Impacts of infection with different toxigenic Clostridium difficile strains on faecal microbiota in children
Open accessAbstract
Increasing evidence suggests that altered intestinal microbial composition and function result in an increased risk of Clostridium difficile-associated diarrhoea (CDAD); however, the specific changes of intestinal microbiota in children suffering from CDAD and their associations with C. difficile strain toxigenicity are poorly understood. High-throughput pyrosequencing showed that reduced faecal bacterial diversity and dramatic shifts of microbial composition were found in children with CDAD. The Firmicutes/Bacteroidetes ratio was increased significantly in patients with CDAD, which indicated that dysbiosis of faecal microbiota was closely associated with CDAD. C. difficile infection resulted in an increase in lactate-producing phylotypes, with a corresponding decrease in butyrate-producing bacteria. The decrease in butyrate and lactate buildup impaired intestinal colonisation resistance, which increased the susceptibility to C. difficile colonisation. Strains of C. difficile which were positive for both toxin A and toxin B reduced faecal bacterial diversity to a greater degree than strains that were only toxin B-positive, and were associated with unusually abundant Enterococcus, which implies that the C. difficile toxins have different impacts on the faecal microbiota of children. Greater understanding of the relationships between disruption of the normal faecal microbiota and colonisation with C. difficile that produces different toxins might lead to improved treatment.
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The high efficacy rate of FMT in rCDI is not observed under other conditions where the characteristics of donors, recipients, and working protocols appear to largely impact clinical outcomes.
“This concept is supported by evidence that the high efficacy rate of FMT in rCDI is not observed under other conditions where the characteristics of donors, 26,39 recipients, 41,42 and working protocols, 43 appear to largely impact clinical outcomes.”
From Key determinants of success in fecal microbiota transplantation: From microbiome to clinic (2023) · cites this paper as [39]
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- Authors
- Ling, Z., Liu, X., Jia, X., Cheng, Y., Luo, Y., Yuan, L., Wang, Y., Zhao, C., Guo, S., Li, L., Xu, X., & Xiang, C.
- Affiliations
- First Affiliated Hospital Zhejiang University (CN)
- Capital Medical University (CN)
- Chinese National Human Genome Center at Shanghai (CN)
- Corresponding author
- Li, Lanjuan
- Xu, Xiwei
- Xiang, Charlie
- Venue
- Scientific Reports
- Published
- 2014-12-15
- Volume
- 4
- Issue
- 1
- Pages
- 7485-7485
- ISSN
- 2045-2322 (ISSN-L)
- PMC
- PMC4265774
- OpenAlex
- W2156456403
- Cited by
- 158
- References
- 60
- Citations by year
- 2026: 1 · 2025: 10 · 2024: 8 · 2023: 12 · 2022: 20 · 2021: 14 · 2020: 17 · 2019: 17 · 2018: 18 · 2017: 13 · 2016: 22 · 2015: 6
- FWCI
- 9.57
- Type
- journal article
- Language
- en
- Open access
- gold
- doi.org
- Licence
- Locations
- Scientific Reports (publishedVersion, cc-by-nc-sa)
- Europe PMC (PubMed Central) (publishedVersion, cc-by-nc-sa)
- PubMed Central (publishedVersion, cc-by-nc-sa)
- PubMed (publishedVersion)
- Funders
- National Natural Science Foundation of China
- National Key Research and Development Program of China
- Natural Science Foundation of Zhejiang Province
- Topics
- Health Sciences › Medicine › Infectious Diseases › Clostridium difficile and Clostridium perfringens research
- Life Sciences › Biochemistry, Genetics and Molecular Biology › Molecular Biology › Gut microbiota and health
- Life Sciences › Biochemistry, Genetics and Molecular Biology › Clinical Biochemistry › Bacterial Identification and Susceptibility Testing
- Keywords
- Clostridium difficile, Clostridium difficile-associated diarrhea, fecal microbiota, gut dysbiosis, children, toxin A, toxin B, Firmicutes/Bacteroidetes ratio, bacterial diversity, butyrate-producing bacteria, lactate-producing bacteria, Enterococcus, colonization resistance
- MeSH terms
- Bacterial Toxins, Child, Preschool, Diarrhea, Enterocolitis, Pseudomembranous, Feces, Humans, Intestines, RNA, Ribosomal, 16S, Case-Control Studies, Clostridioides difficile, Sequence Analysis, DNA, Real-Time Polymerase Chain Reaction, Microbiota
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