The distribution and density of Clostridium difficile toxin receptors on the intestinal mucosa of neonatal pigs.
Clostridium difficile is an enteric pathogen affecting a variety of mammals, but it has only recently been diagnosed as a cause of neonatal typhlocolitis in pigs. The most important virulence factors of C. difficile are 2 large exotoxins, toxin A (TcdA) and toxin B (TcdB). TcdA is a potent enterotoxin with effects on host tissues that are dependent upon receptor-mediated endocytosis of the intact toxin. TcdB is an effective cytotoxin, but it apparently does not bind receptors on intact mucosal epithelium. TcdB is much less toxic in vivo unless there is underlying damage to the mucosa, and it is not essential for the virulence of C. difficile. One hypothesis to explain the resistance of most species as neonates (e.g., humans and hamsters) is that they may lack significant numbers of TcdA receptors. The susceptibility of neonatal pigs suggests cells of the gastrointestinal mucosa express sufficient numbers of toxin receptors for lesion development. Immunohistochemical (IHC) assays documented specific binding of TcdA, but not TcdB, to the epithelium of the small and large intestine. The carbohydrate Galalpha1-3beta1-4GlcNAc-R has been described as an important receptor for TcdA. However, IHC indicated a distribution on cell surfaces much different from that of TcdA binding, suggesting a specific interaction of toxin with an alternative receptor.
The University of Arizona, Department of Veterinary Sciences and Microbiology, 1117 East Lowell Street, Tucson, AZ 85721, USA.
M K
MK
Keel
J G
JG
Songer
D000818:Animals; D000831:Animals, Newborn; D001426:Bacterial Proteins / Q000378:metabolism*; D001427:Bacterial Toxins / Q000378:metabolism*; D016466:CHO Cells; D003106:Colon / Q000473:pathology; D006224:Cricetinae; D003412:Cricetulus; D004768:Enterotoxins / Q000378:metabolism*; D007150:Immunohistochemistry; D007413:Intestinal Mucosa / Q000033:anatomy & histology* / Q000378:metabolism; D011485:Protein Binding; D011971:Receptors, Immunologic / Q000378:metabolism*; D013552:Swine / Q000033:anatomy & histology* / Q000378:metabolism; D013553:Swine Diseases / Q000378:metabolism / Q000473:pathology
D001426:Bacterial Proteins; D001427:Bacterial Toxins; D004768:Enterotoxins; D011971:Receptors, Immunologic; C041348:tcdA protein, Clostridium difficile; C031815:toxB protein, Clostridium difficile