“…Although CWPs involved in bacteria colonization have been identified, more CWPs need to be studied for their important roles in CDI and potential application in developing new therapeutics and prophylactics in C. difficile. Like other bacteria, C. difficile also possess multiple adhesins, and several CWPs have been previously characterized, including SlpA, Cwp2, Cwp6, CwpV, Cwp66, Cwp84 and Cwp19 (Waligora et al, 2001;Wright et al, 2005;Kirby et al, 2009;Dang et al, 2010;Reynolds et al, 2011;Bradshaw et al, 2017;Ferreira et al, 2017;Wydau-Dematteis et al, 2018). Although the exact role of each CWP in pathogenesis remains to be further elucidated, antibodies to many CWPs have been found in serum samples from CDI patients, and investigational vaccines targeting Cwp84 Sandolo et al, 2011) have been developed, indicating that certain CWPs are surface exposed in vivo and could be developed into vaccines (Pechine et al, 2005;Wright et al, 2008;Biazzo et al, 2013).…”