Bacterial persisters are a stochastically formed subpopulation of low-energy cells

Persisters represent a small subpopulation of non- or slow-growing bacterial cells that are tolerant to killing by antibiotics. Despite their prominent role in the recalcitrance of chronic infections to antibiotic therapy, the mechanism of their formation has remained elusive. We show that sorted ce...

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Published inPLoS biology Vol. 19; no. 4; p. e3001194
Main Authors Manuse, Sylvie, Shan, Yue, Canas-Duarte, Silvia J., Bakshi, Somenath, Sun, Wei-Sheng, Mori, Hirotada, Paulsson, Johan, Lewis, Kim
Format Journal Article
LanguageEnglish
Published United States Public Library of Science 19.04.2021
Public Library of Science (PLoS)
Subjects
ATP
Icd
TA
CFU
WT
DIC
Online AccessGet full text
ISSN1545-7885
1544-9173
1545-7885
DOI10.1371/journal.pbio.3001194

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Abstract Persisters represent a small subpopulation of non- or slow-growing bacterial cells that are tolerant to killing by antibiotics. Despite their prominent role in the recalcitrance of chronic infections to antibiotic therapy, the mechanism of their formation has remained elusive. We show that sorted cells of Escherichia coli with low levels of energy-generating enzymes are better able to survive antibiotic killing. Using microfluidics time-lapse microscopy and a fluorescent reporter for in vivo ATP measurements, we find that a subpopulation of cells with a low level of ATP survives killing by ampicillin. We propose that these low ATP cells are formed stochastically as a result of fluctuations in the abundance of energy-generating components. These findings point to a general “low energy” mechanism of persister formation.
AbstractList Persisters represent a small subpopulation of non- or slow-growing bacterial cells that are tolerant to killing by antibiotics. Despite their prominent role in the recalcitrance of chronic infections to antibiotic therapy, the mechanism of their formation has remained elusive. We show that sorted cells of Escherichia coli with low levels of energy-generating enzymes are better able to survive antibiotic killing. Using microfluidics time-lapse microscopy and a fluorescent reporter for in vivo ATP measurements, we find that a subpopulation of cells with a low level of ATP survives killing by ampicillin. We propose that these low ATP cells are formed stochastically as a result of fluctuations in the abundance of energy-generating components. These findings point to a general “low energy” mechanism of persister formation.
Persisters represent a small subpopulation of non- or slow-growing bacterial cells that are tolerant to killing by antibiotics. Despite their prominent role in the recalcitrance of chronic infections to antibiotic therapy, the mechanism of their formation has remained elusive. We show that sorted cells of Escherichia coli with low levels of energy-generating enzymes are better able to survive antibiotic killing. Using microfluidics time-lapse microscopy and a fluorescent reporter for in vivo ATP measurements, we find that a subpopulation of cells with a low level of ATP survives killing by ampicillin. We propose that these low ATP cells are formed stochastically as a result of fluctuations in the abundance of energy-generating components. These findings point to a general “low energy” mechanism of persister formation.
Persisters represent a small subpopulation of non- or slow-growing bacterial cells that are tolerant to killing by antibiotics. Despite their prominent role in the recalcitrance of chronic infections to antibiotic therapy, the mechanism of their formation has remained elusive. We show that sorted cells of Escherichia coli with low levels of energy-generating enzymes are better able to survive antibiotic killing. Using microfluidics time-lapse microscopy and a fluorescent reporter for in vivo ATP measurements, we find that a subpopulation of cells with a low level of ATP survives killing by ampicillin. We propose that these low ATP cells are formed stochastically as a result of fluctuations in the abundance of energy-generating components. These findings point to a general “low energy” mechanism of persister formation. Persisters represent a small subpopulation of non- or slow-growing bacterial cells that are tolerant to killing by antibiotics, but the mechanism of their formation has remained elusive. This study of E. coli shows that stochastic heterogeneity in levels of energy-generating enzymes results in a subpopulation of cells with low ATP that are tolerant to antibiotics.
