Clostridioides difficile-associated infection
(CDI) is a health-care-associated infection caused, as the name suggests,
by obligate anaerobic pathogen C. difficile and
thus mainly transmitted via highly resistant endospores from one person
to the other. In vivo, the spores need to germinate into cells prior
to establishing an infection. Bile acids and glycine, both available
in sufficient amounts inside the human host intestinal tract, serve
as efficient germinants for the spores. It is therefore, for better
understanding of C. difficile virulence, crucial
to study both the cell and spore states with respect to their genetic,
metabolic, and proteomic composition. In the present study, mass spectrometric
relative protein quantification, based on the 14N/15N peptide isotopic ratios, has led to quantification of over
700 proteins from combined spore and cell samples. The analysis has
revealed that the proteome turnover between a vegetative cell and
a spore for this organism is moderate. Additionally, specific cell
and spore surface proteins, vegetative cell proteins CD1228, CD3301
and spore proteins CD2487, CD2434, and CD0684 are identified as potential
protein markers for C. difficile infection.