Evidence map›Paper›PMID 31653906›Full record

ArticleScientific reports2019

Clostridium difficile clade 3 (RT023) have a modified cell surface and contain a large transposable island with novel cargo.

Helen Alexandra Shaw, Ladan Khodadoost, Mark D Preston, Jeroen Corver, Peter Mullany, Brendan W Wren

Open access · goldAbstract read
In one paragraph

Article in Scientific reports, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed
0.1field-weighted citation impact, top 48% 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

7 citing papers in PubMed, 7 citations in OpenAlex.

  1. Review
  2. Article
  3. EmergingmSystems · 2025
    Article
  4. EmergingbioRxiv : the preprint server for biology · 2024
    Article
  5. Article
  6. Journal of bacteriology · 2023
    Article
  7. 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

6 authors at 3 institutions in 2 countries.

Helen Alexandra ShawDepartment of Pathogen Molecular Biology, London School of Hygiene and Tropical Medicine, London, WC1E 7HT, UK. alexandra.shaw@nibsc.org.ORCID http://orcid.org/0000-0002-1129-2075
Ladan KhodadoostDivision of Microbial Diseases, University College London, 256 Gray's Inn Road, London, WC1X 8LD, UK.
Mark D PrestonDepartment of Pathogen Molecular Biology, London School of Hygiene and Tropical Medicine, London, WC1E 7HT, UK.ORCID http://orcid.org/0000-0002-6506-3104
Jeroen CorverDepartment of Medical Microbiology, Leiden University Medical Center, Leiden, the Netherlands.ORCID http://orcid.org/0000-0002-9262-5475
Peter MullanyDivision of Microbial Diseases, University College London, 256 Gray's Inn Road, London, WC1X 8LD, UK.
Brendan W WrenDepartment of Pathogen Molecular Biology, London School of Hygiene and Tropical Medicine, London, WC1E 7HT, UK.ORCID http://orcid.org/0000-0002-6140-9489
University of London · GBUniversity College London · GBLeiden University Medical Center · NL

Funding

Medical Research Council MR/K000551/1Wellcome Trust 098051Wellcome Trust 102979/Z/13/ZWellcome Trust (Wellcome) 102979/Z/13/Z
6 · The paper itself

Abstract

The major global pathogen Clostridium difficile (recently renamed Clostridioides difficile) has large genetic diversity including multiple mobile genetic elements. In this study, whole genome sequencing of 86 strains from the poorly characterised clade 3, predominantly PCR ribotype (RT)023, of C. difficile revealed distinctive surface architecture characteristics and a large mobile genetic island. These strains have a unique sortase substrate phenotype compared with well-characterised strains of C. difficile, and loss of the phage protection protein CwpV. A large genetic insertion (023_CTnT) comprised of three smaller elements (023_CTn1-3) is present in 80/86 strains analysed in this study, with genes common among other bacterial strains in the gut microbiome. Novel cargo regions of 023_CTnT include genes encoding a sortase, putative sortase substrates, lantibiotic ABC transporters and a putative siderophore biosynthetic cluster. We demonstrate the excision of 023_CTnT and sub-elements 023_CTn2 and 023_CTn3 from the genome of RT023 reference strain CD305 and the transfer of 023_CTn3 to a non-toxigenic C. difficile strain, which may have implications for the use of non-toxigenic C. difficile strains as live attenuated vaccines. Finally, we show that the genes within the island are expressed in a regulated manner in C. difficile RT023 strains conferring a distinct "niche adaptation".

Indexed as

Amino Acid SequenceAnaerobiosisBacterial ProteinsBase SequenceCell MembraneCell WallClostridioides difficileDNA Transposable ElementsGenes, BacterialGenomic IslandsHumansMicrobiotaPeptide HydrolasesBacterial ProteinsDNA Transposable ElementsPeptide Hydrolases

Identifiers

PMID31653906
PMCPMC6814731
OpenAlexW2981506018

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.