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Clostridium difficile-related postinfectious IBS: a case of enteroglial microbiological stalking and/or the solution of a conundrum?
Open accessAbstract
Post-infectious irritable bowel syndrome is a well-defined pathological entity that develops in about one-third of subjects after an acute infection (bacterial, viral) or parasitic infestation. Only recently it has been documented that an high incidence of post-infectious irritable bowel syndrome occurs after Clostridium difficile infection. However, until now it is not known why in some patients recovered from this infection the gastrointestinal disturbances persist for months or years. Based on our in vitro studies on enteric glial cells exposed to the effects of C. difficile toxin B, we hypothesize that persistence of symptoms up to the development of irritable bowel syndrome might be due to a disturbance/impairment of the correct functions of the enteroglial intestinal network.
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Various Clostridium cluster species are associated with inflammatory bowel syndrome, metabolic disorders, and psychiatric conditions.
“However, various Clostridium cluster species have been shown to be associated with inflammatory bowel syndrome (Bassotti et al., 2018), metabolic disorders (Woting and Blaut, 2016) and psychiatric conditions (Li et al., 2017b).”
From The Microbiota-Gut-Brain Axis (2019) · cites this paper as Bassotti et al., 2018
The Introduction reports an association between *Clostridium difficile* infection and subsequent postinfectious irritable bowel syndrome (page unavailable in our copy). It does not establish that various Clostridium cluster species are associated with the condition, and the citing sentence calls it “inflammatory” rather than “irritable” bowel syndrome. The metabolic and psychiatric associations have separate citations and are not attributed to this paper. (LLM, conf=0.88)
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Cites
Burden of Clostridium difficile Infection in the United States
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Bacillary dysentery as a causative factor of irritable bowel syndrome and its pathogenesis
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Jessen, K., & Mirsky, R. (1983) · The Journal of Neuroscience · doi:10.1523/jneurosci.03-11-02206.1983 · Cited by 246
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Cited by
Sorted by citations
Cryan, J. F., O'Riordan, K. J., Cowan, C. S. M., Sandhu, K. V., Bastiaanssen, T. F. S., Boehme, M., Codagnone, M. G., Cussotto, S., Fulling, C., Golubeva, A. V., et al. (2019) · Physiological Reviews · doi:10.1152/physrev.00018.2018 · Cited by 5,286
Metadata
- Authors
- Bassotti, G., Macchioni, L., Corazzi, L., Marconi, P., & Fettucciari, K.
- Affiliations
- University of Perugia (IT)
- Corresponding author
- Bassotti, Gabrio
- Venue
- Cellular and Molecular Life Sciences
- Published
- 2017-12-28
- Volume
- 75
- Issue
- 7
- Pages
- 1145-1149
- ISSN
- 1420-682X (ISSN-L)
- 1420-9071
- PMC
- PMC11105427
- OpenAlex
- W2776242107
- Cited by
- 22
- References
- 5
- Citations by year
- 2024: 2 · 2023: 5 · 2022: 2 · 2021: 4 · 2020: 3 · 2019: 3 · 2018: 3
- FWCI
- 2.59
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Locations
- Cellular and Molecular Life Sciences (publishedVersion)
- PubMed Central (publishedVersion)
- PubMed (publishedVersion)
- INFM-OAR (INFN Catania) (submittedVersion, other-oa)
- Topics
- Health Sciences › Medicine › Gastroenterology › Gastrointestinal motility and disorders
- Health Sciences › Medicine › Infectious Diseases › Clostridium difficile and Clostridium perfringens research
- Life Sciences › Biochemistry, Genetics and Molecular Biology › Molecular Biology › Gut microbiota and health
- Keywords
- post-infectious irritable bowel syndrome, Clostridium difficile infection, enteric glial cells, Clostridium difficile toxin B, persistent gastrointestinal symptoms, gut-brain axis
- MeSH terms
- Bacterial Proteins, Bacterial Toxins, Clostridium Infections, Humans, Intestinal Mucosa, Models, Theoretical, Neuroglia, Risk Factors, Clostridioides difficile, Enteric Nervous System, Irritable Bowel Syndrome, Host-Pathogen Interactions
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