The small acid-soluble proteins of Clostridioides difficile regulate sporulation in a SpoIVB2-dependent manner

Clostridioides difficile is a pathogen whose transmission relies on the formation of dormant endospores. Spores are highly resilient forms of bacteria that resist environmental and chemical insults. In recent work, we found that C. difficile SspA and SspB, two small acid-soluble proteins (SASPs), protect spores from UV damage and, interestingly, are necessary for the formation of mature spores. Here, we build upon this finding and show that C. difficile sspA and sspB are required for the formation of the spore cortex layer. Moreover, using an EMS mutagenesis selection strategy, we identified mutations that suppressed the defect in sporulation of C. difficile SASP mutants. Many of these strains contained mutations in CDR20291_0714 (spoIVB2) revealing a connection between the SpoIVB2 protease and the SASPs in the sporulation pathway. This work builds upon the hypothesis that the small acid-soluble proteins can regulate gene expression.


Introduction
Clostridioides difficile is a Gram-positive pathogen that causes approximately 220,000 cases of infection and nearly 13,000 deaths annually [1].C. difficile vegetative cells produce toxins that disrupt the colonic epithelium, resulting in diarrhea and colonic inflammation [2,3].These toxin-producing vegetative cells are strictly anaerobic and cannot survive outside of a host for extended periods [4].However, C. difficile produces endospores that are shed into the environment, can withstand oxygen and other environmental insults, and serve as the transmissive form of the organism [5][6][7].
Generally, endospores are formed in response to nutrient deprivation.Upon initiation of sporulation, the vegetative cell asymmetrically divides into the larger mother cell and the smaller forespore compartments [22,23].The forespore becomes engulfed by the mother cell so that it can be matured into the dormant endospore.Once the endospore is fully formed, the mother cell lyses and releases the spore into the environment [24].
Like all known endospore-forming bacteria, the C. difficile sporulation program initiates upon phosphorylation of the sporulation master transcriptional activator, Spo0A [5,25,26].After asymmetric division, each compartment begins a cascade of sigma factor activation [27,28].In the mother cell compartment, σ E becomes activated and leads to σ K expression.In the forespore compartment, σ F is activated and leads to σ G activation [8,23].Loss of σ F results in a strain that does not complete engulfment or form the cortex layer [28].The loss of σ G results in a strain that forms a localized coat layer but does not fully complete engulfment (i.e.no membrane fission) or form the cortex layer [27].Loss of σ E results in a strain that is blocked at asymmetric septation.Loss of σ K results in a strain that fully engulfs the forespore and forms a correctly localized cortex layer, but no visible coat layer [28].Thus, cortex assembly occurs through σ G regulated genes and coat production is dependent on σ K genes.
The small acid-soluble proteins (SASPs) are very abundant in spores and have high sequence similarity across spore-forming species [29].In many organisms, including Bacillus subtilis and Clostridium perfringens, the SASPs protect DNA against UV damage and damage from genotoxic chemicals [30][31][32][33].In B. subtilis, the SASPs are considered non-specific DNA binding proteins that coat the DNA and change the conformation to a more rigid, intermediate, B to A form [29,[34][35][36][37]. This conformation leads to difficulty in forming UV-induced thymidine-dimers and, instead, promotes the formation of spore photoproducts; a repair mechanism is present in the spore to correct these lesions [38][39][40].In in vitro transcription assays, addition of SASPs to DNA reduced transcription of some, but not all, genes, further illustrating their ability to bind DNA [37].Moreover, the absence of transcription in mutant strains whose spores cannot degrade SASPs, suggest that SASPs could regulate gene expression [37,41].
In prior work, we found that the C. difficile SASPs are important for spore UV resistance but do not strongly contribute to chemical resistances [42].Surprisingly, a C. difficile ΔsspA ΔsspB double mutant strain could not complete spore formation, a phenotype not observed in other endospore-forming bacteria.This led us to hypothesize that the C. difficile SASPs are

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C. difficile SspA and SspB regulate sporulation involved, somehow, in regulating sporulation.We hypothesize that SASPs have regions of high affinity on DNA where they bind to influence the transcription of genes.As the concentration of SASPs increases, they nonspecifically coat the DNA to provide the protection normally associated with SASPs.In the C. difficile ΔsspA ΔsspB strain, we hypothesize that sporulation is reduced due to altered gene expression of important sporulation genes.
Using a strategy that selected for the generation of mature spores from the sporulation deficient C. difficile ΔsspA ΔsspB strain, we identified mutations in spoIVB2 that suppressed the mutant sporulation phenotype.SpoIVB2 is a protease that is recently characterized in C. difficile and the C. difficile ΔspoIVB2 mutant strain has a phenotype similar to the C. difficile ΔsspA ΔsspB strain.Based upon the data in this manuscript, we hypothesize that the σ G -dependent expression of the C. difficile SASPs activates the σ F -dependent expression of spoIVB2, and that low levels of SpoIVB2 in a C. difficile ΔsspA ΔsspB mutant halts sporulation by an unknown mechanism.

C. difficile sspA and sspB regulate sporulation in the C. difficile CD630Δerm strain
In prior work, we discovered that C. difficile SspA and SspB were, individually, important for UV resistance [42].Surprisingly, we found that the combinatorial deletion of the sspA and sspB genes, or a deletion in sspB and an sspA G52V missense mutation (referred to as C. difficile ΔsspB* hereafter), in the C. difficile R20291 strain resulted in the drastic reduction of mature spore formation and, instead, resulted in phase gray spores [42].To confirm that this phenotype was strain independent, we generated the single and double mutants of sspA and sspB in the C. difficile CD630Δerm strain.Unsurprisingly, the CD630Δerm ΔsspA ΔsspB double mutant also produced phase gray spores that were trapped within mother cells (Fig 1A).Though the single mutants did not affect spore yield, the double mutant had a 5-log 10 decrease in spore formation.This defect could be restored to near wildtype levels by expression of sspA and sspB, in trans, from a plasmid (Fig 1B).When UV resistance was assessed, the C. difficile CD630Δerm ΔsspA and the ΔsspB single mutant strains both had an approximate 1-log 10 loss in viability after 10 minutes of UV exposure (Fig 1C).Though consistent with the findings we observed for the C. difficile R20291 ΔsspB mutant strain, the impact on viability for the sspA mutant was less in the C. difficile CD630Δerm background than in C. difficile R20291 background.SspA and SspB appear to regulate sporulation in both the C. difficile R20291 and CD630Δerm strains, hence, this is likely a conserved function in C. difficile.

B. subtilis sspA complements UV and sporulation phenotypes of C. difficile R20291 mutants
Due to the high sequence similarity of SASPs, and their ability to cross-complement in other organisms, we assessed whether sspA from B. subtilis would complement the phenotypes observed in the C. difficile SASP mutants [29,43]

Visualizing the impact of SASP mutations on C. difficile spores
To visualize the impact of the C. difficile ΔsspA ΔsspB deletions on spore structure, we used transmission electron microscopy (TEM).Strains generated in the C. difficile R20291 background were cultured for 6 days and then prepared for TEM.As expected, the C. difficile R20291 wild type strain generated fully formed and mature spores.The C. difficile ΔsspA and C. difficile ΔsspB single mutant strains also formed spores with the expected spore structures (e.g., cortex and coat layers).However, C. difficile ΔsspB* and C. difficile ΔsspA ΔsspB strains generated spores that did not form cortex layers, and had a visible, but anomalous, coat and exosporium layers (Fig 3).Expression of the SASPs in trans under their native promoter regions complemented the mutant phenotypes by restoring formation of the cortex layer.

