Clostridioides difficile infection (CDI) is the most common hospital acquired infection in the USA, with recurrence rates > 15%. Although primary CDI has been extensively linked to gut microbial dysbiosis, less is known about the factors that promote or mitigate recurrence. Using broad metabolomics data and statistics and machine learning models, Jen Dawkins, a HST PhD student and member of the Gerber lab, showed the metabolites in the gut can accurately predict C. difficile recurrence. These findings have implications for development of diagnostic tests and treatments that could ultimately short-circuit the cycle of CDI recurrence, by providing candidate metabolic biomarkers for diagnostics development, as well as offering insights into the complex microbial and metabolic alterations that are protective or permissive for recurrence.
Dawkins JJ, Allegretti JR, Gibson TE, McClure E, Delaney M, Bry L, Gerber GK. Gut metabolites predict Clostridioides difficile recurrence. Microbiome. 2022 Jun 9;10(1):87. doi: 10.1186/s40168-022-01284-1. PMID: 35681218; PMCID: PMC9178838.