Persisters-as elusive as ever

Appl Microbiol Biotechnol. 2016 Aug;100(15):6545-6553. doi: 10.1007/s00253-016-7648-8. Epub 2016 Jun 4.

Abstract

Persisters-a drug-tolerant sub-population in an isogenic bacterial culture-have been featured throughout the last decade due to their important role in recurrent bacterial infections. Numerous investigations detail the mechanisms responsible for the formation of persisters and suggest exciting strategies for their eradication. In this review, we argue that the very term "persistence" is currently used to describe a large and heterogeneous set of physiological phenomena that are functions of bacterial species, strains, growth conditions, and antibiotics used in the experiments. We caution against the oversimplification of the mechanisms of persistence and urge for a more rigorous validation of the applicability of these mechanisms in each case.

Keywords: Antibiotic development; Antibiotic resistance; Antibiotic tolerance; Bacterial infections; Bet hedging; Persisters.

Publication types

  • Review

MeSH terms

  • Anti-Bacterial Agents / pharmacology*
  • Bacterial Infections / drug therapy*
  • Bacterial Infections / microbiology*
  • Biofilms / growth & development
  • Drug Resistance, