Against <i>Clostridioides difficile</i> Infection: An Update on Vaccine Development

<i>Clostridioides difficile</i> (<i>C. difficile</i>) is a major pathogen responsible for antibiotic-associated diarrhea, frequently observed in hospital settings. Due to the widespread use of antibiotics, the incidence and severity of <i>C. difficile</i> infectio...

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Main Authors: Jingyao Wang, Qianquan Ma, Songhai Tian
Format: Article
Language:English
Published: MDPI AG 2025-05-01
Series:Toxins
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Online Access:https://www.mdpi.com/2072-6651/17/5/222
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author Jingyao Wang
Qianquan Ma
Songhai Tian
author_facet Jingyao Wang
Qianquan Ma
Songhai Tian
author_sort Jingyao Wang
collection DOAJ
description <i>Clostridioides difficile</i> (<i>C. difficile</i>) is a major pathogen responsible for antibiotic-associated diarrhea, frequently observed in hospital settings. Due to the widespread use of antibiotics, the incidence and severity of <i>C. difficile</i> infection (CDI) are rising across the world. CDI is primarily driven by two homologous protein exotoxins, toxin A (TcdA) and toxin B (TcdB). Other putative virulence factors include binary toxin CDT, surface layer proteins, phosphorylated polysaccharides, and spore coat proteins. These <i>C. difficile</i> virulence factors are potential targets for vaccine development. Although several <i>C. difficile</i> vaccines have entered clinical trials, there is currently no approved vaccine on the market. This review outlines the intoxication mechanism during CDI, emphasizing the potential antigens that can be used for vaccine development. We aim to provide a comprehensive overview of the current status of research and development of <i>C. difficile</i> vaccines.
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spelling doaj-art-2e8dae8d0e7e40d1b17624bae61266382025-08-20T01:56:38ZengMDPI AGToxins2072-66512025-05-0117522210.3390/toxins17050222Against <i>Clostridioides difficile</i> Infection: An Update on Vaccine DevelopmentJingyao Wang0Qianquan Ma1Songhai Tian2State Key Laboratory of Natural and Biomimetic Drugs, Department of Molecular and Cellular Pharmacology, School of Pharmaceutical Sciences, Peking University, 38 Xueyuan Road, Beijing 100191, ChinaDepartment of Neurosurgery, Peking University Third Hospital, Beijing 100191, ChinaState Key Laboratory of Natural and Biomimetic Drugs, Department of Molecular and Cellular Pharmacology, School of Pharmaceutical Sciences, Peking University, 38 Xueyuan Road, Beijing 100191, China<i>Clostridioides difficile</i> (<i>C. difficile</i>) is a major pathogen responsible for antibiotic-associated diarrhea, frequently observed in hospital settings. Due to the widespread use of antibiotics, the incidence and severity of <i>C. difficile</i> infection (CDI) are rising across the world. CDI is primarily driven by two homologous protein exotoxins, toxin A (TcdA) and toxin B (TcdB). Other putative virulence factors include binary toxin CDT, surface layer proteins, phosphorylated polysaccharides, and spore coat proteins. These <i>C. difficile</i> virulence factors are potential targets for vaccine development. Although several <i>C. difficile</i> vaccines have entered clinical trials, there is currently no approved vaccine on the market. This review outlines the intoxication mechanism during CDI, emphasizing the potential antigens that can be used for vaccine development. We aim to provide a comprehensive overview of the current status of research and development of <i>C. difficile</i> vaccines.https://www.mdpi.com/2072-6651/17/5/222<i>Clostridioides difficile</i>CDITcdATcdBvaccine development
spellingShingle Jingyao Wang
Qianquan Ma
Songhai Tian
Against <i>Clostridioides difficile</i> Infection: An Update on Vaccine Development
Toxins
<i>Clostridioides difficile</i>
CDI
TcdA
TcdB
vaccine development
title Against <i>Clostridioides difficile</i> Infection: An Update on Vaccine Development
title_full Against <i>Clostridioides difficile</i> Infection: An Update on Vaccine Development
title_fullStr Against <i>Clostridioides difficile</i> Infection: An Update on Vaccine Development
title_full_unstemmed Against <i>Clostridioides difficile</i> Infection: An Update on Vaccine Development
title_short Against <i>Clostridioides difficile</i> Infection: An Update on Vaccine Development
title_sort against i clostridioides difficile i infection an update on vaccine development
topic <i>Clostridioides difficile</i>
CDI
TcdA
TcdB
vaccine development
url https://www.mdpi.com/2072-6651/17/5/222
work_keys_str_mv AT jingyaowang againsticlostridioidesdifficileiinfectionanupdateonvaccinedevelopment
AT qianquanma againsticlostridioidesdifficileiinfectionanupdateonvaccinedevelopment
AT songhaitian againsticlostridioidesdifficileiinfectionanupdateonvaccinedevelopment