Abbreviations: ADEP, acyldepsipeptide; CFU, colony forming unit; DIC, differential interference contrast; FACS, fluorescence-activated cell sorting; Icd, isocitrate dehydrogenase; TA, toxin-antitoxin; WT, wild type Main text In Escherichia coli, the RNA-degrading interferase-type toxin/antitoxins (TA) emerged as the main component involved in persister formation [1]. The HipA toxin is a glutamyl-tRNA kinase [7,8], and its gain-of-function mutants produce high levels of persisters by inhibiting translation in patients with relapsing urinary tract infection [9] while its absence leads to a decrease in the level of persisters in Caulobacter crescentus [10]. Stationary phase cells have lower ATP levels, and we found that persisters in a growing population of Staphylococcus aureus have elevated levels of expression of stationary phase markers, suggesting that those cells would also have a lower level of ATP [2]. CFU, colony forming unit; FACS, fluorescence-activated cell sorting; YFP, yellow fluorescent protein. https://doi.org/10.1371/journal.pbio.3001194.g001 We then examined whether impaired Krebs cycle activity in single cells of a wild type (WT) population would lead to persister formation.
Persisters represent a small subpopulation of non- or slow-growing bacterial cells that are tolerant to killing by antibiotics. Despite their prominent role in the recalcitrance of chronic infections to antibiotic therapy, the mechanism of their formation has remained elusive. We show that sorted cells of Escherichia coli with low levels of energy-generating enzymes are better able to survive antibiotic killing. Using microfluidics time-lapse microscopy and a fluorescent reporter for in vivo ATP measurements, we find that a subpopulation of cells with a low level of ATP survives killing by ampicillin. We propose that these low ATP cells are formed stochastically as a result of fluctuations in the abundance of energy-generating components. These findings point to a general "low energy" mechanism of persister formation.Persisters represent a small subpopulation of non- or slow-growing bacterial cells that are tolerant to killing by antibiotics. Despite their prominent role in the recalcitrance of chronic infections to antibiotic therapy, the mechanism of their formation has remained elusive. We show that sorted cells of Escherichia coli with low levels of energy-generating enzymes are better able to survive antibiotic killing. Using microfluidics time-lapse microscopy and a fluorescent reporter for in vivo ATP measurements, we find that a subpopulation of cells with a low level of ATP survives killing by ampicillin. We propose that these low ATP cells are formed stochastically as a result of fluctuations in the abundance of energy-generating components. These findings point to a general "low energy" mechanism of persister formation.
Abbreviations: ADEP, acyldepsipeptide; CFU, colony forming unit; DIC, differential interference contrast; FACS, fluorescence-activated cell sorting; Icd, isocitrate dehydrogenase; TA, toxin-antitoxin; WT, wild type Main text In Escherichia coli, the RNA-degrading interferase-type toxin/antitoxins (TA) emerged as the main component involved in persister formation [1]. The HipA toxin is a glutamyl-tRNA kinase [7,8], and its gain-of-function mutants produce high levels of persisters by inhibiting translation in patients with relapsing urinary tract infection [9] while its absence leads to a decrease in the level of persisters in Caulobacter crescentus [10]. Stationary phase cells have lower ATP levels, and we found that persisters in a growing population of Staphylococcus aureus have elevated levels of expression of stationary phase markers, suggesting that those cells would also have a lower level of ATP [2]. CFU, colony forming unit; FACS, fluorescence-activated cell sorting; YFP, yellow fluorescent protein. https://doi.org/10.1371/journal.pbio.3001194.g001 We then examined whether impaired Krebs cycle activity in single cells of a wild type (WT) population would lead to persister formation.
Audience Academic
Author Manuse, Sylvie
Lewis, Kim
Shan, Yue
Sun, Wei-Sheng
Canas-Duarte, Silvia J.
