Abstract

The gastrointestinal pathogen, Clostridioides difficile, initiates infection when its metabolically dormant spore form germinates in the mammalian gut. While most spore-forming bacteria use transmembrane germinant receptors to sense nutrient germinants, C. difficile is thought to use the soluble pseudoprotease, CspC, to detect bile acid germinants. To gain insight into CspC’s unique mechanism of action, we solved its crystal structure. Guided by this structure, we identified CspC mutations that confer either hypo- or hyper-sensitivity to bile acid germinant. Surprisingly, hyper-sensitive CspC variants exhibited bile acid-independent germination as well as increased sensitivity to amino acid and/or calcium co-germinants. Since mutations in specific residues altered CspC’s responsiveness to these different signals, CspC plays a critical role in regulating C. difficile spore germination in response to multiple environmental signals. Taken together, these studies implicate CspC as being intimately involved in the detection of distinct classes of co-germinants in addition to bile acids and thus raises the possibility that CspC functions as a signaling node rather than a ligand-binding receptor.

Highlights

  • Clostridioides difficile, previously classified as Clostridium difficile, is a Gram-positive, sporeforming, obligate anaerobe that is a leading cause of health-care associated infections and gastroenteritis-associated death worldwide [1]

  • We identified mutations that alter the sensitivity of C. difficile spores to bile acid germinant and to amino acid and calcium co-germinants

  • To determine how C. difficile CspC directly senses bile acid germinants, we attempted to crystallize recombinant C-terminally His6-tagged CspC alone or in the presence of either taurocholate or chenodeoxycholate

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Summary

Introduction

Clostridioides difficile, previously classified as Clostridium difficile, is a Gram-positive, sporeforming, obligate anaerobe that is a leading cause of health-care associated infections and gastroenteritis-associated death worldwide [1]. C. difficile infections are characterized by high rates of disease recurrence: approximately one in five patients that recover from a C. difficile infection will acquire a second infection within three months [2, 6, 7] Both C. difficile’s vegetative cell and spore form contribute to recurrent infections [1, 8]: the vegetative form of C. difficile antagonizes growth of the protective microbiota by producing inflammation-inducing toxins [5], while its dormant spore form, which can resist commonly used disinfectants and harsh conditions [9, 10], allows C. difficile to outlast antibiotic treatment and persist in the environment for long periods of time [11]. The molecular mechanisms underlying the C. difficile germination signaling cascade are poorly understood

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