Objectives: Clostridioides difficile is a nosocomial pathogen that is associated with the use of antibiotics. One of the most worrying aspects of C. difficile infection is its ability to resist antimicrobial therapies, owing to spore formation.
View Article and Find Full Text PDFClostridioides difficile causes antibiotic-associated diseases in humans, ranging from mild diarrhea to severe pseudomembranous colitis and death. A major clinical challenge is the prevention of disease recurrence, which affects nearly ~20 to 30% of the patients with a primary C. difficile infection (CDI).
View Article and Find Full Text PDFis Gram-positive spore-former bacterium and the leading cause of nosocomial antibiotic-associated diarrhea. During disease, forms metabolically dormant spores that persist in the host and contribute to recurrence of the disease. The outermost surface of spores, termed the exosporium, plays an essential role in interactions with host surfaces and the immune system.
View Article and Find Full Text PDFis the causative agent of many enterotoxic diseases in humans and animals, and it is present in diverse environments (soil, food, sewage, and water). Multilocus Sequence Typing (MLST) and Whole Genome Sequencing (WGS) have provided a general approach about genetic diversity of ; however, those studies are limited to specific locations and often include a reduced number of genomes. In this study, 372 genomes from multiple locations and sources were used to assess the genetic diversity and phylogenetic relatedness of this pathogen.
View Article and Find Full Text PDFClostridioides difficile is a Gram-positive, spore-forming obligate anaerobe and a major threat to the healthcare system world-wide. Because of its strict anaerobic requirements, the infectious and transmissible morphotype is the dormant spore. During infection, C.
View Article and Find Full Text PDFInteraction of Clostridioides difficile spores with the intestinal mucosa contributes to the persistence and recurrence of the infection. Advanced age is one of the main risk factors for C. difficile infection and recurrence of the disease.
View Article and Find Full Text PDFBioinform Biol Insights
November 2021
Multilocus Sequence Typing (MLST) is a precise microbial typing approach at the intra-species level for epidemiologic and evolutionary purposes. It operates by assigning a sequence type (ST) identifier to each specimen, based on a combination of alleles of multiple housekeeping genes included in a defined scheme. The use of MLST has multiplied due to the availability of large numbers of genomic sequences and epidemiologic data in public repositories.
View Article and Find Full Text PDFInflammatory bowel diseases (IBDs), which include ulcerative colitis (UC) and Crohn's disease (CD), cause chronic inflammation of the gut, affecting millions of people worldwide. IBDs have been frequently associated with an alteration of the gut microbiota, termed dysbiosis, which is generally characterized by an increase in abundance of Proteobacteria such as , and a decrease in abundance of Firmicutes such as (an indicator of a healthy colonic microbiota). The mechanisms behind the development of IBDs and dysbiosis are incompletely understood.
View Article and Find Full Text PDFis the causative agent of antibiotic-associated diarrhea, a worldwide public health problem. Different factors can promote the progression of infection (CDI), mainly altered intestinal microbiota composition. Microbial species belonging to different domains (i.
View Article and Find Full Text PDFCurrent efforts to understand the epidemiology, transmission dynamics and emergence of novel SARS-CoV-2 variants worldwide has enabled the scientific community to generate critical information aimed at implementing disease surveillance and control measures, as well as to reduce the social, economic and health impact of the pandemic. Herein, we applied an epidemic model coupled with genomic analysis to assess the SARS-CoV-2 transmission dynamics in Colombia. This epidemic model allowed to identify the geographical distribution, dynamics and predict the course of the pandemic considering current implementation of countermeasures.
View Article and Find Full Text PDFClostridioides difficile is a gram-positive, spore-forming anaerobic bacterium, and the leading cause of antibiotic-associated diarrhea worldwide. During C. difficile infection, spores germinate in the presence of bile acids into vegetative cells that subsequently colonize the large intestine and produce toxins.
View Article and Find Full Text PDFBackground: Fidaxomicin has novel pharmacologic effects on C. difficile spore formation including outgrowth inhibition and persistent spore attachment. However, the mechanism of fidaxomicin attachment on spores has not undergone rigorous microscopic studies.
