Clostridium species are a group of Gram-positive bacteria that cause diseases in humans, such as
food poisoning,
botulism, and
tetanus. Here, we analyzed 10 different Clostridium species and identified that Clostridium septicum, a pathogen that causes
sepsis and
gas gangrene, activates the mammalian cytosolic
inflammasome complex in mice and humans. Mechanistically, we demonstrate that α-toxin secreted by C. septicum binds to
glycosylphosphatidylinositol (
GPI)-anchored proteins on the host plasma membrane, oligomerizing and forming a membrane pore that is permissive to efflux of
magnesium and
potassium ions. Efflux of these cytosolic
ions triggers the activation of the innate immune sensor NLRP3, inducing activation of caspase-1 and gasdermin D, secretion of the proinflammatory
cytokines interleukin-1β and
interleukin-18, pyroptosis, and plasma membrane
rupture via ninjurin-1. Furthermore, α-toxin of C. septicum induces rapid
inflammasome-mediated lethality in mice and pharmacological inhibition of the NLRP3
inflammasome using
MCC950 prevents C. septicum-induced lethality. Overall, our results reveal that cytosolic innate sensing of α-toxin is central to the recognition of C. septicum
infection and that therapeutic blockade of the
inflammasome pathway may prevent
sepsis and death caused by toxin-producing pathogens.