The pathogenicity of Clostridium difficile is linked to its ability to produce two toxins: TcdA and TcdB. The level of toxin synthesis is influenced by environmental signals, such as phosphotransferase system (PTS) sugars, biotin, and amino acids, especially cysteine. To understand the molecular mechanisms of cysteine-dependent repression of toxin production, we reconstructed the sulfur metabolism pathways of C. difficile strain 630 in silico and validated some of them by testing C. difficile growth in the presence of various sulfur sources. High levels of sulfide and pyruvate were produced in the presence of 10 mM cysteine, indicating that cysteine is actively catabolized by cysteine desulfhydrases. Using a transcriptomic approach, we analyzed cysteine-dependent control of gene expression and showed that cysteine modulates the expression of genes involved in cysteine metabolism, amino acid biosynthesis, fermentation, energy metabolism, iron acquisition, and the stress response. Additionally, a sigma factor (SigL) and global regulators (CcpA, CodY, and Fur) were tested to elucidate their roles in the cysteine-dependent regulation of toxin production. Among these regulators, only sigL inactivation resulted in the derepression of toxin gene expression in the presence of cysteine. Interestingly, the sigL mutant produced less pyruvate and H 2 S than the wild-type strain. Unlike cysteine, the addition of 10 mM pyruvate to the medium for a short time during the growth of the wild-type and sigL mutant strains reduced expression of the toxin genes, indicating that cysteine-dependent repression of toxin production is mainly due to the accumulation of cysteine by-products during growth. Finally, we showed that the effect of pyruvate on toxin gene expression is mediated at least in part by the two-component system CD2602-CD2601.
Clostridium difficile is a Gram-positive spore-forming obligate anaerobe and the major cause of nosocomial diarrhea associated with antibiotic therapy. The symptoms of C. difficile infection (CDI) vary from mild diarrhea to life-threatening pseudomembranous colitis, a severe form of CDI (1). Virulent C. difficile strains produce two large toxins: an enterotoxin (TcdA) and a cytotoxin (TcdB). The tcdA and tcdB genes are clustered within a single chromosomal region, called the pathogenicity locus (PaLoc), with three accessory genes: tcdR, tcdE, and tcdC. The expression of the toxin genes is controlled through the coordinated action of the alternative sigma factor TcdR and its antagonist factor, TcdC (2-4). The tcdE gene encodes a holin-like protein that is required for toxin release (5).The spectrum of diseases caused by C. difficile depends on host factors and, for the severe forms, on the level of toxins produced, suggesting that the regulation of toxin synthesis is a critical determinant of C. difficile pathogenicity (6). Toxin production starts when C. difficile cultures enter the stationary growth phase (7) and is modulated in response to various environmental signals. Exposure to subinhibitory ...