Clostridium difficile is one of the most dangerous pathogens in hospital settings. Most strains of C. difficile carry one or more prophages, and some of them, like CD38-2 and CD119, can influence the expression of toxin genes. However, little is known about the global host response in the presence of a given prophage. In order to fill this knowledge gap, we used high-throughput RNA sequencing (RNA-seq) to conduct a genome-wide transcriptomic analysis of the epidemic C. difficile strain R20291 carrying the CD38-2 prophage. A total of 39 bacterial genes were differentially expressed in the R20291 lysogen, 26 of them being downregulated. Several of the regulated genes encode transcriptional regulators and phosphotransferase system (PTS) subunits involved in glucose, fructose, and glucitol/sorbitol uptake and metabolism. CD38-2 also upregulated the expression of a group of regulatory genes located in phi-027, a resident prophage common to most ribotype 027 isolates. The most differentially expressed gene was that encoding the conserved phase-variable cell wall protein CwpV, which was upregulated ϳ20-fold in the lysogen. Quantitative PCR and immunofluorescence showed that the increased cwpV expression results from a greater proportion of cells actively transcribing the gene. Indeed, ϳ95% of lysogenic cells express cwpV, as opposed to only ϳ5% of wild-type cells. Furthermore, the higher proportion of cells expressing cwpV results from a higher frequency of recombination of the genetic switch controlling phase variation, which we confirmed to be dependent on the host-encoded recombinase RecV. In summary, CD38-2 interferes with phase variation of the surface protein CwpV and the expression of metabolic genes.
Bacteriophages (or simply phages) are the most abundant biological entities in the biosphere (1). Temperate phages have the ability to kill their host via a lytic replication cycle, but they can also establish a stable parasitic relationship with their host through a lysogenic cycle (2). Some phages, like , integrate into the chromosomes of their host via the expression of a phage-encoded integrase, while other prophages, like c-st and N15, are maintained as self-replicating circular or linear plasmids that are partitioned into dividing cells (3, 4). The maintenance of lysogeny has been extensively studied for and relies on the expression of a limited number of phage genes. For example, the CI repressor is constitutively expressed at low levels and plays a central role by repressing the initiation of transcription of lytic genes, thereby maintaining the prophage in a quiescent state (5).In principle, only a few genes should be required to maintain lysogeny, and therefore, most of the remaining prophage genome should be silent. Several studies with Lactobacillus, Bifidobacterium, and Streptococcus thermophilus support this (6-9). However, prophages are not always completely silent, and their transcriptional activity may depend on the growth conditions (10). In addition, several prophages encode "extra" genes that ar...