PLoS ONE · 2011 · 100 citations · 38 references
The genomes of the C. difficile strains examined contain highly related CTns suggesting recent horizontal gene transfer. Several elements were capable of excision and conjugative transfer. The presence of antibiotic resistance genes and genes predicted to promote adaptation to the intestinal environment suggests that CTns play a role in the interaction of C. difficile with its human host.
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The role of toxin A and toxin B in Clostridium difficile infection
Sarah A. Kuehne, Stephen T. Cartman, John Heap et al. · Nature · 2010 · 870 citations