Evidence map›Paper›PMID 32785266›Full record

ArticlePLoS pathogens2020

Rho factor mediates flagellum and toxin phase variation and impacts virulence in Clostridioides difficile.

Dominika Trzilova, Brandon R Anjuwon-Foster, Dariana Torres Rivera, Rita Tamayo

Open access · goldAbstract read
In one paragraph

Article in PLoS pathogens, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 27 papers.

0numbers the graph read from it
0cells of the map it votes in
27citing papers in PubMed
0.6field-weighted citation impact, top 18% 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

27 citing papers in PubMed, 39 citations in OpenAlex.

  1. A programmed reset mechanism primesScience advances · 2026
    Article
  2. Clostridioides difficile pathogenesis and control.Nature reviews. Microbiology · 2026
    Review
  3. Journal of bacteriology · 2026
    Article
  4. Analysis of essential genes inJournal of bacteriology · 2025
    Article
  5. Review
  6. bioRxiv : the preprint server for biology · 2025
    Article
  7. Analysis of Essential Genes inbioRxiv : the preprint server for biology · 2025
    Article
  8. Article
  9. mSphere · 2024
    Article
  10. Article
  11. International journal of molecular sciences · 2024
    Review
  12. Article
  13. Article
  14. Article
  15. Regulatory transcription factors ofCritical reviews in microbiology · 2023
    Review
  16. Article
  17. Article
  18. Article
  19. Microbial genomics · 2021
    Article
  20. Wolf in Sheep's Clothing:Microorganisms · 2021
    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

4 authors at 1 institution in 1 country.

Dominika TrzilovaDepartment of Microbiology and Immunology, University of North Carolina at Chapel Hill School of Medicine, Chapel Hill, North Carolina, United States of America.ORCID 0000-0003-3165-6443
Brandon R Anjuwon-FosterDepartment of Microbiology and Immunology, University of North Carolina at Chapel Hill School of Medicine, Chapel Hill, North Carolina, United States of America.
Dariana Torres RiveraDepartment of Microbiology and Immunology, University of North Carolina at Chapel Hill School of Medicine, Chapel Hill, North Carolina, United States of America.
Rita TamayoDepartment of Microbiology and Immunology, University of North Carolina at Chapel Hill School of Medicine, Chapel Hill, North Carolina, United States of America.ORCID 0000-0002-3745-3316
University of North Carolina at Chapel Hill · US

Funding

UNC PREP in the Biomedical Sciences - Administrative SupplementR25GM089569 · NIGMS · UNIV OF NORTH CAROLINA CHAPEL HILL · PI ROBINSON, DONITA L, RODRIGUEZ-ROMAGUERA, JOSE · 2010 to 2024
$5.6M
Regulation of Clostridium difficile Colonization FactorsR01AI107029 · NIAID · UNIV OF NORTH CAROLINA CHAPEL HILL · PI TAMAYO, RITA · 2013 to 2022
$3.9M
Global regulation in Clostridium difficile via phase variation of cyclic diguanylate signalingR01AI143638 · NIAID · UNIV OF NORTH CAROLINA CHAPEL HILL · PI TAMAYO, RITA · 2019 to 2023
$2.5M
Phase Variation of Clostridium difficile Flagella and Toxin ProductionF31AI120613 · NIAID · UNIV OF NORTH CAROLINA CHAPEL HILL · PI ANJUWON-FOSTER, BRANDON · 2015 to 2016
$62k
NIAID NIH HHS F31 AI120613NIAID NIH HHS R01 AI107029NIAID NIH HHS R01 AI143638NIGMS NIH HHS R25 GM089569
6 · The paper itself

Abstract

The intestinal pathogen Clostridioides difficile exhibits heterogeneity in motility and toxin production. This phenotypic heterogeneity is achieved through phase variation by site-specific recombination via the DNA recombinase RecV, which reversibly inverts the "flagellar switch" upstream of the flgB operon. A recV mutation prevents flagellar switch inversion and results in phenotypically locked strains. The orientation of the flagellar switch influences expression of the flgB operon post-transcription initiation, but the specific molecular mechanism is unknown. Here, we report the isolation and characterization of spontaneous suppressor mutants in the non-motile, non-toxigenic recV flg OFF background that regained motility and toxin production. The restored phenotypes corresponded with increased expression of flagellum and toxin genes. The motile suppressor mutants contained single-nucleotide polymorphisms (SNPs) in rho, which encodes the bacterial transcription terminator Rho factor. Analyses using transcriptional reporters indicate that Rho contributes to heterogeneity in flagellar gene expression by preferentially terminating transcription of flg OFF mRNA within the 5' leader sequence. Additionally, Rho is important for initial colonization of the intestine in a mouse model of infection, which may in part be due to the sporulation and growth defects observed in the rho mutants. Together these data implicate Rho factor as a regulator of gene expression affecting phase variation of important virulence factors of C. difficile.

Indexed as

AnimalsBacterial ProteinsBacterial ToxinsClostridioides difficileClostridium InfectionsFemaleFilaggrin ProteinsFlagellaGene Expression Regulation, BacterialHumansMaleMiceMice, Inbred C57BLOperonRho FactorVirulenceBacterial ProteinsBacterial ToxinsFilaggrin ProteinsFLG protein, humanRho Factor

Identifiers

PMID32785266
PMCPMC7446863
OpenAlexW3048435633

What OpenQuestion holds

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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.