View Article and Find Full Text PDFClostridioides difficile spores produced during infection are important for the recurrence of the disease. Here, we show that C. difficile spores gain entry into the intestinal mucosa via pathways dependent on host fibronectin-αβ and vitronectin-αβ.
View Article and Find Full Text PDFis a Gram-positive and anaerobic bacterial species previously considered as uncultivable. Although little is known about this family member, its increased abundance has been reported in patients who have recovered from intestinal homeostasis after dysbiosis events. In this context, the aim of the present study was to take advantage of a massive culture protocol that allowed the recovery of extremely oxygen-sensitive species from faecal samples, which led to isolation of .
View Article and Find Full Text PDFis a Gram-positive, spore-forming bacterium that causes a severe intestinal infection. Spores of this pathogen enter in the human body through the oral route, interact with intestinal epithelial cells and persist in the gut. Once germinated, the vegetative cells colonize the intestine and produce toxins that enhance an immune response that perpetuate the disease.
View Article and Find Full Text PDFis a Gram-positive anaerobic intestinal pathogenic bacterium and the causative agent of antibiotic-associated diarrhea. spore is a dormant state which acts as a vehicle of transmission and infection. In spores, the outermost exosporium layer is the first barrier of interaction with the host and should carry spore ligands involved in spore-host interactions.
View Article and Find Full Text PDFB1/NAP1/RT027/ST01 has been responsible for outbreaks of antibiotic-associated diarrhoea in clinical settings worldwide and is associated with severe disease presentations and increased mortality rates. Two fluoroquinolone-resistant (FQR) lineages of the epidemic B1/NAP1/RT027/ST01 strain emerged in the USA in the early 1990s and disseminated trans continentally (FQR1 and FQR2). However, it is unclear when and from where they entered Latin America (LA) and whether isolates from LA exhibit unique genomic features when compared to B1/NAP1/RT027/ST01 isolates from other regions of the world.
View Article and Find Full Text PDF, formerly known as , is a spore-forming bacterium considered as the most common cause of nosocomial infections in developed countries. The spore of is involved in the transmission of the pathogen and in its first interaction with the host; therefore, a therapeutic approach able to control spores would improve the clearance of the infection. The C-terminal (CTD) end of BclA2, a spore surface protein of responsible of the interaction with the host intestinal cells, was selected as a putative mucosal antigen.
View Article and Find Full Text PDFThe anaerobic bacterium Clostridioides difficile is the leading cause of antibiotic-associated diarrhea that can culminate in life-threating colitis. During the C. difficile infection (CDI), C.
View Article and Find Full Text PDFAs obligate anaerobes, clostridial pathogens depend on their metabolically dormant, oxygen-tolerant spore form to transmit disease. However, the molecular mechanisms by which those spores germinate to initiate infection and then form new spores to transmit infection remain poorly understood. While sporulation and germination have been well characterized in and , striking differences in the regulation of these processes have been observed between the bacilli and the clostridia, with even some conserved proteins exhibiting differences in their requirements and functions.
View Article and Find Full Text PDFCfr is a radical -adenosyl-l-methionine (SAM) enzyme that confers cross-resistance to antibiotics targeting the 23S rRNA through hypermethylation of nucleotide A2503. Three -like genes implicated in antibiotic resistance have been described, two of which, (B) and (C), have been sporadically detected in However, the methylase activity of Cfr(C) has not been confirmed. We found (B), (C), and a -like gene that shows only 51 to 58% protein sequence identity to Cfr and Cfr-like enzymes in clinical isolates recovered across nearly a decade in Mexico, Honduras, Costa Rica, and Chile.
View Article and Find Full Text PDFIncreased antibiotic usage is the main risk factor for gut microbiota dysbiosis. In dysbiosis, there is an increased susceptibility to intestinal pathogens, such as Clostridium difficile infection, the leading cause of hospital-acquired infection worldwide. High-spectrum antibiotics, such as vancomycin or metronidazole, also increases the risk of developing CDI symptoms after the treatment.
View Article and Find Full Text PDF