2023
DOI: 10.1080/21505594.2022.2150452
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Pathogenicity and virulence of Clostridioides difficile

Abstract: Clostridioides difficile is the most common cause of nosocomial antibiotic-associated diarrhea, and is responsible for a spectrum of diseases characterized by high levels of recurrence, morbidity, and mortality. Treatment is complex, since antibiotics constitute both the main treatment and the major risk factor for infection. Worryingly, resistance to multiple antibiotics is becoming increasingly widespread, leading to the classification of this pathogen as an urgent threat to global health. As a co… Show more

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Cited by 46 publications
(58 citation statements)
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References 256 publications
(286 reference statements)
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“…Altogether, these results show multiple characteristics related to resistance mechanisms that may contribute to the hypervirulence of the C. difficile CDC20121308 strain. The success of C. difficile as a pathogen is owed largely to its remarkable genome plasticity, allowing the acquisition of virulence factors and an array of resistance mechanisms (Buddle and Fagan, 2023). The interactions of C. difficile, an anaerobic pathogen, with the host and gut microbiota are highly intricate (Cheng and Unnikrishnan, 2023).…”
Section: Resultsmentioning
confidence: 99%
See 1 more Smart Citation
“…Altogether, these results show multiple characteristics related to resistance mechanisms that may contribute to the hypervirulence of the C. difficile CDC20121308 strain. The success of C. difficile as a pathogen is owed largely to its remarkable genome plasticity, allowing the acquisition of virulence factors and an array of resistance mechanisms (Buddle and Fagan, 2023). The interactions of C. difficile, an anaerobic pathogen, with the host and gut microbiota are highly intricate (Cheng and Unnikrishnan, 2023).…”
Section: Resultsmentioning
confidence: 99%
“…The phylogenetic diversity of C. difficile has allowed for the emergence of several epidemic strains in recent years (Buddle and Fagan, 2023). In particular, the ribotype (RT) 027 lineage was responsible for a 2001 North American epidemic, which spread to the UK, peaking in 2004–2006 (Rupnik et al, 2009; He et al, 2013; Buddle and Fagan, 2023). A deeper characterization of the different C. difficile RT could lead to a better understanding of C. difficile pathogenesis and host pathogen interaction.…”
Section: Resultsmentioning
confidence: 99%
“…This may be due to the presence of different molecules, together with the MVs present in the C. difficile culture in particular toxins that could not be fully separated from the MVs in their isolation by ultracentrifugation. C. difficile toxins are known to induce F-actin depolymerization and reorganization of the actin cytoskeleton [ 48 ], and cell death [ 49 ]. Together, toxins and MVs may be responsible for this enhanced cytotoxic effect on HepG2 cells.…”
Section: Discussionmentioning
confidence: 99%
“…Atopobium vaginae was another signi cantly abundant bacteria that may be considered diagnostic biomarkers in malnutrition and indicate poor prognosis [40]. Tannerellaceae were positively associated with the acetic acid and butyrate concentrations [41] and propionate production [42]. Clostridioides di cile was responsible for a spectrum of diseases characterized by high levels of recurrence, morbidity, and mortality [43].…”
Section: Discussionmentioning
confidence: 99%