Isolating suppressor mutations of the SASP mutant phenotypes
To gain insight into how the SASPs are involved in spore formation, we used ethylmethane sulphonate (EMS) to introduce random mutations into the C. difficile genome, as we have previously done (S1 Fig) [44,45].The C. difficile ΔsspB* or the C. difficile ΔsspA ΔsspB strains were treated with EMS, washed, and then incubated for 5 days to generate potential spores.Subsequently, the samples were heat-treated to kill vegetative cells and immature spores.After removing cellular debris, the cultures were plated on a medium supplemented with germinant [46].Afterwards, we isolated strains and confirmed that they generated spores.After confirmation, gDNA was extracted and sequenced to reveal the location of mutations.From independent EMS mutageneses, we identified 4 suppressor strains generated from the C. difficile ΔsspB* strain and 11 from the C. difficile ΔsspA ΔsspB strain.Unsurprisingly, there were many mutations in each strain, but mutations that potentially contributed to suppression of the phenotype are listed in Table 1 (a full list of mutations can be found in S3 Table ).As expected, due to the strong selection for spore dormancy, 2 out of 4 of the isolates from C. difficile ΔsspB* had a reversion mutation in sspA.We identified mutations in different RNA polymerase subunits in 6 of 15 strains.These mutations could potentially affect transcription rates of various genes.Mutations within the sigG and spoVT genes were also present in some strains.sigG and spoVT mutants have a similar phenotype to the C. difficile ΔsspA ΔsspB strain [27,28,47,48].Interestingly, 7 out of 15 isolates (from separate mutagenesis experiments) contained mutations in CDR20291_0714.Among these strains, we observed one strain with an A20T missense mutation and six with a synonymous mutation (F37F).The C. difficile CD630Δerm genome encodes a gene homologous to CDR20291_0714 and is annotated as spoIVB2.SpoIVB2 is a paralog of the SpoIVB protease, and we refer to CDR20291_0714 as SpoIVB2 from here on.
We first tested if in trans expression of the identified spoIVB2 alleles could restore sporulation to the SASP mutant by generating merodiploid strains.When wild type spoIVB2 was expressed in C. difficile R20291 or C. difficile ΔsspB* the spore yield did not change from their respective phenotypes while the spore yield in the C. difficile ΔsspA ΔsspB strain increased by 1-log 10 (Fig 4A).We also tested if catalytic activity impacted restoration.The catalytic site was identified by aligning C. difficile SpoIVB / SpoIVB2 to B. subtilis SpoIVB.The three catalytic residues found in B. subtilis are conserved in both SpoIVB and SpoIVB2 of C. difficile and we have used spoIVB2 S301A as a catalytically dead mutant [49,50].In the wildtype C. difficile R20291 strain, the spore yield was not impacted when the spoIVB2 A20T or spoIVB2 F37F alleles were combined with S301A (Fig 4B).When the spoIVB2 alleles were introduced into the C. difficile ΔsspB* strain, the spoIVB2 S301A allele did not restore sporulation, but the spoIVB2 A20T and spoIVB2 F37F alleles increased sporulation by approximately 2 and 3-log 10 , respectively.When these alleles were combined with the spoIVB2 S301A allele, sporulation was not restored (Fig 4C).These results were similar to when the spoIVB2 alleles were expressed in the C. difficile ΔsspA ΔsspB strain [the expression of spoIVB2 A20T and spoIVB2 F37F resulted in an approximate 2-log 10 increase in spore yield] (Fig 4D).The catalytically dead allele in combination with the identified alleles from EMS was again unable to restore sporulation.These results suggest that the catalytic activity of C. difficile SpoIVB2 is important for its function.
From these data, we hypothesized that SspA and SspB directly or indirectly activate the expression of spoIVB2 in wildtype cells in the late stages of sporulation.Thus, in the C. difficile ΔsspA ΔsspB and the C. difficile ΔsspB* mutant backgrounds, SpoIVB2 levels are reduced, resulting in the failure to proteolytically activate, or inactivate, a target that is essential for sporulation.The expression of wild type spoIVB2 (Fig 4A ) does not greatly restore the sporulation deficient phenotype, likely because it is not expressed during σ G gene activation.The suppressor strains potentially increase the amount of SpoIVB2 present, bypassing the need for σ Gdependent induction of the spoIVB2 transcript.To further evaluate this, we expressed wild type spoIVB2 (from a plasmid) in the suppressor strains that have spoIVB2 A20T or spoIVB2 F37F and quantified spore formation.We found no significant difference in spore yield between the suppressor strains with an empty vector and those expressing wild type spoIVB2 from its native promoter (S2A Fig).Furthermore, we generated clean strains containing spoIVB2 A20T or spoIVB2 F37F in the wild type or the C. difficile ΔsspA ΔsspB strains to eliminate from analysis the outside mutations from EMS treatment.The spoIVB2 alleles in the wild type background, with an empty vector or a vector expressing wild type spoIVB2, did not impact the spore yield.However, the strains containing the identified spoIVB2 alleles, with an empty vector or a vector expressing wild type spoIVB2, in the C. difficile ΔsspA ΔsspB strain increase spore yield 3-log 10 , compared to C. difficile ΔsspA ΔsspB alone.Again, the addition of wild type spoIVB2 did not further rescue the spore yield, indicating that the suppression is due to the altered spoIVB2 alleles (S2B Fig).

ΔsspA ΔsspB strain
To further evaluate the role of SpoIVB2 during sporulation, we generated a deletion of spoIVB2 in the C. difficile R20291 strain.The C. difficile ΔspoIVB2 strain generated phase gray spores, similar to our observations for the C. difficile ΔsspA ΔsspB strain (Fig 5A).This phenotype could be complemented by expression of spoIVB2 WT , spoIVB2 A20T , or spoIVB2 F37F alleles from a plasmid.However, restoration did not occur when the catalytically dead spoIVB2 S301A was expressed (Fig 5A).The spore yield of the C. difficile ΔspoIVB2 strain was 6-log 10 lower than wild type.The C. difficile ΔspoIVB2 mutant supplemented with a plasmid expressing spoIVB2 wild type, A20T or F37F alleles restored the spore yield to wild type levels (Fig 5B).However, when the S301A allele was present or in combination with the A20T or F37F alleles, sporulation was not restored, again highlighting the importance of catalytic activity in the function of SpoIVB2 (Fig 5B ).
Analysis of the C. difficile ΔspoIVB2 strain by TEM revealed deviations from the sporulating cells (Fig 6).As seen in the field of view image, it was difficult to locate whole cells for imaging.

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When a sporulating cell was found, there were structural issues within the forespore.The cortex was missing and, with the lack of its constraint around the core, appeared to allow for the expansion of the core contents.Though the coat and exosporium were present, it appears anomalous with inconsistent coat deposition and the lack of the characteristic lamellar coat structures.When spoIVB2 WT , spoIVB2 A20T , or spoIVB2 F37F were expressed from a plasmid, the structural appearance of the spore was restored to wild type.However, when spoIVB2 S301A was expressed, it remained difficult to locate any sporulating cells.

