Abstract

The pathogenicity of Clostridium difficile depends on the large clostridial glucosylating toxins A and B (TcdA and TcdB). The proteins accomplish their own uptake by a modular structure comprising a catalytic and a binding/translocation domain. Based on a proteolytic processing step solely the catalytic domain reaches the cytosol. Within the cells, the glucosyltransferases inactivate small GTPases by mono-O-glucosylation. Here, a short overview is given regarding latest insights into the intramolecular processing, which is mediated by an intrinsic protease activity.

Highlights

  • Nosocomial infections with Clostridium difficile often occur during antibiotic therapy

  • The primary sequence of toxin B aa 544–955, a fragment bordered by the N-terminal glucosyltransferase domain (‘GT’) and the hydrophobic, putative transmembrane region (‘HR’, aa 956–1128; see Fig. 1, upper panel) displays a striking sequence similarity to repeat in toxin (RTX) protein toxins and autotransporter adhesins from, for example, Vibrio cholerae and Vibrio vulnificus/Vibrio splendidus

  • A major step forward was made with the finding of an intrinsic proteolytic activity of the toxins. This autoproteolytic activity is induced by InsP6 and/or DTT and is responsible for the separation of the catalytic domain from the holotoxin (Reineke et al, 2007; Egerer et al, 2007)

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Summary

Processing of Clostridium difficile toxins

Institut fur Experimentelle und Klinische Pharmakologie und Toxikologie, Universitat Freiburg, Albertstrasse 25, D-79104 Freiburg, Germany. The pathogenicity of Clostridium difficile depends on the large clostridial glucosylating toxins A and B (TcdA and TcdB). The proteins accomplish their own uptake by a modular structure comprising a catalytic and a binding/translocation domain. Based on a proteolytic processing step solely the catalytic domain reaches the cytosol. The glucosyltransferases inactivate small GTPases by mono-O-glucosylation. A short overview is given regarding latest insights into the intramolecular processing, which is mediated by an intrinsic protease activity

Introduction
Toxins A and B possess glucosyltransferase activity and inactivate Rho GTPases
The central translocation domain
Uptake of clostridial glucosylating toxins
Identification and biochemical characterization of an intrinsic CPD
Findings
Conclusions

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