Pore formation by the CDTb component of the Clostridioides difficile binary toxin is Ca 2+ -dependent.
Abeyawardhane, D.L., Sevdalis, S.E., Adipietro, K.A., Godoy-Ruiz, R., Varney, K.M., Nawaz, I.F., Spittel, A.X., Hunter, D., Rustandi, R.R., Silin, V.I., des Georges, A., Cook, M.E., Pozharski, E., Weber, D.J.(2025) Commun Biol 8: 901-901
- PubMed: 40490540 
- DOI: https://doi.org/10.1038/s42003-025-08343-x
- Primary Citation of Related Structures:  
9MUI - PubMed Abstract: 
Clostridioides difficile infection (CDI) is one of the five most urgent bacterial threats in the United States. Furthermore, hypervirulent CDI strains express a third toxin termed the C. difficile binary toxin (CDT), and its molecular mechanism for entering host cells is not fully elucidated. Like other AB-type binary toxins, CDT enters host cells via endosomes. Here we show via surface plasmon resonance and electrochemical impedance spectroscopy that the cell-binding component of CDT, termed CDTb, binds and form pores in lipid bilayers in the absence of its enzymatic component, CDTa. This occurs upon lowering free Ca 2+ ion concentration, and not by decreasing pH, as found for other binary toxins (i.e., anthrax). Cryogenic electron microscopy (CryoEM), X-ray crystallography, and nuclear magnetic resonance (NMR) studies show that dissociation of Ca 2+ from a single site in receptor binding domain 1 (RBD1) of CDTb triggers conformational exchange in CDTb. These and structure/function studies of a Ca 2+ -binding double mutant targeting RBD1 (i.e., D623A/D734A) support a model in which dissociation of Ca 2+ from RBD1 induces dynamic properties in CDTb that enable it to bind and form pores in lipid bilayers.
- Department of Biochemistry and Molecular Biology, University of Maryland School of Medicine, Baltimore, MD, USA.
Organizational Affiliation: