionally, TcdA and TcdB engage the Pyrin inflammasome in macrophages, but whether Pyrin modulates CDI pathophysiology is unknown. Here we show that the Pyrin inflammasome is not functional in IECs and that Pyrin signaling is dispensable for CDI-associated IEC death and for in vivo pathogenesis. Instead, our studies establish that C. difficile enterotoxins induce activation of executioner caspases 3/7 via the intrinsic apoptosis pathway, and demonstrate that caspase-3/7-mediated IEC apoptosis is critical for in vivo host defense during early stages of CDI. In conclusion, our findings dismiss a critical role for inflammasomes in CDI pathogenesis, and identify IEC apoptosis as a host defense mechanism that restricts C. difficile infection in vivo.

Indexed as

AnimalsApoptosisBacterial ProteinsBacterial ToxinsCaspase 3Caspase 7Clostridioides difficileCytotoxicity, ImmunologicDisease Models, AnimalEnterocolitis, PseudomembranousEnterotoxinsEpithelial CellsGene Expression RegulationHost-Pathogen InteractionsHumansImmunity, InnateBacterial ProteinsBacterial ToxinsCasp3 protein, mouseCasp7 protein, mouseCaspase 3Caspase 7EnterotoxinsInflammasomesMefv protein, mousePyrintcdA protein, Clostridium difficiletoxB protein, Clostridium difficile

Identifiers

PMID30451870
PMCPMC6242954
OpenAlexW2901928786

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.