ETIOPATHOGENESIS OF DISEASES CAUSED BY CLOSTRIDIUM DIFFICILE

Clostridium (C.) difficile is a typical representative of the genus Clostridium. After colonization of the intestinal tract, toxigenic C. difficile strains are capable to produce two exotoxins, enterotoxin (toxin A) and cytotoxin (toxin B), which cause diarrhea and colitis. Toxin A binds to specific...

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Main Author: Predrag Stojanović
Format: Article
Language:English
Published: University in Nis, Faculty of Medicine 2015-03-01
Series:Acta Medica Medianae
Subjects:
Online Access:http://publisher.medfak.ni.ac.rs/2015-html/1-broj/P.Stojanovic%20ETIOPATHOGENESIS%20OF.pdf
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author Predrag Stojanović
author_facet Predrag Stojanović
author_sort Predrag Stojanović
collection DOAJ
description Clostridium (C.) difficile is a typical representative of the genus Clostridium. After colonization of the intestinal tract, toxigenic C. difficile strains are capable to produce two exotoxins, enterotoxin (toxin A) and cytotoxin (toxin B), which cause diarrhea and colitis. Toxin A binds to specific carbohydrate receptors on the surface of intestinal cells and this is the beginning of damages in the intestinal tract which include destruction of the villi epithelium, limiting membrane, intercellular connections (zonula occludens) and surface of the mucosa. If only toxin B is injected into intestinal cells, it does not cause damage nor increased fluids secretion. Probably, the reason for this is the inability of the toxin to bind to the cell membrane receptor in the intestinal tract under normal physiological conditions. Toxigenic strains of C. difficile can be found in the intestines of healthy people, without any symptoms or clinical signs (asymptomatic colonization). However, in people with risk factors, they can cause diarrhea of varying severity and life-threatening pseudomembranous colitis. These diseases are known as C. difficile associated disease - CDAD.
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spelling doaj.art-8654288c62994415963e881a5275b59b2022-12-21T21:05:56ZengUniversity in Nis, Faculty of MedicineActa Medica Medianae0365-44781821-27942015-03-01541606510.5633/amm.2015.0110 ETIOPATHOGENESIS OF DISEASES CAUSED BY CLOSTRIDIUM DIFFICILEPredrag Stojanović0University of Niš, Faculty of Medicine, Public Health Institute Niš, SerbiaClostridium (C.) difficile is a typical representative of the genus Clostridium. After colonization of the intestinal tract, toxigenic C. difficile strains are capable to produce two exotoxins, enterotoxin (toxin A) and cytotoxin (toxin B), which cause diarrhea and colitis. Toxin A binds to specific carbohydrate receptors on the surface of intestinal cells and this is the beginning of damages in the intestinal tract which include destruction of the villi epithelium, limiting membrane, intercellular connections (zonula occludens) and surface of the mucosa. If only toxin B is injected into intestinal cells, it does not cause damage nor increased fluids secretion. Probably, the reason for this is the inability of the toxin to bind to the cell membrane receptor in the intestinal tract under normal physiological conditions. Toxigenic strains of C. difficile can be found in the intestines of healthy people, without any symptoms or clinical signs (asymptomatic colonization). However, in people with risk factors, they can cause diarrhea of varying severity and life-threatening pseudomembranous colitis. These diseases are known as C. difficile associated disease - CDAD.http://publisher.medfak.ni.ac.rs/2015-html/1-broj/P.Stojanovic%20ETIOPATHOGENESIS%20OF.pdfClostridium difficilediarrheapathogenesis
spellingShingle Predrag Stojanović
ETIOPATHOGENESIS OF DISEASES CAUSED BY CLOSTRIDIUM DIFFICILE
Acta Medica Medianae
Clostridium difficile
diarrhea
pathogenesis
title ETIOPATHOGENESIS OF DISEASES CAUSED BY CLOSTRIDIUM DIFFICILE
title_full ETIOPATHOGENESIS OF DISEASES CAUSED BY CLOSTRIDIUM DIFFICILE
title_fullStr ETIOPATHOGENESIS OF DISEASES CAUSED BY CLOSTRIDIUM DIFFICILE
title_full_unstemmed ETIOPATHOGENESIS OF DISEASES CAUSED BY CLOSTRIDIUM DIFFICILE
title_short ETIOPATHOGENESIS OF DISEASES CAUSED BY CLOSTRIDIUM DIFFICILE
title_sort etiopathogenesis of diseases caused by clostridium difficile
topic Clostridium difficile
diarrhea
pathogenesis
url http://publisher.medfak.ni.ac.rs/2015-html/1-broj/P.Stojanovic%20ETIOPATHOGENESIS%20OF.pdf
work_keys_str_mv AT predragstojanovic etiopathogenesisofdiseasescausedbyclostridiumdifficile