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Title: Crystal structure of Clostridium difficile toxin A

Journal Article · · Nature Microbiology

Clostridium difficile infection is the leading cause of hospital-acquired diarrhoea and pseudomembranous colitis. Disease is mediated by the actions of two toxins, TcdA and TcdB, which cause the diarrhoea, as well as inflammation and necrosis within the colon. The toxins are large (308 and 270 kDa, respectively), homologous (47% amino acid identity) glucosyltransferases that target small GTPases within the host. The multidomain toxins enter cells by receptor-mediated endocytosis and, upon exposure to the low pH of the endosome, insert into and deliver two enzymatic domains across the membrane. Eukaryotic inositol-hexakisphosphate (InsP6) binds an autoprocessing domain to activate a proteolysis event that releases the N-terminal glucosyltransferase domain into the cytosol. Here, we report the crystal structure of a 1,832-amino-acid fragment of TcdA (TcdA1832), which reveals a requirement for zinc in the mechanism of toxin autoprocessing and an extended delivery domain that serves as a scaffold for the hydrophobic α-helices involved in pH-dependent pore formation. A surface loop of the delivery domain whose sequence is strictly conserved among all large clostridial toxins is shown to be functionally important, and is highlighted for future efforts in the development of vaccines and novel therapeutics.

Research Organization:
Brookhaven National Laboratory (BNL), Upton, NY (United States)
Sponsoring Organization:
USDOE Office of Science (SC), Basic Energy Sciences (BES)
DOE Contract Number:
SC0012704; AC02-98CH10886
OSTI ID:
1354312
Report Number(s):
BNL-112828-2016-JA
Journal Information:
Nature Microbiology, Vol. 1, Issue 1; ISSN 2058-5276
Country of Publication:
United States
Language:
English

References (44)

