The N-terminus of the Clostridioides difficile transferase A component directs toxin activity and potency

ABSTRACT Clostridioides difficile infection is the leading cause of antibiotic-associated, hospital-acquired diarrhea in the USA; the pathology of which is mediated by toxins. The presence of a toxin known as the C. difficile Transferase (CDT) in some clinical isolates is linked to severe symptoms i...

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Main Authors: Robin M. Mullard, Michael J. Sheedlo
Format: Article
Language:English
Published: American Society for Microbiology 2025-01-01
Series:mBio
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Online Access:https://journals.asm.org/doi/10.1128/mbio.02405-24
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author Robin M. Mullard
Michael J. Sheedlo
author_facet Robin M. Mullard
Michael J. Sheedlo
author_sort Robin M. Mullard
collection DOAJ
description ABSTRACT Clostridioides difficile infection is the leading cause of antibiotic-associated, hospital-acquired diarrhea in the USA; the pathology of which is mediated by toxins. The presence of a toxin known as the C. difficile Transferase (CDT) in some clinical isolates is linked to severe symptoms including increased incidence of reinfection and higher rates of mortality. Despite its apparent importance to C. difficile pathology, a mechanistic model of how CDT intoxicates cells remains incomplete. Here, we describe a motif composed of acidic and basic residues (the KDKEK motif) that is essential for toxin function. Using Cryogenic Electron Microscopy (Cryo-EM), we highlight an orientation of the KDKEK motif wherein the acidic residues engage structures thought to play an important role during toxin delivery. We thus present a model wherein these interactions prime CDT for entry into host cells. We expect that this model can be extrapolated to other bacterial toxins to understand how they enter cells.IMPORTANCEClostridioides difficile is the leading cause of hospital-acquired infectious diarrhea in the USA. The pathology that accompanies infection is triggered by toxins produced by the bacterium. One of these, the C. difficile Transferase (CDT), has been associated with poorer patient outcomes, although a direct connection to CDT activity has remained elusive. Herein, we present new insight into the mechanism of CDT intoxication and define two regions of the toxin as important for its activity. Moreover, we have generated mutants of CDT that retain the ability to assemble but can no longer intoxicate host cells. In the future, we expect these mutants will serve as valuable tools to help elucidate the role of CDT during infection.
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spelling doaj-art-709f69f6511e4b9cbdbf79e654f266062025-01-08T14:00:39ZengAmerican Society for MicrobiologymBio2150-75112025-01-0116110.1128/mbio.02405-24The N-terminus of the Clostridioides difficile transferase A component directs toxin activity and potencyRobin M. Mullard0Michael J. Sheedlo1Department of Pharmacology, University of Minnesota Medical School, Minneapolis, Minnesota, USADepartment of Pharmacology, University of Minnesota Medical School, Minneapolis, Minnesota, USAABSTRACT Clostridioides difficile infection is the leading cause of antibiotic-associated, hospital-acquired diarrhea in the USA; the pathology of which is mediated by toxins. The presence of a toxin known as the C. difficile Transferase (CDT) in some clinical isolates is linked to severe symptoms including increased incidence of reinfection and higher rates of mortality. Despite its apparent importance to C. difficile pathology, a mechanistic model of how CDT intoxicates cells remains incomplete. Here, we describe a motif composed of acidic and basic residues (the KDKEK motif) that is essential for toxin function. Using Cryogenic Electron Microscopy (Cryo-EM), we highlight an orientation of the KDKEK motif wherein the acidic residues engage structures thought to play an important role during toxin delivery. We thus present a model wherein these interactions prime CDT for entry into host cells. We expect that this model can be extrapolated to other bacterial toxins to understand how they enter cells.IMPORTANCEClostridioides difficile is the leading cause of hospital-acquired infectious diarrhea in the USA. The pathology that accompanies infection is triggered by toxins produced by the bacterium. One of these, the C. difficile Transferase (CDT), has been associated with poorer patient outcomes, although a direct connection to CDT activity has remained elusive. Herein, we present new insight into the mechanism of CDT intoxication and define two regions of the toxin as important for its activity. Moreover, we have generated mutants of CDT that retain the ability to assemble but can no longer intoxicate host cells. In the future, we expect these mutants will serve as valuable tools to help elucidate the role of CDT during infection.https://journals.asm.org/doi/10.1128/mbio.02405-24Clostridioides difficiletoxinspore-forming toxinsmechanisms of action
spellingShingle Robin M. Mullard
Michael J. Sheedlo
The N-terminus of the Clostridioides difficile transferase A component directs toxin activity and potency
mBio
Clostridioides difficile
toxins
pore-forming toxins
mechanisms of action
title The N-terminus of the Clostridioides difficile transferase A component directs toxin activity and potency
title_full The N-terminus of the Clostridioides difficile transferase A component directs toxin activity and potency
title_fullStr The N-terminus of the Clostridioides difficile transferase A component directs toxin activity and potency
title_full_unstemmed The N-terminus of the Clostridioides difficile transferase A component directs toxin activity and potency
title_short The N-terminus of the Clostridioides difficile transferase A component directs toxin activity and potency
title_sort n terminus of the clostridioides difficile transferase a component directs toxin activity and potency
topic Clostridioides difficile
toxins
pore-forming toxins
mechanisms of action
url https://journals.asm.org/doi/10.1128/mbio.02405-24
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