1. Intestinal bile acids directly modulate the structure and function of C. difficile TcdB toxin
- Author
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Heather K. Kroh, Stacey A. Rutherford, Simoun Icho, Roman A. Melnyk, Casey M. Theriot, D. Borden Lacy, Evelyn Utama, John Kit Chung Tam, Rodolfo F. Gómez-Biagi, and Kathleen E. Orrell
- Subjects
0301 basic medicine ,medicine.drug_class ,Bacterial Toxins ,030106 microbiology ,Receptors, Cell Surface ,medicine.disease_cause ,digestive system ,Bile Acids and Salts ,Pathogenesis ,03 medical and health sciences ,Cell surface receptor ,medicine ,Humans ,Oligopeptide ,Multidisciplinary ,Bile acid ,Clostridioides difficile ,Toxin ,Chemistry ,Biological Sciences ,HCT116 Cells ,C difficile ,Small molecule ,3. Good health ,Intestines ,030104 developmental biology ,Biochemistry ,Clostridium Infections ,Caco-2 Cells ,Function (biology) - Abstract
Significance Clostridioides difficile is a bacterial pathogen of global importance that is a major cause of hospital-acquired diarrhea. Antibiotic-mediated disruptions to the gut microbiota and associated metabolome promote C. difficile growth and infection through mechanisms that are poorly understood. Here, we show that intestinal bile acids, which are known to play a role in C. difficile germination and outgrowth, also directly bind and inhibit TcdB toxin, the primary virulence determinant of C. difficile . Bile acid binding induces a major conformational change in TcdB structure that prevents receptor binding and uptake into cells. In addition to suggesting a role for bile acids in protecting against C. difficile pathogenesis, these findings highlight an approach to block C. difficile virulence.
- Published
- 2020
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