Clostridium difficile is an anaerobic pathogen that causes antibiotic-associated diarrhea and colitis in humans (1). Two large molecular weight proteins, toxins A and B, secreted by this microbe are glucosyltransferases with substrate specificity for Rho family GTPases (Rho, Rac, and Cdc42) (2, 3). Rho proteins belong to the Ras superfamily of GTPases that regulate cell morphology, gene transcription, and cell proliferation (4). Rho glucosylation by toxins reduces the binding affinity of Rho to its downstream effectors, resulting in inhibition of Rho signaling, disassembly of actin filaments, and cell rounding (5). However, recent studies indicate that C. difficile toxins induce early cellular responses including activation of mitogen-activated protein kinases (6), generation of reactive oxygen metabolites (7), and induction of calcium influx (8) that occur prior to measurable Rho glucosylation, indicating that these and perhaps other Rho-independent signaling events are also involved in toxicity.Dysfunction of paracellular permeability is a major contributor to the increased fluid secretion and diarrhea in C. difficile infection and other inflammatory bowel diseases (9 -11). Tight junctions (TJs), 1 localized in the uppermost basolateral surface of polarized enterocytes, serve as a barrier regulating selective passage of fluid, ions, and lipids through the paracellular pathway (12, 13). Tight junction fibrils are composed of the transmembrane proteins occludin, claudins, and the junctional adhesion molecule whose cytosolic domains interact with the peripheral junctional proteins of the zonula occludens family (ZO-1, -2, and -3) (13). The C-terminal domains of ZOs, in turn, bind to perijunctional actomyosin filaments that support the TJ complex (14). TJ assembly and permeability are regulated by a network of signaling pathways including protein kinase C (PKC), heterotrimeric G proteins, Ras and Rho GTP-binding proteins, protein kinase A, tyrosine kinase, and calcium (15). For example, decreased transepithelial electrical resistance (TER) and increased paracellular flux are observed in cells exposed to the PKC agonist (12-O-tetradecanoylphorbol-13-acetate) (16). Both PKC␣ and -␦ are implicated in the PKC-dependent regulation of TJ assembly and barrier function following activation of a G-protein-coupled receptor (17)(18)(19)(20). Freeze fracture electron micrographs reveal abnormal TJ morphology in transfectants overexpressing mutant forms of the Rho family of GTPases, suggesting involvement of Rho proteins in TJ assembly (21). In polarized intestinal epithelial cells (T84 cells) infected with a chimeric protein containing Clostridium botulinum C3 exoenzyme that specifically inactivates RhoA, perijunctional actin rings are disrupted, leading to a decrease in TER and redistribution of .The increase in TJ permeability and redistribution of TJ proteins in T84 cells exposed to C. difficile toxins has been correlated with depolymerization of the actin cytoskeleton (23,24). However, we previously observed a rapid drop ...