Testing the impact of the suppressor alleles on spoIVB2 expression
To understand how the SASPs influence spoIVB2 and / or other gene transcripts, RNA was extracted from C. difficile wild type, sspA and sspB single and double mutants, the sspB* and spoIVB2 mutant strains, as well as two representative suppressor strains from EMS mutagenesis at 11 hours post plating on sporulation medium and RT-qPCR was performed.Overall, at this time point, there were few differences in transcript levels.The spoIVB2 A20T isolate

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(HNN19) was variable between extractions despite testing more biological replicates, potentially due to other mutations from the EMS treatment.Though sspA or sspB transcripts levels were largely unchanged, there was a slight increase in transcript levels in comparison to wild type for spoIVA which encodes a protein involved in spore coat localization (S3A-S3C Fig) [51].Transcripts for sleC, pdaA, and spoVT remained similar to wild type levels (S3D-S3F Fig) .spoIVB transcript levels did not have a concise trend while, for spoIVB2, the general trend was towards slightly reduced transcripts in the mutant strains with a larger fold change in the EMS identified alleles (S4A and S4B Fig) .spoIIP transcripts were slightly elevated in the mutant strains, except for the EMS isolates (S4C Fig) .For the DPA synthesis and packaging protein transcripts (dpaA, spoVAC, spoVAD, and spoVAE), there were minimal differences for the mutant strains besides a slight increase in spoVAC (S5A-S5D Fig).

Manipulation of the F37 and F36 codons impact suppression
Next, we manipulated the F37 codon to see if other changes would allow for sporulation to be restored in the mutant strains.We also changed the F36 codon from UUU to UUC (generating an F36F silent mutation and the opposite codon change that occurred in the F37F allele).These constructs were expressed from a plasmid under the spoIVB2 native promoter region, and the spore yield was assessed.When wild type spoIVB2 (UUC codon) was expressed in the C. difficile ΔsspB* strain, sporulation was not restored to wild type levels (Fig 7A).However, sporulation was partially restored with the spoIVB2 F37F (UUU codon), the spoIVB2 F37L (UUA codon), the spoIVB2 F37L (UUG codon) and the spoIVB2 F36F (UUC codon) alleles (Fig 7A).This suggests that multiple spoIVB2 variants were sufficient to restore sporulation in an otherwise sporulation deficient strain.
Expression of these plasmids in the C. difficile ΔsspA ΔsspB double mutant strains showed variation from the previously assessed strain.First, expression of the wild type spoIVB2 allele resulted in an approximate 1-log 10 increase in spore yield compared to the mutant strain with an empty vector (Fig 7B).However, expression of the spoIVB2 F37F (UUU codon) or the spoIVB2 F37L (UUA or UUG codons) restored the spore yield to a higher level than the wild type spoIVB2 allele.Interestingly, in the C. difficile ΔsspA ΔsspB strain, spoIVB2 F36F did not complement the sporulation phenotype as it did in the C. difficile ΔsspB* strain (Fig 7B).Finally, expression of any of the spoIVB2 alleles restored sporulation in the C. difficile ΔspoIVB2 mutant strain (Fig 7C).These data suggest that either altering the F37 codon in either of the sporulation deficient strains or expressing additional SpoIVB2 can restore sporulation.

spoIVB2 A20T and spoIVB2 F37F have increased abundance
We next wanted to determine if the suppressor alleles restore sporulation through translational differences, rather than transcriptional, we designed a luciferase-based assay [10,52,53].SpoIVB2 is a single span transmembrane protein whose C-terminus is located outside of the forespore cytoplasm.To the spoIVB2 gene, we engineered a ssrA tag to the 3' end of the gene.This will tag the protein for degradation by the ClpP protease if the protein is in the cytoplasm but ClpP will not have access to the C-terminus if it is localized properly [54].This assay will allow us to quantify differences in properly-localized SpoIVB2.As a control, the bitLuc gene with and without the ssrA tag was put under control of the native spoIVB2 promoter.We also coupled the native spoIVB2 promoter to the bitLuc gene and either wild type spoIVB2, spoIV-B2 A20T , or spoIVB2 F37F and tagged the construct for degradation with a ssrA tag.These constructs were introduced into the wild type and, as a negative control, the C. difficile Δspo0A strain.When in C. difficile Δspo0A, all constructs had minimal RLU/OD 600 values.After

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expression in the wild type strain, the control construct containing the ssrA tag had significantly lower normalized luminescence / OD 600 than the construct without the tag (Fig 8).This shows that the ssrA tag successfully reduced luciferase abundance.After 48 hours of incubation in the wild type strain, the spoIVB2 A20T construct had 800x greater levels of luminescence / OD 600 compared to wild type and the spoIVB2 F37F construct had approximately 1,300x greater levels (Fig 8).These data suggest that sporulation is restored in the suppressor strains because the identified alleles increased the abundance of SpoIVB2 that was present in the sporulating cell.

Restoration of sporulation using different promoters to drive spoIVB2 expression
To understand if the SASPs allow for continued spoIVB2 expression during σ G gene activation, we generated plasmids containing spoIVB2 expressed by various promoters.The spoIVB promoter region served as a lower activity σ G promoter while the sspA promoter region served as a higher activity σ G promoter.The spore yield of the C. difficile ΔspoIVB2 strain was rescued when spoIVB2 was expressed under the spoIVB2, spoIVB, or the combined spoIVB / spoIVB2 promoters, suggesting that SpoIVB2 can be present during later stage sporulation (Fig 9B).However, spoIVB2 expressed under the sspA or the combined spoIVB2 / sspA promoters did not restore sporulation.Interestingly, the spoIVB2 / sspA promoter combination when in wild type cells also reduced spore yield 5-log 10 (Fig 9A).Similarly, spore yield in C. difficile ΔsspA ΔsspB was restored when spoIVB2 was expressed under the spoIVB1, spoIVB2, or the spoIVB1 and spoIVB2 combined promoters (Fig 9C).When expressed under the sspA or the combined spoIVB2 and sspA promoters, restoration did not occur.We hypothesize that the highly active sspA promoter leads to overproduction of SpoIVB2, which is then detrimental to the sporulating cells.

Discussion
The formation of endospores in C. difficile is vital for transmission of disease and the mechanisms involving spore formation are complex [8].In prior work, we determined that the C. difficile ΔsspA ΔsspB strain was halted during sporulation suggesting that the C. difficile SASPs are important for regulating late-stage sporulation, somehow [42].Here, we built upon our

