Evidence map›Paper›PMID 38739653›Full record

ArticlePLoS pathogens2024

A conserved switch controls virulence, sporulation, and motility in C. difficile.

Michael A DiCandia, Adrianne N Edwards, Ysabella B Alcaraz, Marcos P Monteiro, Cheyenne D Lee, Germán Vargas Cuebas, Pritha Bagchi, Shonna M McBride

Abstract read
In one paragraph

Article in PLoS pathogens, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.

0numbers the graph read from it
0cells of the map it votes in
9citing 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

9 citing papers in PubMed.

  1. Article
  2. Clostridioides difficile pathogenesis and control.Nature reviews. Microbiology · 2026
    Review
  3. Article
  4. Characterization of a hypersporulating strain derivativebioRxiv : the preprint server for biology · 2025
    Article
  5. Article
  6. Article
  7. Review
  8. Review
  9. The RgaS-RgaR two-component system promotesbioRxiv : the preprint server for biology · 2023
    Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

8 authors.

Michael A DiCandiaDepartment of Microbiology and Immunology, Emory University School of Medicine, Emory Antibiotic Resistance Center, Atlanta, Georgia, United States of America.
Adrianne N EdwardsDepartment of Microbiology and Immunology, Emory University School of Medicine, Emory Antibiotic Resistance Center, Atlanta, Georgia, United States of America.
Ysabella B AlcarazDepartment of Microbiology and Immunology, Emory University School of Medicine, Emory Antibiotic Resistance Center, Atlanta, Georgia, United States of America.
Marcos P MonteiroDepartment of Microbiology and Immunology, Emory University School of Medicine, Emory Antibiotic Resistance Center, Atlanta, Georgia, United States of America.
Cheyenne D LeeDepartment of Microbiology and Immunology, Emory University School of Medicine, Emory Antibiotic Resistance Center, Atlanta, Georgia, United States of America.
Germán Vargas CuebasDepartment of Microbiology and Immunology, Emory University School of Medicine, Emory Antibiotic Resistance Center, Atlanta, Georgia, United States of America.
Pritha BagchiEmory Integrated Proteomics Core, Emory University, Atlanta, Georgia, United States of America.
Shonna M McBrideDepartment of Microbiology and Immunology, Emory University School of Medicine, Emory Antibiotic Resistance Center, Atlanta, Georgia, United States of America.ORCID 0000-0001-6221-714X

Funding

PREDOCTORAL TRAINING PROGRAM IN GENETICST32GM008490 · NIGMS · EMORY UNIVERSITY · PI BOSS, JEREMY M. · 1993 to 2022
$8.0M
Host-induced Initiation of Clostridium difficile SporulationR01AI116933 · NIAID · EMORY UNIVERSITY · PI SHONNA M. MCBRIDE · 2015 to 2026
$4.8M
Antimicrobial Resistance and Therapeutic Discovery Training ProgramT32AI106699 · NIAID · EMORY UNIVERSITY · PI Graeme L Conn, Joanna B Goldberg · 2014 to 2026
$2.7M
Mechanisms Underlying Nutrient-Mediated Sporulation in C. difficileR01AI156052 · NIAID · EMORY UNIVERSITY · PI MCBRIDE, SHONNA M. · 2021 to 2025
$2.4M
Genetics Predoctoral Training ProgramT32GM149422 · NIGMS · EMORY UNIVERSITY · PI TAMARA J. CASPARY · 2023 to 2026
$2.2M
Investigating the impact of collagenase in Clostridioides difficile pathogenesisF31DK126467 · NIDDK · EMORY UNIVERSITY · PI VARGAS-CUEBAS, GERMAN GABRIEL · 2020 to 2024
$141k
Identification of CodY-Regulated Factors that Control Sporulation in Clostridioides difficileF31AI179158 · NIAID · EMORY UNIVERSITY · PI MONTEIRO, MARCOS PAULO · 2023 to 2024
$97k
NIAID NIH HHS F31 AI179158NIAID NIH HHS R01 AI116933NIAID NIH HHS R01 AI156052NIAID NIH HHS T32 AI106699NIDDK NIH HHS F31 DK126467NIGMS NIH HHS T32 GM008490NIGMS NIH HHS T32 GM149422
6 · The paper itself

Abstract

Spore formation is required for environmental survival and transmission of the human enteropathogenic Clostridioides difficile. In all bacterial spore formers, sporulation is regulated through activation of the master response regulator, Spo0A. However, the factors and mechanisms that directly regulate C. difficile Spo0A activity are not defined. In the well-studied Bacillus species, Spo0A is directly inactivated by Spo0E, a small phosphatase. To understand Spo0E function in C. difficile, we created a null mutation of the spo0E ortholog and assessed sporulation and physiology. The spo0E mutant produced significantly more spores, demonstrating Spo0E represses C. difficile sporulation. Unexpectedly, the spo0E mutant also exhibited increased motility and toxin production, and enhanced virulence in animal infections. We uncovered that Spo0E interacts with both Spo0A and the toxin and motility regulator, RstA. Direct interactions between Spo0A, Spo0E, and RstA constitute a previously unknown molecular switch that coordinates sporulation with motility and toxin production. Reinvestigation of Spo0E function in B. subtilis revealed that Spo0E induced motility, demonstrating Spo0E regulation of motility and sporulation among divergent species. Further, 3D structural analyses of Spo0E revealed specific and exclusive interactions between Spo0E and binding partners in C. difficile and B. subtilis that provide insight into the conservation of this regulatory mechanism among different species.

Indexed as

Bacterial ProteinsClostridioides difficileGene Expression Regulation, BacterialSpores, BacterialAnimalsClostridium InfectionsMiceVirulenceBacterial Proteins

Identifiers

PMID38739653
PMCPMC11115286

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.