Adherence of Clostridium difficile to Vero cells under anaerobic conditions
was increased by a high sodium concentration, calcium-rich medium, an acid
ic pH, and iron starvation. The level of adhesion of nontoxigenic strains w
as comparable to that of toxigenic strains. Depending on the bacterial cult
ure conditions, Vero cells could bind to one, two, or three bacterial surfa
ce proteins with molecular masses of 70, 50, and 40 kDa.