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Updated: May 4, 2026

Cefoperazone-treated Mouse Model of Clinically-relevant Clostridium difficile Strain R20291
Published on: December 10, 2016
Evolutionary history of the Clostridium difficile pathogenicity locus
Kate E Dingle1, Briony Elliott, Esther Robinson
1Nuffield Department of Clinical Medicine, Oxford University, John Radcliffe Hospital, United Kingdom.
Clostridium difficile pathogenicity locus (PaLoc) evolution reveals rare recombination for PaLoc and frequent transposition of Tn6218. These mobile genetic elements impact C. difficile infection virulence and antibiotic resistance.
Area of Science:
- Microbiology
- Evolutionary Biology
- Genetics
Background:
- Clostridium difficile infection symptoms stem from toxins produced by the pathogenicity locus (PaLoc).
- The PaLoc's variable presence and clade specificity suggest a mobile genetic element, despite its stable chromosomal location.
- Understanding PaLoc's evolutionary history is crucial for explaining its complex behavior.
Purpose of the Study:
- To reconstruct the evolutionary history of the Clostridium difficile pathogenicity locus (PaLoc).
- To investigate the mobility and integration patterns of the PaLoc and associated genetic elements like Tn6218.
Main Methods:
- Phylogenetic analyses of C. difficile core genomes and PaLoc regions.
- Annotation of genomic regions spanning the PaLoc in a diverse isolate collection.
- Comparative genomics to trace the acquisition, exchange, and loss of the PaLoc.
Main Results:
- Distinct PaLoc variants were acquired clade-specifically after strain divergence, with recent acquisition in clade 4.
- Homologous recombination mediated rare exchanges and losses of PaLoc DNA, with a recent loss event ~30 years ago.
- The clade 3 PaLoc contained the novel transposon Tn6218, which was frequently mobilized and sometimes carried antibiotic resistance genes.
Conclusions:
- The PaLoc exhibits rare mobilization via homologous recombination, contrasting with the frequent transposition of Tn6218.
- Tn6218 elements, derived from Tn916, are nonconjugative but contribute to antibiotic resistance dissemination.
- The evolutionary dynamics of the PaLoc and Tn6218 provide insights into C. difficile virulence and adaptation.
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