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C. difficile SspA and SspB regulate sporulation findings by further exploring the SASP mutant strain using TEM and a selection strategy to identify potential suppressor mutants.
Oddly, during the course of the prior work, we identified a mutation in the C. difficile sspA gene during the generation of the sspB mutant using CRISPR-Cas9 editing.This strain, C. difficile ΔsspB; sspA G52V (C.difficile ΔsspB*), had a phenotype similar to the C. difficile ΔsspA ΔsspB strain.This phenotype was likely due to the missense mutation within a conserved glycine residue.Prior work in B. subtilis found that SspC G52A poorly bound DNA [37,55].Oddly, we have since observed a similar off-target effect in the sspB gene when targeting sspA using CRISPR--Cas9 mutagenesis.During the process of targeting sspA in a C. difficile Δgpr strain, an sspB E64stp allele was also observed upon confirmation of the mutant's DNA sequence.The two genes are not located in close proximity nor do the constructs for deletion encode this sequence.We hypothesize that there may be some selective pressure to mutate sspA or sspB within a deletion strain.
With further evaluation of SASP mutant strains by TEM, we found that the C. difficile ΔsspA ΔsspB strain produces forespores that are blocked after the engulfment step, and do not contain cortex.Cortex is synthesized under SpoVD and potentially SpoVE, control and is modified by PdaA, GerS, and CwlD proteins [56][57][58][59][60][61].These proteins modify the peptidoglycan to generate muramic-δ-lactam residues [59][60][61][62].The cortex provides a physical constraint around the spore core, maintaining size and preventing water from hydrating the Ca-DPArich core [8,63].In the absence of cortex, it is likely that some contents in the spore core leak out.This likely explains our previous findings that the few spores that could be purified from the C. difficile ΔsspA ΔsspB and the C. difficile ΔsspB* strains contained little CaDPA [42].Because our RT-qPCR data showed that dpaA and spoVAC/D/E transcript levels are similar to wild type levels in these mutant strains, it is likely that DPA is being synthesized and transported into the spore but cannot be concentrated into the core without a mature cortex layer.
An EMS mutagenesis strategy to find suppressors of the defect in sporulation of the C. difficile ΔsspA ΔsspB strain identified mutations in spoIVB2.SpoIVB2 is homologous to B. subtillis SpoIVB.Though B. subtilis contains the same spore layers and sigma factors that regulate sporulation in C. difficile, the process is more complex.The B. subtilis SpoIVB protease is produced under σ G control.Located in the B. subtilis outer forespore membrane are the SpoIVFB, SpoIVFA, and BofA proteins [64].BofA is an inhibitor of the SpoIVFB protease, and SpoIVFA keeps the proteins localized in the membrane.SpoIVB is secreted through the inner forespore membrane and processes SpoIVFA, thereby relieving BofA inhibition of SpoIVFB.Activated SpoIVFB cleaves the pro-peptide from σ K , resulting in σ K activation [64].
In addition to its role in σ K activation, SpoIVB has other functions in B. subtilis, e.g.cleavage of SpoIIQ [65].SpoIIQ is required for σ G synthesis and contributes to the formation of a feeding tube between the mother cell and the forespore compartments.SpoIVB cleaves SpoIIQ upon completion of engulfment, however, this cleavage is not necessary for spore formation or any later-stage gene expression [65,66].A spoIVB null mutant blocks the formation of fully formed, heat resistant spores [67].Spores derived from this strain form the forespore but lack the germ cell wall layer and do not generate mature spores.Interestingly, this phenotype was independent of SpoIVB's role in the activation of σ K [67].An alternative role for SpoIVB may be in germ cell wall biosynthesis or as a DNA binding regulatory protein.
Even though the C. difficile sporulation program does not contain the cross-talk sigma factor activation or homologs to bofA, spoIVFA, or spoIVFB, it does contain the SpoIVB and SpoIVB2 paralogs [28].SpoIVB2 is σ F -regulated while SpoIVB is σ G -regulated [47].C. difficile SpoIVB and SpoIVB2 contain 31% identity to each other and have 36% and 37% identity to B. subtilis SpoIVB, respectively [47].
In our sporulation assays, spoIVB2 A20T and spoIVB2 F37F can rescue the mutant phenotype and form mature, dormant spores.We hypothesize that the A20T and F37F alleles suppress the phenotype through translational changes.Interestingly, in the identified spoIVB2 F37F strain, the wildtype UUC codon is used in 5.9 / 1000 codons but the UUU codon in the suppressor strain is used 37.4 / 1000 codons [68].Also, out of the 18 phenylalanine residues found in the SpoIVB2 protein, only F37 uses the UUC codon.Even though the codon changes to one that is used more frequently, this data is based on codon usage across the whole C. difficile genome and not just spore specific genes.
When the wobble position of spoIVB2 F37 was manipulated, sporulation was restored in both, the C. difficile ΔsspA ΔsspB mutant and the C. difficile ΔsspB* mutant strains (even though the F37F allele was only identified in the former strain).Also of note, it is likely that the mutation to the UUU codon was the only identified change after EMS treatment, instead of the UUA or UUG codons, due to the nature of EMS mutagenesis which results in transition mutations.However, it is likely that the specific manipulations do not matter as long as the codon increases translation efficiency compared to the UUU codon.We analyzed transcript variation among strains for various genes, including spoIVB2.In this data, the transcripts for spoIVB2 in representative EMS strains, for both the spoIVB2 A20T and spoIVB2 F37F alleles, trended toward being downregulated, though this difference was only ~4 fold and did not meet statistical significance (S4 Fig) .These results support the hypothesis that SASPs are necessary to further activate spoIVB2 transcription.Unfortunately, C. difficile sporulation is asynchronous and samples from any time point contain cells in every stage of sporulation.This could explain why the fold changes are small and variable across all strains and all transcripts analyzed.Because of this noise, it is difficult to draw definitive conclusions from the RT-qPCR data.
In our working model for how the C. difficile SASPs influence spoIVB2, we hypothesize that SASP binding could directly activate gene expression by enhancing interactions with RNA polymerase.During the early stages of sporulation, spoIVB2 expression is dependent upon σ F .In wild type C. difficile, the σ G -produced SASPS could further activate spoIVB2 expression to maintain SpoIVB2 abundance in the spore during later stages of sporulation (Fig 10).In the absence of C. difficile sspA and sspB, SpoIVB2 activity is reduced in the later stages of sporulation, the spore is unable to synthesize cortex, and sporulation is halted ( Fig 10).Since the SASPs are not present in the suppressor strains to lead to activated spoIVB2 transcription, we hypothesized that the spoIVB2 alleles identified alter translation rates and, thus, increase SpoIVB2 levels in the later stages of sporulation ( Fig 10).Supporting this, our BitLuc data showed a significant increase in RLU for translation of the A20T and F37F alleles compared to wild type.
Separate from how the spoIVB2 alleles restore sporulation to the SASP mutant strains, what is the function of SpoIVB2 during sporulation?While it is possible that the C. difficile SpoIVB and SpoIVB2 proteins retain a function in SpoIIQ cleavage, in C. difficile, SpoIIQ does not appear to be cleaved during C. difficile sporulation [69].However, unlike in B. subtilis, C. difficile SpoIIP has a cleaved form that is only present in cells that have completed engulfment [69].SpoIIP is an amidase and endopeptidase that works in concert with SpoIID to restructure peptidoglycan during forespore engulfment.In a C. difficile ΔspoIIP strain, the leading edge of engulfment does not progress, so engulfment does not occur [69].In recent collaborative work, we found that C. difficile SpoIVB2 does cleave SpoIIP in vitro and in vivo [50].We thought it possible that SpoIIP needs to be cleaved post engulfment completion to allow the following stages of sporulation to continue.However, we found that strains containing spoIIP with an altered cleavage site (SpoIVB2 is unable to cleave this form in vitro) could still form mature spores [50].While it is possible that this altered SpoIIP could still be processed by SpoIVB2, just highly inefficiently, it is likely that there are uncharacterized targets / functions of SpoIVB2 during sporulation.
To better understand if the SASPs function similarly among other organisms, we also tested the ability of the B. subtilis sspA gene to complement sporulation and UV phenotypes in C. difficile mutants.When expressed under the C. difficile sspA native promoter region, B. subtilis sspA can partially restore sporulation and UV resistance.In prior work from the Setlow lab [70], the authors suggested that SASPs may affect forespore transcription, likely by physically blocking RNA polymerase when binding in high concentrations.Furthermore, in vitro transcription assays in B. subtilis show that less in vitro transcription occurs when SASPs are incubated with DNA.However, transcription occurs in the absence of SASPs or in the presence of a SASP variant with poor DNA binding ability [37].However, they also found evidence of some genes (mainly later stage sporulation genes) having higher / lower transcription in the B. subtilis ΔsspA ΔsspB strain [70].These data indicate that the SASPs could be regulating sporulation in the forespore of both C. difficile and B. subtilis, suggesting that the different phenotypes observed between the ΔsspA ΔsspB double mutants in the two organisms lie in the differences between the mechanism of compartmental signaling during sporulation.This leads to further questions about whether the genes / regions of DNA that are influenced by the SASPs and how the SASPs may potentiate these affects differs between the two organisms.
Overall, this study gives insight into the sporulation process and regulation in C. difficile.It is likely that the SASPs have binding "hotspots" where in low concentrations they preferentially bind to influence transcription.Although the RT-qPCR data did not show many transcriptional changes, we hypothesize that the SASPs are influencing transcription of target genes.It is possible that the time of extraction was not ideal for capturing transcriptional changes, the change is small enough that the variability in data due to sporulation being asynchronous could be enough to hide the effects, or, though unlikely based on our data, the SASPs have different targets than those tested.This study also highlights the importance of C. difficile SpoIVB2 during sporulation even though its exact role is still unknown.Further work needs to be completed to understand the influence of SpoIVB2 during sporulation and to determine other potential targets for the SASPs.

