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Updated: Oct 17, 2025

Cefoperazone-treated Mouse Model of Clinically-relevant Clostridium difficile Strain R20291
Published on: December 10, 2016
In vivo commensal control of Clostridioides difficile virulence
Brintha P Girinathan1, Nicholas DiBenedetto1, Jay N Worley2
1Massachusetts Host-Microbiome Center, Brigham & Women's Hospital, Harvard Medical School, Boston, MA 02115, USA.
Different gut microbes impact Clostridioides difficile infection severity. Paraclostridium bifermentans protects mice, while Clostridium sardiniense worsens outcomes, highlighting potential therapeutic strategies.
Area of Science:
- Microbiology
- Systems Biology
- Host-Pathogen Interactions
Background:
- Clostridioides difficile infection (CDI) is a major healthcare concern.
- Gut microbiota composition significantly influences CDI outcomes.
- Understanding specific commensal roles is crucial for developing targeted therapies.
Purpose of the Study:
- To investigate how distinct Clostridia species modulate CDI in a mouse model.
- To elucidate the mechanisms by which commensals affect pathogen colonization, growth, and virulence.
- To assess the therapeutic potential of specific commensal species against CDI.
Main Methods:
- Gnotobiotic mouse models colonized with specific Clostridia species.
- In vivo systems biology analyses to study host-commensal-pathogen interactions.
- Assessment of pathogen metabolism, gene regulation, and toxin production.
Main Results:
- Colonization with Paraclostridium bifermentans (amino acid fermenter) reduced CDI severity and improved host survival.
- Colonization with Clostridium sardiniense (butyrate producer) led to more rapid host mortality.
- Commensals altered the gut nutrient environment, impacting C. difficile metabolism and virulence.
- Oral administration of P. bifermentans rescued mice from lethal CDI.
Conclusions:
- Metabolically distinct Clostridia species exert opposing effects on CDI.
- P. bifermentans demonstrates therapeutic potential for CDI treatment.
- Systems biology approaches are valuable for dissecting host-commensal-pathogen dynamics and informing novel therapies.
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