Clostridium perfringens
is an extremely versatile pathogen of humans and livestock, causing wound infections like gas gangrene (clostridial myonecrosis), enteritis/enterocolitis (including one of the most common human food-borne illnesses), and enterotoxemia (where toxins produced in the intestine are absorbed and damage distant organs such as the brain). The virulence of this Gram-positive, spore-forming, anaerobe is largely attributable to its copious toxin production; the diverse actions and roles in infection of these toxins are now becoming established. Most
C. perfringens
toxin genes are encoded on conjugative plasmids, including the pCW3-like and the recently discovered pCP13-like plasmid families. Production of
C. perfringens
toxins is highly regulated via processes involving two-component regulatory systems, quorum sensing and/or sporulation-related alternative sigma factors. Non-toxin factors, such as degradative enzymes like sialidases, are also now being implicated in the pathogenicity of this bacterium. These factors can promote toxin action
in vitro
and, perhaps
in vivo
, and also enhance
C. perfringens
intestinal colonization, e.g. NanI sialidase increases
C. perfringens
adherence to intestinal tissue and generates nutrients for its growth, at least
in vitro
. The possible virulence contributions of many other factors, such as adhesins, the capsule and biofilms, largely await future study.