@article{pmid33843463,
title = {Pathogenicity and virulence of Clostridium perfringens},
author = {Iman Mehdizadeh Gohari and Mauricio A Navarro and Jihong Li and Archana Shrestha and Francisco Uzal and Bruce A McClane},
doi = {10.1080/21505594.2021.1886777},
issn = {2150-5608},
year = {2021},
date = {2021-12-01},
urldate = {2021-12-01},
journal = {Virulence},
volume = {12},
number = {1},
pages = {723--753},
abstract = {Clostridium perfringens is an extremely versatile pathogen of humans and livestock, causing wound infections like gas gangrene (clostridial myonecrosis), enteritis/enterocolitis (including one of the most common human food-borne illnesses), and enterotoxemia (where toxins produced in the intestine are absorbed and damage distant organs such as the brain). The virulence of this Gram-positive, spore-forming, anaerobe is largely attributable to its copious toxin production; the diverse actions and roles in infection of these toxins are now becoming established. Most toxin genes are encoded on conjugative plasmids, including the pCW3-like and the recently discovered pCP13-like plasmid families. Production of toxins is highly regulated via processes involving two-component regulatory systems, quorum sensing and/or sporulation-related alternative sigma factors. Non-toxin factors, such as degradative enzymes like sialidases, are also now being implicated in the pathogenicity of this bacterium. These factors can promote toxin action and, perhaps , and also enhance intestinal colonization, e.g. NanI sialidase increases adherence to intestinal tissue and generates nutrients for its growth, at least . The possible virulence contributions of many other factors, such as adhesins, the capsule and biofilms, largely await future study.},
keywords = {},
pubstate = {published},
tppubtype = {article}
}