Autocatalytic cleavage of Clostridium difficile toxin B journal March 2007
ATHENA , ARTEMIS , HEPHAESTUS : data analysis for X-ray absorption spectroscopy using IFEFFIT journal June 2005
The C-terminal ligand-binding domain of Clostridium difficile toxin A (TcdA) abrogates TcdA-specific binding to cells and prevents mouse lethality journal October 1997
Glucosylation of Rho proteins by Clostridium difficile toxin B journal June 1995
Structure-Function Analysis of Inositol Hexakisphosphate-induced Autoprocessing in Clostridium difficile Toxin A journal June 2009
Structural determinants for membrane insertion, pore formation and translocation of Clostridium difficile toxin B: Corrigendum journal June 2012
Defining an allosteric circuit in the cysteine protease domain of Clostridium difficile toxins journal February 2011
Clostridium difficile Glucosyltransferase Toxin B-essential Amino Acids for Substrate Binding journal September 2007
Masking autoprocessing of Clostridium difficile toxin A by the C-terminus combined repetitive oligo peptides journal April 2015
Clostridium difficile Toxin B Causes Epithelial Cell Necrosis through an Autoprocessing-Independent Mechanism journal December 2012
PHENIX : building new software for automated crystallographic structure determination journal October 2002
Localization of two epitopes recognized by monoclonal antibody PCG-4 on Clostridium difficile toxin A. journal January 1992
Lysosomal involvement in cellular intoxication with Clostridium difficile toxin B journal August 1986
Clostridium difficile: its disease and toxins. journal January 1988
Clostridium difficile — More Difficult Than Ever journal October 2008
UCSF Chimera?A visualization system for exploratory research and analysis journal January 2004
Rational Design of Inhibitors and Activity-Based Probes Targeting Clostridium difficile Virulence Factor TcdB journal November 2010
NIH Image to ImageJ: 25 years of image analysis journal June 2012
Application of Mutated Clostridium difficile Toxin A for Determination of Glucosyltransferase-Dependent Effects journal September 2006
Structural determinants for membrane insertion, pore formation and translocation of Clostridium difficile toxin B: Pore formation of C. difficile toxin B journal January 2011
The Membrane Topography of the Diphtheria Toxin T Domain Linked to the A Chain Reveals a Transient Transmembrane Hairpin and Potential Translocation Mechanisms journal November 2009
Comparative sequence analysis of theClostridium difficile toxins A and B journal May 1992
The complete receptor-binding domain of Clostridium difficile toxin A is required for endocytosis journal January 2003
Clostridium difficile: its disease and toxins. journal January 1988
Structural organization of the functional domains of Clostridium difficile toxins A and B journal July 2010
pH-Induced Conformational Changes in Clostridium difficile Toxin B journal May 2000
Treatment with Monoclonal Antibodies against Clostridium difficile Toxins journal January 2010
The crystal structure of diphtheria toxin journal May 1992
Auto-catalytic Cleavage of Clostridium difficile Toxins A and B Depends on Cysteine Protease Activity journal June 2007
Structural Determinants of Clostridium difficile Toxin A Glucosyltransferase Activity journal January 2012
Characterization of the cleavage site and function of resulting cleavage fragments after limited proteolysis of Clostridium difficile toxin B (TcdB) by host cells journal January 2005
Autoproteolytic cleavage mediates cytotoxicity of Clostridium difficile toxin A journal November 2010
Four Distinct Structural Domains in Clostridium difficile Toxin B Visualized Using SAXS journal March 2010
The Enterotoxin from Clostridium difficile (ToxA) Monoglucosylates the Rho Proteins journal June 1995
Mechanism of Action and Epitopes of Clostridium difficile Toxin B-neutralizing Antibody Bezlotoxumab Revealed by X-ray Crystallography journal May 2014
Crystal structure of receptor-binding C-terminal repeats from Clostridium difficile toxin A journal December 2005
Clostridium difficile Toxins: Mechanism of Action and Role in Disease journal April 2005
The Combined Repetitive Oligopeptides of Clostridium difficile Toxin A Counteract Premature Cleavage of the Glucosyl-Transferase Domain by Stabilizing Protein Conformation journal July 2014
Burden of Clostridium difficile Infection in the United States journal February 2015
Structure and mode of action of clostridial glucosylating toxins: the ABCD model journal May 2008
Structural Basis for Antibody Recognition in the Receptor-binding Domains of Toxins A and B from Clostridium difficile journal December 2013
[20] Processing of X-ray diffraction data collected in oscillation mode book January 1997
Low pH-induced Formation of Ion Channels by Clostridium difficile Toxin B in Target Cells journal January 2001
Translocation domain mutations affecting cellular toxicity identify the Clostridium difficile toxin B pore journal February 2014

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Dietary zinc alters the microbiota and decreases resistance to Clostridium difficile infection journal September 2016
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A neutralizing antibody that blocks delivery of the enzymatic cargo of Clostridium difficile toxin TcdB into host cells journal November 2017
“Bacterial Toxins” Section in the Journal Toxins: A Fantastic Multidisciplinary Interplay between Bacterial Pathogenicity Mechanisms, Physiological Processes, Genomic Evolution, and Subsequent Development of Identification Methods, Efficient Treatment, and Prevention of Toxigenic Bacteria journal January 2018
The role of toxins in Clostridium difficile infection journal October 2017
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The Conserved Cys-2232 in Clostridioides difficile Toxin B Modulates Receptor Binding journal October 2018
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Deletion of a 19-Amino-Acid Region in Clostridioides difficile TcdB2 Results in Spontaneous Autoprocessing and Reduced Cell Binding and Provides a Nontoxic Immunogen for Vaccination journal May 2019
Clostridium difficile infection journal May 2008
Antimicrobial resistance in Clostridium difficile ribotype 017 journal December 2019
Clostridium difficile ribotype 017 – characterization, evolution and epidemiology of the dominant strain in Asia text January 2019
Functional defects in Clostridium difficile TcdB toxin uptake identify CSPG4 receptor-binding determinants journal August 2017
Structural basis for recognition of frizzled proteins by Clostridium difficile toxin B journal May 2018
Human Serum Albumin Is an Essential Component of the Host Defense Mechanism Against Clostridium difficile Intoxication journal June 2018