Necrotic enteritis in chickens develops as a result of infection with pathogenic strains of
Clostridium perfringens and the presence of predisposing factors. Predisposing factors include
elements that directly change the physical properties of the gut, either damaging the
epithelial surface, inducing mucus production, or changing gut transit times; factors that
disrupt the gut microbiota; and factors that alter the immune status of birds. In the past
research into necrotic enteritis predisposing factors was directed by the simple hypothesis
that low-level colonization of C. perfringens commonly occurred within the gut of healthy
chickens and the predisposing factors lead to a proliferation of those bacteria to produce
disease. More recently, with an increasing understanding of the major virulence factors of
C. perfringens and the application of molecular techniques to define different clades of
C. perfringens strains, it has become clear that the C. perfringens isolates commonly found in
healthy chickens are generally not strains that have the potential to cause disease. Therefore,
we need to re-evaluate hypotheses regarding the development of disease, the origin of
disease causing isolates of C. perfringens, and the importance of interactions with other
C. perfringens strains and with predisposing factors. Many predisposing factors that affect the
physical and immunological characteristics of the gastrointestinal tract may also change the
resident microbiota. Research directed towards defining the relative importance of each of
these different actions of predisposing factors will improve the understanding of disease
pathogenesis and may allow refinement of experiment disease models.