<p>(1) Toxins and spores reach the intestinal epithelium. The toxins induce cell lysis and create favorable conditions for spore germination. The resulting vegetative bacteria adhere to cells weakened by toxins and can grow. (2) The bacteria produce PlcR-regulated virulence factors which attack the intestinal barrier. This event allows the bacteria to penetrate into deeper tissues, such that they can multiply in body fluids and cause host death. (3) The bacteria shift from a virulent lifestyle to a necrotrophic lifestyle and change their gene expression pattern. The pleiotropic regulator NprR activates the transcription of genes encoding proteins involved in food supply, stress resistance, protection against competitors and kurstakin synthe...