Bile salts and glycine as cogerminants for Clostridium difficile spores

Joseph A Sorg1, Abraham L Sonenshein

  • 1Department of Molecular Biology and Microbiology, Tufts University School of Medicine, 136 Harrison Avenue, Boston, MA 02111, USA.

Journal of Bacteriology
|February 5, 2008
PubMed

Insights

Clostridium difficile spores are highly resistant, but bile components like cholate and glycine trigger their germination. Deoxycholate also induces germination but inhibits vegetative growth, suggesting a colonization resistance model.

Area of Science:

  • Microbiology
  • Infectious Diseases
  • Gastroenterology

Background:

  • Clostridium difficile spore formation is a major challenge in managing hospital-acquired infections.
  • Spores exhibit extreme resistance to environmental factors and antibiotics, complicating decontamination.
  • Germination into vegetative cells is essential for C. difficile to cause disease.

Purpose of the Study:

  • To investigate the detailed germination process of Clostridium difficile spores.
  • To characterize the response of C. difficile spores to bile components.

Main Methods:

  • Exposure of C. difficile spores to bile and its derivatives.
  • Assessment of spore germination triggers and vegetative cell growth inhibition.

Main Results:

  • Cholate derivatives and glycine were identified as cogerminants for C. difficile spore germination.
  • Deoxycholate, a bile metabolite, induced spore germination.
  • Deoxycholate inhibited the growth of vegetative Clostridium difficile cells.

Conclusions:

  • Bile components play a critical role in C. difficile spore germination.
  • Deoxycholate's dual action suggests a mechanism for colonization resistance by the gut microbiota.
  • Understanding germination is key to developing strategies against C. difficile infections.

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