Fig. 4From: Surface layer protein A from hypervirulent Clostridioides difficile ribotypes induce significant changes in the gene expression of tight junctions and inflammatory response in human intestinal epithelial cellsThe effects of SlpA extracted from C. difficile clinical strains on human colon carcinoma cell line HT-29. SlpA binds to its receptor, TLR-4, results in increased expression and production of proinflammatory cytokines such as TNF-α, IL-6 and IL-8 in intestinal epithelial cells. SlpA from certain C. difficile RTs (SlpA purified from RT126) could significantly enhance IL-1β production in the gut, possibly through the bioprocessing of pro-IL-1β to its active form IL-1β following activation of the inflammasome pathway. Additionally, SlpA could distrupt tight junction and subsequently may increase intestinal permeability. RT, ribotype; TLR-4, toll-like receptor-4Back to article page