Plasmid construction: All cloning was performed in E. coli DH5α
For construction of the C. difficile CD630Δerm sspA-targeting CRISPR vector, pHN120, 500 bp of upstream homology was amplified from CD630Δerm genomic DNA with primers 5'sspA_MTL and 3'sspA_UP while the downstream homology arms were amplified with 5'sspA_down and 3' sspA_xylR.These were inserted into pKM197 at the NotI and XhoI sites using Gibson assembly [72].The gRNA gBlock (Integrated DNA Technologies, Coralville, IA) CRISPR_sspA_165 was inserted at the KpnI and MluI sites.pHN120 was then used as the base plasmid to change the Tn916 oriT for the traJ oriT at the ApaI sites, resulting in pHN131.traJ was amplified from pMTL84151 with primers 5'traJ and 3'traJ.The gRNA was then replaced with gBlock CRISPR_sspA_135 at the KpnI and MluI restriction sites, generating pHN138, which was used to make the deletion.
For generating the C. difficile CD630Δerm sspB targeting CRISPR vector, pHN121, the upstream homology was amplified from CD630Δerm genomic DNA with 5' sspB UP and 3' sspB UP and the downstream homology with 5' sspB DN and 3' sspB_xylR.These homology arms were inserted into pKM197 at NotI and XhoI restriction sites using Gibson assembly [72].The gRNA gBlock CRISPR_sspB_144 was also inserted into the KpnI and MluI sites.The oriT was changed from Tn916 to traJ by amplifying traJ from pMTL84151 with 5'traJ and 3'traJ and inserting in the apaI sites to generate pHN132.
For generating the C. difficile R20291 spoIVB2 targeted CRISPR plasmid, the upstream homology arm was amplified from R20291 with primers 5' CDR20291_0714 UP and 3' CDR20291_0714 UP while the downstream was amplified with 5' CDR20291_0714 DN and 3' CDR20291_0714 DN.These were inserted into pKM197 at the NotI and XhoI sites using Gibson assembly [72].The gRNA was amplified from pKM197 using primers CDR20291_0714 gRNA 3 and 3' gRNA_change.This fragment was inserted into the KpnI and MluI sites using Gibson assembly, generating pHN157 [72].
For pHN145, pHN146, and pHN147, the first segment of DNA was amplified from R20291, pHN122, or pHN123, respectively, using 5' CDR20291_0714 and 3' 0714_S301A.The second segment of DNA was amplified from pHN127 for all 3 plasmids using 5' 0714_S301A and 3' CDR20291_0714.These two fragments were inserted using Gibson assembly into pJS116 at the NotI and XhoI sites [72].
The CD630Δerm sspA gene and promoter region were amplified from CD630Δerm with the primers 5'sspA_MTL and 3' sspA.pJS116.This fragment was inserted into pMTL84151 at the NotI and XhoI sites using Gibson assembly, generating pHN152 [72].
For pHN153, the CD630Δerm sspA gene and promoter region were amplified with 5'sspA_MTL and 3' sspAsspB.The CD630Δerm sspB gene and promoter region were amplified with 5' sspAsspB and 3'sspBpJS116.These fragments were inserted into pMTL84151 at the NotI and XhoI sites using Gibson assembly [72].
The CD630Δerm sspB gene and promoter region were amplified using 5' sspB UP and 3'sspBpJS116.This fragment was inserted into pHN149 at the NotI and XhoI sites using Gibson assembly to generate pHN176 [72].
pJB96 was generated by amplifying the sacB gene from pJB94 with primers 5'sacB_UP and sacB_3'_XhoI and inserted into pHN149 at the NotI and XhoI restriction sites by Gibson assembly [72].
The spoIVB2 under sspA promoter control plasmid, pHN312, was generated by amplifying the sspA promoter from R20291 with the primers 5'sspA_MTL and 3' PsspA_spoIVB2.The spoIVB2 gene was amplified from R20291 with the primers 5' spoIVB2_PsspA and 3' CR20291_0714.These fragments were cloned into pJB96 at the NotI and XhoI sites by Gibson assembly.pHN329, spoIVB2 under the spoIVB promoter, was made by amplifying the spoIVB promoter from R20291 with primers 5' spoIVB.pHN149and 3' PspoIVB_spoIVB2.The spoIVB2 gene was amplified with 5' spoIVB2_PspoIVB and 3' CDR20291_0714 from R20291 template DNA.The fragments were assembled with Gibson assembly into pJB96 at NotI and XhoI cut sites [72].The plasmid pHN330 containing spoIVB2 driven by the spoIVB and spoIVB2 promoters was generated by amplifying the spoIVB2 promoter from R20921 DNA with primers 5' PspoIVB2_pHN149 and 3' PspoIVB(100)_PspoIVB2.The spoIVB promoter was amplified with primers 5' PspoIVB2_PspoIVB and 3' PspoIVB_spoIVB2 from R20291 DNA.The spoIVB2 gene was amplified from R20291 with primers 5' spoIVB2_PspoIVB and 3' CDR20291_0714.These fragments were assembled into pJB96 at NotI and XhoI cut sites using Gibson assembly [72].The plasmid pHN331 containing spoIVB2 driven by the sspA and spoIVB2 promoters was generated by amplifying the spoIVB2 promoter from R20921 DNA with primers 5' PspoIVB2_pHN149 and 3' PsspA_PspoIVB2.The sspA promoter was amplified with primers 5' PsspA_PspoIVB2 and 3' PsspA_spoIVB2 from R20291 DNA.The spoIVB2 gene was amplified from R20291 with primers 5' spoIVB2_PsspA and 3' CDR20291_0714.These fragments were assembled into pJB96 at NotI and XhoI cut sites using Gibson assembly [72].
The luciferase plasmids pHN335 through pHN337 were generated by amplifying the spoIVB2 promoter region from R20291 using primers 5' CDR20291_0714 and 3' spoIVB2_homol.The spoIVB2 gene fragments were amplified with primers 5' spoIVB2_gene_homol and 3' spoIVB2end_lrgBit from R20291 for pHN335, pHN123 for pHN336, and pHN122 for pHN337.The bitLuc gene fragment with a ssrA tag was amplified from pMB81 with primers 5' lrgBit_spoIVB2end and 3' luciferase_ssrA_pHN149.These 3 fragments were cloned into pJB96 at the NotI and XhoI restriction sites using Gibson assembly [72].For the control luciferase plasmids, pHN338-339, the spoIVB2 promoter region was amplified from R20291 using primers 5 CDR20291_0714 and 3' spoIVB2_bitLuc.For pHN338, the bitLuc gene portion with a ssrA tag was amplified from pMB81 with primers 5' bitLuc_PspoIVB2 and 3' luciferase_ss-rA_pHN149.For pHN339, the bitLuc gene was amplified from pMB81 with primers 5' bitLuc_PspoIVB2 and 3' luciferase_pHN149.The spoIVB2 promoter fragment and the luciferase fragments were cloned into pJB96 at the NotI and XhoI restriction sites using Gibson assembly [72].pHN220 was generated by amplifying the sspA promoter region from C. difficile R20291 with primers 5'sspA_MTL and 3'PsspA_BS49.The sspA gene was amplified from B. subtillis BS49 with primers 5' sspA_BS49 and 3' sspA_BS49.These fragments were put into the pHN149 backbone at the NotI and XhoI sites by Gibson assembly [72].
To generate pHN208, the promoter region through F36 of CDR20291_0714 was amplified with 5' CDR20291_0714 and 3' spoIVB2 F36F, while the F36 through the end of CDR20291_0714 was amplified with 5' spoIVB2 F36F and 3' CDR20291_0714, both using pHN127 as the DNA template.These fragments were inserted by Gibson assembly into the pHN149 plasmid backbone at the NotI and XhoI sites [72].pHN218 was generated by amplifying from the pHN127 template DNA CDR20291_0714 promoter region through F37 with primers 5' CDR20291_0714 and 3' spoIVB2 F37.UUA and the fragment with F37 through the end of the gene was amplified by 5' spoIVB2 F37.UUA and 3' CDR20291_0714.These fragments were inserted in pHN149 at the NotI and XhoI sites through Gibson assembly [72].Similarly, pHN219 was generated but used 5' CDR20291_0714 with 3' spoIVB2 F37.UUG for the first fragment and 5' spoIVB2 F37.UUG and 3' CDR0291_0714 for the second fragment, both with pHN127 as the template DNA.These were also inserted by Gibson assembly into pHN149 at the NotI and XhoI sites [72].
All plasmids were sequenced to confirm the correct sequence of the inserts.Conjugations.For conjugations between C. difficile and E. coli HB101 pRK24, 5 mL of LB supplemented with chloramphenicol and ampicillin was inoculated with a colony from the HB101 pRK24 transformation.Concurrently, C. difficile strains were cultured in 5 mL BHIS broth.After approximately 16 hours of incubation, 1 mL of C. difficile culture was heat shocked at 52˚C for 5 minutes, in the anaerobic chamber, and then allowed to cool.While heat shocking, 1 mL of E. coli culture was centrifuged at 2,348 x g for 5 minutes and the supernatant poured off.The E. coli pellets were passed into the chamber and resuspended with the cooled C. difficile culture.20 μL spots were plated onto BHI.The next day, growth was scraped into 1 mL BHIS broth and distributed onto BHIS plates supplemented with thiamphenicol, kanamycin, and cycloserine (TKC) or TKC plus lincomycin (TKLC) for the 2-plasmid CRISPR system.
For conjugations between C. difficile and B. subtilis BS49, the plasmids generated in DH5α were used to transform E. coli MB3436 (a recA + strain of E. coli) and plasmid purified.This plasmid preparation was then used to transform BS49.C. difficile was cultured in 5 mL BHIS broth overnight.After approximately 16 hours, the C. difficile culture was back diluted 1:20 and grown for 4 hours.B. subtilis was grown for 4 hours in 5 mL BHIS broth supplemented with chloramphenicol and tetracycline.After incubation, the B. subtilis cultures were passed into the chamber and 100 μL of BS49 and 100 μL of C. difficile were spread onto TY plates.The next day, the growth was resuspended in 1 mL of BHIS broth and distributed between BHIS plates with thiamphenicol and kanamycin.Colonies were screened by streaking colonies onto BHIS supplemented with thiamphenicol and kanamycin and to BHIS supplemented with tetracycline to identify isolates that were tet-sensitive (do not contain the Tn916 transposon).
PCR was used to confirm strains and plasmids in each conjugate.CRISPR induction.For induction, colonies were passaged on TY agar supplemented with 1% xylose and thiamphenicol [42,74].Mutants were detected by PCR and the plasmid was cured by heat shocking overnight cultures and isolating colonies that had lost their antibiotic resistance.
Theophylline allelic exchange.Strains were generated as previously described [73].Briefly, transconjugants were passaged on medium with thiamphenicol and no theophylline to encourage integration of the plasmid into the chromosome.Once integration occurred, the isolates were passaged on plates containing theophylline to encourage excision.HNN57 was generated from the passaging of R20291 pHN272.HNN60 was generated from the passaging of R20291 pHN271.HNN64 was generated from the passaging of C. difficile ΔsspA ΔsspB pHN271.HNN57 was generated from the passaging of C. difficile ΔsspA ΔsspB pHN272.
Phase contrast imaging.The strains were inoculated onto 70:30 sporulation media and incubated for 6 days.After, the samples were fixed in a 4% paraformaldehyde and 2% glutaraldehyde solution in 1x PBS.The samples were imaged on a Leica DM6B microscope at the Texas A&M University Microscopy and Imaging Center Core Facility (RRID:SCR_022128).
TEM.For sporulating cells, the relevant strains were incubated in the anaerobic chamber on sporulation media for 6 days, and then the growth scraped with an inoculation loop into 1,950 μL of fixative (5% glutaraldehyde, 2% acrolein in 0.05 M HEPES, pH 7.4) in a 2.0 mL microcentrifuge tube.The samples were incubated in the fixative overnight at 4˚C.The following day, the fixed samples were centrifuged for 5 min at >14,000 × g, and post-fixed and stained for 2 hours with 1% osmium tetroxide in 0.05 M HEPES, pH 7.4.
