Evidence map›Paper›PMID 31406348›Full record

ArticleNature genetics2019

Adaptation of host transmission cycle during Clostridium difficile speciation.

Nitin Kumar, Hilary P Browne, Elisa Viciani, Samuel C Forster, Simon Clare, Katherine Harcourt, Mark D Stares, Gordon Dougan, Derek J Fairley, Paul Roberts and 12 more

Abstract read
PubMed Publisher
In one paragraph

Article in Nature genetics, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 40 papers.

0numbers the graph read from it
0cells of the map it votes in
40citing 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

40 citing papers in PubMed.

  1. BeyondEmerging microbes & infections · 2026
    Article
  2. Phylogenomic analysis of the collagen-like BclA proteins inApplied and environmental microbiology · 2026
    Article
  3. Comparative genomic analysis ofMicrobial genomics · 2026
    Article
  4. Preparation of Spores with the 70:30 Method.Methods in molecular biology (Clifton, N.J.) · 2026
    Article
  5. Gut microbes · 2025
    Article
  6. Mechanisms of bacterial host-to-host transmission.Microbiology and molecular biology reviews : MMBR · 2025
    Review
  7. Unique growth and morphology properties of Clade 5bioRxiv : the preprint server for biology · 2025
    Article
  8. Article
  9. EmergingmSystems · 2025
    Article
  10. Article
  11. EmergingbioRxiv : the preprint server for biology · 2024
    Article
  12. Article
  13. Review
  14. Article
  15. Approaching pathogenicbioRxiv : the preprint server for biology · 2024
    Article
  16. Article
  17. Review
  18. Article
  19. Environmentally AcquiredBiomedicines · 2022
    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

22 authors.

Nitin Kumar *Host-Microbiota Interactions Laboratory, Wellcome Sanger Institute, Hinxton, UK. nk6@sanger.ac.uk.ORCID http://orcid.org/0000-0002-2140-4923
Hilary P Browne *Host-Microbiota Interactions Laboratory, Wellcome Sanger Institute, Hinxton, UK.ORCID http://orcid.org/0000-0002-1305-2470
Elisa VicianiHost-Microbiota Interactions Laboratory, Wellcome Sanger Institute, Hinxton, UK.
Samuel C ForsterHost-Microbiota Interactions Laboratory, Wellcome Sanger Institute, Hinxton, UK.ORCID http://orcid.org/0000-0003-4144-2537
Simon ClareWellcome Sanger Institute, Hinxton, UK.
Katherine HarcourtWellcome Sanger Institute, Hinxton, UK.
Mark D StaresHost-Microbiota Interactions Laboratory, Wellcome Sanger Institute, Hinxton, UK.
Gordon DouganWellcome Sanger Institute, Hinxton, UK.
Derek J FairleyBelfast Health and Social Care Trust, Belfast, Northern, Ireland.
Paul RobertsUniversity of Liverpool, Liverpool, UK.
Munir PirmohamedUniversity of Liverpool, Liverpool, UK.
Martha R J ClokieDepartment of Infection, Immunity and Inflammation, University of Leicester, Leicester, UK.
Mie Birgitte Frid JensenDepartment of Clinical Microbiology, Slagelse Hospital, Slagelse, Denmark.
Katherine R HargreavesDepartment of Infection, Immunity and Inflammation, University of Leicester, Leicester, UK.
Margaret IpDepartment of Microbiology, Chinese University of Hong Kong, Shatin, Hong Kong.ORCID http://orcid.org/0000-0003-1291-6537
Lothar H WielerInstitute of Microbiology and Epizootics, Department of Veterinary Medicine, Freie Universität Berlin, Berlin, Germany.
Christian SeyboldtInstitute of Bacterial Infections and Zoonoses, Federal Research Institute for Animal Health (Friedrich-Loeffler-Institut), Jena, Germany.
Torbjörn NorénFaculty of Medicine and Health, Örebro University, Örebro, Sweden.
Thomas V RileyDepartment of Microbiology, PathWest Laboratory Medicine, Queen Elizabeth II Medical Centre, Nedlands, Western Australia, Australia.ORCID http://orcid.org/0000-0002-1351-3740
Ed J KuijperSection Experimental Bacteriology, Department of Medical Microbiology, Leiden University Medical Center, Leiden, Netherlands.
Brendan W WrenDepartment of Pathogen Molecular Biology, London School of Hygiene and Tropical Medicine, University of London, London, UK.ORCID http://orcid.org/0000-0002-6140-9489
Trevor D LawleyHost-Microbiota Interactions Laboratory, Wellcome Sanger Institute, Hinxton, UK. tl2@sanger.ac.uk.ORCID http://orcid.org/0000-0002-4805-621X

Funding

Medical Research Council G0700855Medical Research Council MR/K000551/1Medical Research Council MR/L006758/1Wellcome Trust 098051Wellcome Trust 102979/Z/13/Z
6 · The paper itself

Abstract

Bacterial speciation is a fundamental evolutionary process characterized by diverging genotypic and phenotypic properties. However, the selective forces that affect genetic adaptations and how they relate to the biological changes that underpin the formation of a new bacterial species remain poorly understood. Here, we show that the spore-forming, healthcare-associated enteropathogen Clostridium difficile is actively undergoing speciation. Through large-scale genomic analysis of 906 strains, we demonstrate that the ongoing speciation process is linked to positive selection on core genes in the newly forming species that are involved in sporulation and the metabolism of simple dietary sugars. Functional validation shows that the new C. difficile produces spores that are more resistant and have increased sporulation and host colonization capacity when glucose or fructose is available for metabolism. Thus, we report the formation of an emerging C. difficile species, selected for metabolizing simple dietary sugars and producing high levels of resistant spores, that is adapted for healthcare-mediated transmission.

Indexed as

Genetic SpeciationAcclimatizationAnti-Bacterial AgentsClostridioides difficileClostridium InfectionsGenome, BacterialGenomicsHumansSpores, BacterialSugarsVirulenceAnti-Bacterial AgentsSugars

Identifiers

What OpenQuestion holds

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Registered trials

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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.