1. The mechanisms of in vivo commensal control of Clostridioides difficile virulence
- Author
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Girinathan, BP, DiBenedetto, N, Worley, J, Peltier, J, Lavin, R, Delaney, ML, Cummins, C, Onderdonk, AB, Gerber, GK, Dupuy, B, Sonenshein, AL, and Bry, L
- Abstract
We define multiple mechanisms by which commensals protect against or worsen Clostridioides difficile infection. Using a systems-level approach we show how two species of Clostridia with distinct metabolic capabilities modulate the pathogen’s virulence to impact host survival. Gnotobiotic mice colonized with the amino acid fermenter Clostridium bifermentans survived infection, while colonization with the butyrate-producer, Clostridium sardiniense, more rapidly succumbed. Systematic in vivo analyses revealed how each commensal altered the pathogen’s carbon source metabolism, cellular machinery, stress responses, and toxin production. Protective effects were replicated in infected conventional mice receiving C. bifermentans as an oral bacteriotherapeutic that prevented lethal infection. Leveraging a systematic and organism-level approach to host-commensal-pathogen interactions in vivo, we lay the groundwork for mechanistically-informed therapies to treat and prevent this disease.
- Published
- 2020
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