The samples were then centrifuged and washed with water 5 times, and dehydrated with acetone, using the following protocol: 15 minutes in 30%, 50%, 70%, 90% acetone each, then 100% acetone 3 changes, 30 minutes each.At the final wash step, a small amount of acetone, barely covering the pellets, was retained to avoid rehydration of the samples.The samples were then infiltrated with modified Spurr's resin (Quetol ERL 4221 resin, Electron Microscopy Sciences, RT 14300) in a Pelco Biowave processor (Ted Pella, Inc.), as follows: 1:1 acetone:resin for 10 minutes at 200 W-no vacuum, 1:1 acetone:resin for 5 minutes at 200 W-vacuum 20" Hg (vacuum cycles with open sample container caps), 1:2 acetone:resin for 5 minutes at 200 W-vacuum 20" Hg, 4 x 100% resin for 5 minutes at 200 W-vacuum 20" Hg.
The resin was then removed, and the sample fragments transferred to BEEM conical tip capsules prefilled with a small amount of fresh resin, resin added to fill the capsule, and capsules left to stand upright for 30 minutes to ensure that the samples sank to the bottom.The samples were then polymerized at 65˚C for 48 hours in the oven, then left at RT for 24 hours before sectioning.70-80 nm samples were sectioned by Leica UC / FC7 ultra-microtome (Leica Microsystems), deposited onto 300 mesh copper grids, stained with uranyl acetate / lead citrate and imaged.All ultrathin TEM sections were imaged on JEOL 1200 EX TEM (JEOL, Ltd.) at 100 kV, images were recorded on SIA-15C CCD (Scientific Instruments and Applications) camera at the resolution of 2721 x 3233 pixels using MaxImDL software (Diffraction Limited).Images were subsequently adjusted for brightness / contrast using Fiji [75].All equipment used is located at Texas A&M University Microscopy and Imaging Center Core Facility (RRID:SCR_022128).
Sporulation assay.Sporulation assays were completed as previously described [42].Briefly, 70:30 plates were inoculated with the indicated strains and grown for 48 hours.1/3 of the plate was harvested into 1 mL of PBS.500 μL of the culture was treated for 20 minutes with 300 μL of 100% EtOH and 200 μL of dH 2 O to make a 30% final solution.After incubation, the samples were serially diluted in PBS + 0.1% TA and plated onto BHIS supplemented with TA to enumerate spores.The CFUs derived from spores were log 10 transformed.
Spore purification.Spores were purified as previously described [46,76].Briefly, the cultures from 70:30 agar medium were scraped into 1 mL of dH 2 O and left overnight at 4˚C.The next day, the pellets were resuspended and centrifuged for 1 minute at max speed.The upper layer of cell debris was removed and the sample was resuspended in 1 mL dH 2 O. Again, the tubes were centrifuged and the upper layer removed.This was repeated approximately 5 times until the spore pellet was relatively free of debris.The 1 mL of spores in dH 2 O was loaded onto 50% sucrose and centrifuged at 4,000 x g for 20 minutes 4˚C.The spore pellet was then washed as described above approximately 5 times and then stored at 4˚C until future use.
UV exposure.UV experiments were performed as previously described [42].Briefly, 1x10 8 spores / mL in PBS were treated for 10 minutes with constant agitation.The T 0 and T 10 samples were serially diluted and plated onto rich medium containing germinant taurocholic acid (TA).Treated spore counts were normalized to untreated and then this ratio was normalized to the ratio for wild type spores.
EMS treatment.For EMS treatment, the HNN04 or HNN05 strains with pJS116 were used to help prevent contamination by providing antibiotic selection.Overnight cultures were back diluted to OD 600 0.05 in 15 mL of BHIS + Tm [44,45].The cultures were grown to an OD 600 of 0.5.The culture was split into 2 tubes of 5 mL, each.One tube served as the negative control and one tube was treated with 1% EMS.The cultures were grown for 3 hours with vigorous shaking every 30 minutes (to keep the EMS in solution).The cultures were passed out of the chamber and centrifuged at 3,000 x g for 10 minutes, passed into the chamber, decanted, resuspended with 10 mL BHIS to wash and then passed out and centrifuged again.This wash step was repeated 1 more time for a total of 2 washes.After the second wash, the cell pellet was resuspended with 1 mL of BHIS and deposited into 39 mL BHIS + Tm to recover overnight.
The next day, to determine mutagenesis rates, 10 μL, 25 μL, and 50 μL volumes were each plated onto BHIS rifampicin agar and CFUs were counted after 24-48 hours.From the EMS (+) culture, 50 μL was plated onto 20 BHIS Tm5 agar plates and left in the chamber to incubate for 5 days.For the EMS (-) culture, a whole genome prep was performed as described below.
After the incubation period, the plates were scraped into individual tubes with 1 mL dH 2 O and left overnight at 4˚C.The tubes were purified to remove cell debris as done with spore purification described above.The samples were combined to one tube and heated at 65˚C for 1 hour, with intermittent vortexing.The sample was then distributed between 20 BHIS Tm5 plates for another round of incubation.This enrichment step was completed 3 times before isolates were selected and PCR was used to confirm the genotype (to confirm that wildtype contamination did not occur during the selection).After confirmation, the samples were plated onto 70:30 Tm5 and incubated for 5 days.These samples were then checked under a phase contrast microscope for spores.Genomic DNA was purified from samples that had spores and sent for whole genome resequencing at Microbial Genome Sequencing Center (MiGS; Pittsburgh, PA).
Whole genome preparation.4 tubes of 10 mL each were inoculated overnight for approximately 18 hours (or the 40 mL of culture from EMS (-) strains were used).The next day, the samples were centrifuged at 4,000 x g for 10 minutes, 4˚C.They were decanted, then resuspended with 1 mL TE buffer (10 mM Tris-HCl, 1 mM EDTA).Samples were centrifuged again, decanted, and resuspended with 200 μL of genomic DNA solution (34% sucrose in TE buffer) and transferred to a 2 mL Eppendorf tube (for each strain, the 4 tubes are kept separate).The tubes were incubated at 37˚C for 2 hours.Then, 100 μL of 20% Sarkosyl and 15 μL of 10 mg / mL RNase A were added to the sample and incubated at 37˚C for 30 minutes.After this incubation, 15 μL of proteinase K solution was added and incubated 37˚C for 30 minutes at.The samples were brought up to 600 μL with TE buffer.600 μL of 25:24:1 phenol/chloroform/isoamyl alcohol was added to the samples and were rocked gently for 20 minutes.After the incubation, the samples were centrifuged for 10 minutes at max speed.The upper layer was transferred to a new tube with a cut pipette tip (so as not to shear the DNA) and 600 μL chloroform was added to the sample and rocked for another 20 minutes.The centrifugation, sample transfer, and chloroform treatment were repeated for a total of 3 times.After which, the upper phase was transferred to a new tube and precipitated at -20˚C overnight with 50 μL of 3 M sodium acetate, pH 5.2, and 3 volumes of cold 95% ethanol.
After precipitation, one tube from each strain was centrifuged 15 minutes at max speed, 4˚C.The supernatant was discarded and the solution from the second tube was transferred to the tube with the DNA pellet and centrifuged again.This was repeated until the DNA from all 4 tubes was combined into one pellet.The DNA pellet was washed with 500 μL of 70% ethanol and centrifuged again.The samples were decanted and allowed to dry at room temperature until all of the ethanol was evaporated (approximately 60-90 minutes).After drying, 500 μL of either dH 2 O or TE buffer was added, and the samples were rocked overnight to allow the pellets to dissolve.
RNA extraction and processing.Strains were plated onto 70:30 media for 11 hours before extraction.RNA extraction was performed using the FastRNA Pro Blue Kit (MP Biomedicals, Solon, OH).Briefly, the culture was scraped into 1 mL of PBS and centrifuged 2,348 x g for 5 minutes.The pellet was resuspended in 1 mL of RNApro solution and transferred to the provided tubes with lysing Matrix B. The cells were lysed in an MP FastPrep-24 bead beater for 40 seconds on and 20 seconds off for a total of 2 rounds.Further processing followed the Fas-tRNA Pro Blue Kit protocol except that the RNA was precipitated overnight, and the remainder of the protocol was continued the next day.
Contaminating DNA was removed using the TURBO DNA-free kit (Invitrogen, Waltham, MA). 10 μg of RNA was treated 3 times with DNase following the protocol provided in the kit.The RNA was precipitated at -20˚C overnight with 0.1 volume of 3 M sodium acetate, 5 μg of glycogen, and an equal volume of 100% ethanol.RNA was recovered by centrifuging at 13,000 x g at 4˚C for 30 minutes.The pellet was washed 2 times with 70% cold ethanol.The pellet was air-dried at room temperature and then resuspended in dH 2 O. cDNA was generated using the Superscript III First-Strand Synthesis System (Invitrogen, Waltham, MA) reagents and protocol.
RT-qPCR.qPCR was performed with PowerUP SYBR Green Master Mix (Applied Biosystems, Waltham, MA) according to provided protocol on an Applied Biosystems QuantStudio 6 Flex Real-Time PCR system.Primers used are as follows: rpoA: Analysis was performed by the ΔΔCT method with comparison to internal control rpoA and then mutant strains compared to WT (R20291) [77].
Luciferase assays.Overnight cultures were back diluted to OD 600 = 0.05 in BHIS supplemented with thiamphenicol.The cultures were grown for 48 hours.Post incubation, the OD 600 was recorded and the cultures were used for the Nano-Glo Luciferase assay (Promega, Madison, WI).Briefly, 100 μL of culture was put into a standard Optiplate White bottom 96 well plate.20 μL of buffer/substrate mixture, prepared as per the kit instructions, was added to the culture.The plate was shaken for 3 minutes before the RLU was determined.The RLU was normalized to the OD 600 [52,53].
For each trial, 2 technical replicates were measured in different positions in the 96 well plate, due to some variation in measurements based on location within the plates.
. Sporulation was complemented to varying degrees by the expression of B. subtilis sspA from the C. difficile sspA promoter in C. difficile ΔsspB* and C. difficile ΔsspA ΔsspB.In C. difficile ΔsspB*, expression of B. subtilis sspA increased spore yield by approximately 10-fold.In the C. difficile ΔsspA ΔsspB strain, expression of B. subtilis sspA increased spore yield by approximately 100-fold (Fig 2A).Spores derived from a C. difficile ΔsspA mutant strain with a plasmid expressing B. subtilis sspA, under the C. difficile sspA native promoter, were exposed to UV light for 10 minutes and their viability assessed.B. subtilis sspA could partially restore UV resistance to the C. difficile PLOS PATHOGENS C. difficile SspA and SspB regulate sporulation

