2021
DOI: 10.1371/journal.pone.0244988
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Influence of L-lactate and low glucose concentrations on the metabolism and the toxin formation of Clostridioides difficile

Abstract: The virulence of Clostridioides difficile (formerly Clostridium difficile) is mainly caused by its two toxins A and B. Their formation is significantly regulated by metabolic processes. Here we investigated the influence of various sugars (glucose, fructose, mannose, trehalose), sugar derivatives (mannitol and xylitol) and L-lactate on toxin synthesis. Fructose, mannose, trehalose, mannitol and xylitol in the growth medium resulted in an up to 2.2-fold increase of secreted toxin. Low glucose concentration of 2… Show more

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Cited by 16 publications
(24 citation statements)
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(94 reference statements)
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“…The unique energy metabolism of C. difficile preferentially utilizes amino acids through a process called Stickland fermentation which firstly produces ATP via substrate level phosphorylation ( Stickland, 1934 ; Neumann-Schaal et al, 2015 ). Secondly, various carbohydrates are the basis for a complex mixed acid fermentation ( Riedel et al, 2017 ; Hofmann et al, 2021 ). Some of the involved processes are coupled via the membrane associated Rnf complex to the formation of an ion gradient which in turn drives ATP formation via a classical F O F 1 -ATPase ( Müller et al, 2008 ).…”
Section: Resultsmentioning
confidence: 99%
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“…The unique energy metabolism of C. difficile preferentially utilizes amino acids through a process called Stickland fermentation which firstly produces ATP via substrate level phosphorylation ( Stickland, 1934 ; Neumann-Schaal et al, 2015 ). Secondly, various carbohydrates are the basis for a complex mixed acid fermentation ( Riedel et al, 2017 ; Hofmann et al, 2021 ). Some of the involved processes are coupled via the membrane associated Rnf complex to the formation of an ion gradient which in turn drives ATP formation via a classical F O F 1 -ATPase ( Müller et al, 2008 ).…”
Section: Resultsmentioning
confidence: 99%
“…Some of the involved processes are coupled via the membrane associated Rnf complex to the formation of an ion gradient which in turn drives ATP formation via a classical F O F 1 -ATPase ( Müller et al, 2008 ). Alternative carbon sources like ethanolamine are used additionally ( Nawrocki et al, 2018 ; Hofmann et al, 2021 ). When preferred amino acids and glucose are depleted from the medium, C. difficile is able to generate energy from lactate fermentation and to fix CO 2 via the Wood-Ljungdahl pathway ( Köpke et al, 2013 ; Hofmann et al, 2021 ).…”
Section: Resultsmentioning
confidence: 99%
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“…The metabolome of mice treated with the broad-spectrum antibiotic cefoperazone contains a higher abundance of sugar alcohols relative to the metabolome of mock treated animals, similar to what we observed after streptomycin treatment, and this treatment renders mice susceptible to C. difficile infection [ 38 ]. Additionally, the sugar alcohols sorbitol and mannitol are sufficient for C. difficile growth in NCDM in vitro [ 38 ] and increase toxin production [ 39 ]. Furthermore, depletion of alcoholic sugars by the gut microbiota contributes to colonization resistance against C. difficile [ 40 ].…”
Section: Discussionmentioning
confidence: 99%
“…Catabolite control protein A is a pleiotropic regulator involved in controlling in carbon metabolism in many bacteria species in response to changes in overall energy levels and amount of carbohydrate ( Abranches et al, 2008 ; Willenborg et al, 2014 ; Hofmann et al, 2021 ). For example, >80% of the genes are controlled by CcpA in response to glucose in Bacillus subtilis ( Moreno et al, 2001 ).…”
Section: Discussionmentioning
confidence: 99%