E-Poster Presentation Australian Society for Microbiology Annual Scientific Meeting 2021

Clostridioides difficile infection damages colonic stem cells via TcdB, impairing epithelial repair from disease (#240)

Steven Mileto 1 , Thierry Jarde 2 3 , Kevin Childress 4 , Jaime Jensen 4 , Ashleigh Rogers 1 , Genevieve Kerr 3 , Melanie Hutton 1 , Michael Sheedlo 4 , Sarah Bloch 4 , John Shupe 4 , Katja Horvay 3 , Tracey Flores 3 , Rebekah Engel 3 5 , Simon Wilkins 5 6 , Paul McMurrick 6 , Borden Lacy 4 7 , Helen Abud 3 5 6 , Dena Lyras 1
  1. Department of Microbiology, Infection and Immunity Program, Biomedicine Discovery Institute, Monash University, Clayton, Victoria, Australia
  2. Center for Cancer Research, Hudson Institute of Medical Research, Clayton, Victoria, Australia
  3. Department of Anatomy and Developmental Biology, Cancer Program, Biomedicine Discovery Institute, Monash University, Clayton, Victoria, Australia
  4. Department of Pathology, Microbiology, and Immunology, Vanderbilt University Medical Center, Nashville, United States of America
  5. Department of Surgery, Cabrini Hospital, Melbourne, Victoria, Australia
  6. Department of Epidemiology and Preventive Medicine, School of Public Health and Preventive Medicine, Monash University, Melbourne, Victoria, Australia
  7. The Veterans Affairs Tennessee Valley Healthcare System, Nashville

Gastrointestinal infections often induce epithelial damage that must be repaired for optimal gut function. While intestinal stem cells are critical for this regeneration process, how they are impacted by enteric infections remains poorly defined. Here, we investigate infection-mediated damage to the colonic stem cell compartment and how this affects epithelial repair and recovery from infection. Using the pathogen Clostridioides difficile, we show that infection disrupts murine colonic adherens-junctions and crypt polarity, exposing the otherwise protected stem cell compartment, in a TcdB-mediated process. Exposure and susceptibility of colonic stem cells to intoxication compromises their function during infection, which diminishes their ability to repair the injured epithelium, shown by altered stem cell signalling and a reduction in the growth of colonic organoids from stem cells isolated from infected mice. TcdB also targets human colonic organoids, suggesting that gut regeneration during human C. difficile infection may be diminished. Our results uncover a mechanism by which an enteric pathogen subverts repair processes by targeting stem cells during infection and creates an environment in which disease recurrence is likely.