Fig 1 .
Fig 1. Impact of C. difficile CD630Δerm sspA and sspB mutations on sporulation and UV resistance.A) Day 6 sporulating cultures were fixed in 4% formaldehyde and 2% glutaraldehyde in PBS and imaged on a Leica DM6B microscope.The red arrow represents an immature spore.B) Strains were grown on 70:30 sporulation medium for 48 hours and the cultures then were treated with 30% ethanol and plated onto rich medium supplemented with TA to enumerate spores.Spore yield was calculated by log 10 transformation of the CFUs derived from spores.C) Spores were exposed to UV for 10 minutes with constant agitation.After treatment, they were serially diluted and plated onto rich medium supplemented with TA.The ratio of treated to untreated CFUs of the mutant strains was then compared to the ratio from WT. pEV indicates an empty plasmid within the strain.All data points represent the average of three independent experiments.Statistical analysis by one-way ANOVA with S ˇı ´da ´k's multiple comparisons test.* P<0.05, ** P<0.01, *** P<0.001, **** P<0.0001.https://doi.org/10.1371/journal.ppat.1012507.g001

Fig 2 .Fig 3 .
Fig 2. B. subtilis sspA complements C. difficile SASP mutant sporulation and UV defects.A) Spore yield of the indicated strain was determined as described in Fig 1. B) Spores were exposed to UV for 10 minutes with constant agitation.After treatment, they were serially diluted and plated onto rich medium supplemented with TA.The ratio of treated to untreated CFUs of the mutant strains was then compared to the ratio from WT. pEV indicates an empty plasmid within the strain.All data points represent the average of three independent experiments.Statistical analysis by two-way ANOVA with S ˇı ´da ´k's multiple comparisons test.* P<0.05, ** P<0.01, *** P<0.001, **** P<0.0001.https://doi.org/10.1371/journal.ppat.1012507.g002

