2015 January 8; 517(7533): 205–208. doi:10.1038/nature13828 | Charlie G. Buffie, Vanni Bucci, Richard R. Stein, Peter T. McKenney, Lilan Ling, Asia Gobourne, Daniel No, Hui Liu, Melissa Kinnebrew, Agnes Viale, Eric Littmann, Marcel R. M. van den Brink, Robert R. Jenq, Ying Taur, Chris Sander, Justin Cross, Nora C. Toussaint, Joao B. Xavier, Eric G. Pamer
This study investigates the role of specific bacterial species in providing resistance to *Clostridium difficile* infection, a major cause of antibiotic-induced diarrhea. By treating mice with different antibiotics that result in distinct changes to the intestinal microbiota, the researchers correlated the loss of specific bacterial taxa with the development of *C. difficile* infection. Mathematical modeling and clinical studies identified resistance-associated bacteria common to both mice and humans. The study found that *Clostridium scindens*, a bile acid 7-dehydroxylating bacterium, is associated with resistance to *C. difficile* infection and enhances resistance in a bile acid-dependent manner. Adoptive transfer of *C. scindens* and a consortium of four intestinal bacteria ameliorated *C. difficile* infection in antibiotic-exposed animals. The mechanism of *C. scindens*-mediated resistance involves the synthesis of secondary bile acids, which inhibit *C. difficile* growth. These findings suggest that targeting specific bacteria or their metabolic products could be a therapeutic approach for preventing *C. difficile* infection.This study investigates the role of specific bacterial species in providing resistance to *Clostridium difficile* infection, a major cause of antibiotic-induced diarrhea. By treating mice with different antibiotics that result in distinct changes to the intestinal microbiota, the researchers correlated the loss of specific bacterial taxa with the development of *C. difficile* infection. Mathematical modeling and clinical studies identified resistance-associated bacteria common to both mice and humans. The study found that *Clostridium scindens*, a bile acid 7-dehydroxylating bacterium, is associated with resistance to *C. difficile* infection and enhances resistance in a bile acid-dependent manner. Adoptive transfer of *C. scindens* and a consortium of four intestinal bacteria ameliorated *C. difficile* infection in antibiotic-exposed animals. The mechanism of *C. scindens*-mediated resistance involves the synthesis of secondary bile acids, which inhibit *C. difficile* growth. These findings suggest that targeting specific bacteria or their metabolic products could be a therapeutic approach for preventing *C. difficile* infection.