Clostridioides difficile TcdB induces expression of its receptor (CSPG4) through a noncanonical Hippo signaling

Jason L Larabee1, Elizabeth J Donald1, Anushka A Sukhadia1

  • 1Department of Microbiology and Immunology, The University of Oklahoma Health Campus, Oklahoma City, Oklahoma, USA.

Insights

Clostridioides difficile toxin B (TcdB) increases Chondroitin sulfate proteoglycan 4 (CSPG4) expression by inactivating Rho and the Hippo pathway. This leads to reduced CCCTC-binding factor (CTCF) binding and elevated CSPG4 levels.

Area of Science:

  • Microbiology
  • Cell Biology
  • Molecular Biology

Background:

  • Chondroitin sulfate proteoglycan 4 (CSPG4) acts as a key receptor for Clostridioides difficile toxin B (TcdB).
  • The regulation and expression dynamics of CSPG4 during C. difficile infection remain largely undescribed.

Purpose of the Study:

  • To elucidate the molecular mechanisms by which TcdB influences CSPG4 expression.
  • To investigate the roles of small GTPases and the Hippo signaling pathway in TcdB-mediated CSPG4 regulation.

Main Methods:

  • Treatment of HeLa cells and human pericytes with TcdB and Rho inhibitors.
  • Inhibition of Hippo kinases (MST1/2, LATS1/2) and analysis of downstream effectors.
  • RNA-sequencing (RNA-seq) and CUT&RUN assays to assess gene expression and protein-DNA interactions.
  • Investigated the role of CCCTC-binding factor (CTCF) in CSPG4 regulation.

Main Results:

  • TcdB treatment and Rho inhibition significantly increased CSPG4 expression.
  • Hippo kinase inhibition blocked TcdB-induced CSPG4 upregulation, independent of YAP/TAZ.
  • RNA-seq and CUT&RUN revealed that CCCTC-binding factor (CTCF) represses CSPG4 expression.
  • TcdB disrupted CTCF binding at the CSPG4 gene locus, leading to increased CSPG4 expression.

Conclusions:

  • TcdB upregulates CSPG4 expression through Rho inactivation and subsequent Hippo-mediated inhibition of the transcriptional repressor CTCF.
  • This mechanism highlights a novel pathway involving CTCF in the host response to C. difficile infection.

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