Bakshi, Somenath
Mori, Hirotada
Paulsson, Johan
AuthorAffiliation 3 Graduate School of Biological Sciences, Nara Institute of Science and Technology, Nara, Japan
2 Department of Systems Biology, Harvard Medical School, Boston, Massachusetts, United States of America
1 Antimicrobial Discovery Center, Department of Biology, Northeastern University, Boston, Massachusetts, United States of America
Universitat zu Koln, GERMANY
AuthorAffiliation_xml – name: 3 Graduate School of Biological Sciences, Nara Institute of Science and Technology, Nara, Japan
– name: 2 Department of Systems Biology, Harvard Medical School, Boston, Massachusetts, United States of America
– name: Universitat zu Koln, GERMANY
– name: 1 Antimicrobial Discovery Center, Department of Biology, Northeastern University, Boston, Massachusetts, United States of America
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  surname: Manuse
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BackLink https://www.ncbi.nlm.nih.gov/pubmed/33872303$$D View this record in MEDLINE/PubMed
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2021 Manuse et al. This is an open access article distributed under the terms of the Creative Commons Attribution License: http://creativecommons.org/licenses/by/4.0/ (the “License”), which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.
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Issue 4
Keywords acyldepsipeptide CFU
isocitrate dehydrogenase
differential interference contrast
toxin-antitoxin
fluorescence-activated cell sorting
acyldepsipeptide
Icd
FACS
TA
colony forming unit DIC
ADEP
fluorescence-activated cell sorting Icd
CFU
differential interference contrast FACS
colony forming unit
isocitrate dehydrogenase TA
toxin-antitoxin WT
wild type
WT
DIC
Language English
License Attribution: http://creativecommons.org/licenses/by
This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
Creative Commons Attribution License
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Notes new_version
ObjectType-Article-1
SourceType-Scholarly Journals-1
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content type line 14
content type line 23
The authors have declared that no competing interests exist.
Current address: Department of Engineering, Cambridge University, Cambridge, United Kingdom
ORCID 0000-0003-3864-2546
0000-0002-1335-9982
0000-0003-3855-778X
0000-0001-5705-0023
OpenAccessLink http://journals.scholarsportal.info/openUrl.xqy?doi=10.1371/journal.pbio.3001194
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Snippet Persisters represent a small subpopulation of non- or slow-growing bacterial cells that are tolerant to killing by antibiotics. Despite their prominent role in...
Abbreviations: ADEP, acyldepsipeptide; CFU, colony forming unit; DIC, differential interference contrast; FACS, fluorescence-activated cell sorting; Icd,...
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StartPage e3001194
SubjectTerms Abbreviations
Ampicillin
Analysis
Anti-Bacterial Agents - pharmacology
Antibiotics
Antitoxins
ATP
Bacteria - drug effects
Bacteria - genetics
Bacteria - growth & development
Bacteria - metabolism
Bacterial Physiological Phenomena - drug effects
Bacteriology
Biology and Life Sciences
Carbon
Cellular Biology
Citric Acid Cycle - drug effects
Colonies
Computer and Information Sciences
Dehydrogenases
Drug Resistance, Multiple, Bacterial - drug effects
E coli
Energy
Energy Metabolism - drug effects
Energy Metabolism - physiology
Engineering and Technology
Enzymes
Escherichia coli
Escherichia coli - drug effects
Escherichia coli - growth & development
Escherichia coli - metabolism
Flow cytometry
Fluorescence
Isocitrate dehydrogenase
Kinases
Krebs cycle
Life Sciences
Medicine and Health Sciences
Methods
Microbial Sensitivity Tests
Microbial Viability - drug effects
Microbiology and Parasitology
Microfluidics
Organisms, Genetically Modified
Physical Sciences
Physiological aspects
Population
Properties
Protein transport
Research and Analysis Methods
Short Reports
Stationary phase
Subcellular Processes
Toxins
Tricarboxylic acid cycle
tRNA
Urinary tract
Yellow fluorescent protein
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Title Bacterial persisters are a stochastically formed subpopulation of low-energy cells
URI https://www.ncbi.nlm.nih.gov/pubmed/33872303
https://www.proquest.com/docview/2528202346
https://www.proquest.com/docview/2515688024
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https://doaj.org/article/07f2278597ed42a7915e9cf3a2c77219
http://dx.doi.org/10.1371/journal.pbio.3001194
Volume 19
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