The impedance-based RTCA allows monitoring cytotoxicity of C. difficile.
The release of cytotoxic C. difficile toxins is modified by the culture medium.
A dose- and time-dependent toxic effect was detected upon HT29 and Caco2 cells.
A low EC50 upon HT29 was detected for C. difficile producing A and B toxins.
Decrease in RTCA signal correlates with a cell-rounding image visualization.