Fig 4 .
Fig 4. Mutations in spoIVB2 suppress the C. difficile sspA sspB mutant phenotype.Sporulation was completed over 48 hours and the spore yield was determined.A) Sporulation of indicated strains with an empty vector (pEV) or wild type spoIVB2 B) Sporulation of C. difficile R20291 with the indicated spoIVB2 allele expressed from a plasmid.C) Sporulation assay of C. difficile R20291 ΔsspB* with the indicated spoIVB2 allele expressed from a plasmid.D) Sporulation assay of R20291 ΔsspA ΔsspB with the indicated spoIVB2 allele expressed from a plasmid.All data points represent the average from at least three independent experiments.Statistical analysis by two-way ANOVA with S ˇı ´da ´k's multiple comparisons test* P<0.05, ** P<0.01, *** P<0.001, **** P<0.0001.https://doi.org/10.1371/journal.ppat.1012507.g004PLOS PATHOGENS C. difficile SspA and SspB regulate sporulation

Fig 6 .
Fig 6.SpoIVB2 is required for cortex synthesis.Day 6 sporulating cultures were prepared for TEM.A field of view image is shown for the C. difficile ΔspoIVB2 mutant while the remainder of the images are zoomed into the sporulating cell / spore.The coat layer is indicated with a white arrow, while the cortex layer is indicated with a black arrow.pEV indicates an empty plasmid within the strain.https://doi.org/10.1371/journal.ppat.1012507.g006

Fig 8 .Fig 9 .
Fig 8.Luciferase assays show minimal differences between spoIVB2 protein levels.Steady-state protein levels of the indicated strain were determined using alleles with an engineered ssrA tag (as described in the materials and methods).The cultures were grown for 48 hours and the OD 600 and the RLUs were determined.The RLUs were normalized to the OD 600 of each culture.All data represents the average of six independent experiments.One data point in the R20291 spoIVB2 F37F _bitLuc_ssrA data set was found to be an outlier by the ROUT test and was removed from analysis.Statistical analysis by ANOVA with S ˇı ´da ´k's multiple comparison test.* P<0.05, ** P<0.01, *** P<0.001, **** P<0.0001.https://doi.org/10.1371/journal.ppat.1012507.g008

Table 1 . Shortened list of potential suppressor mutations: The mutations that could potentially suppress the sporulation defect in EMS treated isolates. The under
lined strains were derived from the C. difficile ΔsspB* strain while the nonunderlined strains were derived from the C. difficile ΔsspA ΔsspB strain.