Evidence map›Paper›PMID 39610252›Full record

ArticleCell host & microbe2025

Protection against Clostridioides difficile disease by a naturally avirulent strain.

Qiwen Dong, Stephen Harper, Emma McSpadden, Sophie S Son, Marie-Maude Allen, Huaiying Lin, Rita C Smith, Carolyn Metcalfe, Victoria Burgo, Che Woodson and 10 more

Abstract read
In one paragraph

Article in Cell host & microbe, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers.

0numbers the graph read from it
0cells of the map it votes in
13citing 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

13 citing papers in PubMed.

  1. Review
  2. Article
  3. Article
  4. Article
  5. Frontiers in microbiology · 2026
    Article
  6. Review
  7. Review
  8. Review
  9. Phenotypic analysis of variousApplied and environmental microbiology · 2025
    Article
  10. Review
  11. Phenotypic analysis of variousbioRxiv : the preprint server for biology · 2025
    Article
  12. Article
  13. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

20 authors.

Qiwen DongDepartment of Medicine, University of Chicago, Chicago, IL 60637, USA; Duchossois Family Institute, University of Chicago, Chicago, IL 60637, USA. Electronic address: qiwendong0721@gmail.com.
Stephen HarperDuchossois Family Institute, University of Chicago, Chicago, IL 60637, USA.
Emma McSpaddenDuchossois Family Institute, University of Chicago, Chicago, IL 60637, USA.
Sophie S SonDepartment of Medicine, University of Chicago, Chicago, IL 60637, USA; Interdisciplinary Scientist Training Program, University of Chicago, Chicago, IL 60637, USA.
Marie-Maude AllenDepartment of Microbiology and Infectious Diseases, Université de Sherbrooke, Sherbrooke, QC J1E 4K8, Canada.
Huaiying LinDuchossois Family Institute, University of Chicago, Chicago, IL 60637, USA.
Rita C SmithDuchossois Family Institute, University of Chicago, Chicago, IL 60637, USA.
Carolyn MetcalfeDuchossois Family Institute, University of Chicago, Chicago, IL 60637, USA.
Victoria BurgoDuchossois Family Institute, University of Chicago, Chicago, IL 60637, USA.
Che WoodsonDuchossois Family Institute, University of Chicago, Chicago, IL 60637, USA.
Anitha SundararajanDuchossois Family Institute, University of Chicago, Chicago, IL 60637, USA.
Amber RoseDuchossois Family Institute, University of Chicago, Chicago, IL 60637, USA.
Mary McMillinDuchossois Family Institute, University of Chicago, Chicago, IL 60637, USA.
David MoranDuchossois Family Institute, University of Chicago, Chicago, IL 60637, USA.
Jessica LittleDuchossois Family Institute, University of Chicago, Chicago, IL 60637, USA.
Michael W MullowneyDuchossois Family Institute, University of Chicago, Chicago, IL 60637, USA.
Ashley M SidebottomDuchossois Family Institute, University of Chicago, Chicago, IL 60637, USA.
Louis-Charles FortierDepartment of Microbiology and Infectious Diseases, Université de Sherbrooke, Sherbrooke, QC J1E 4K8, Canada.
Aimee ShenDepartment of Molecular Biology and Microbiology, Tufts University, Boston, MA 02111, USA.
Eric G PamerDepartment of Medicine, University of Chicago, Chicago, IL 60637, USA; Duchossois Family Institute, University of Chicago, Chicago, IL 60637, USA.

Funding

Medical Scientist National Research Service AwardT32GM150375 · NIGMS · UNIVERSITY OF CHICAGO · PI Raghavendra G Mirmira · 2023 to 2026
$5.5M
Innate Immune Defense against Clostridium Difficile InfectionR01AI095706 · NIAID · UNIVERSITY OF CHICAGO · PI PAMER, ERIC G. · 2012 to 2020
$3.4M
NIAID NIH HHS R01 AI095706NIGMS NIH HHS T32 GM150375
6 · The paper itself

Abstract

Clostridioides difficile is a leading cause of healthcare infections. Gut dysbiosis promotes C. difficile infection (CDI) and CDIs promote gut dysbiosis, leading to frequent CDI recurrence. Although therapies preventing recurrent CDI have been developed, including live biotherapeutic products, existing therapies are costly and do not prevent primary infections. Here, we show that an avirulent C. difficile isolate, ST1-75, protects mice from developing colitis induced by a virulent R20291 strain when coinfected at a 1:1 ratio. In metabolic analyses, avirulent ST1-75 depletes amino acids more rapidly than virulent R20291 and supplementation with amino acids ablates this competitive advantage, indicating that ST1-75 limits the growth of virulent R20291 through amino acid depletion. Overall, our study identifies inter-strain nutrient depletion as a potentially exploitable mechanism to reduce the incidence of CDI and reveals that the ST1-75 strain may be a biotherapeutic agent that can prevent CDI in high-risk patients.

Indexed as

Clostridioides difficileClostridium InfectionsColitisAmino AcidsAnimalsDisease Models, AnimalDysbiosisFemaleGastrointestinal MicrobiomeHumansMiceMice, Inbred C57BLVirulenceAmino Acidsamino acidsC. difficilecolitisintraspecies competitionmouse modelStickland fermentationvirulence

Identifiers

PMID39610252
PMCPMC11731898

What OpenQuestion holds

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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.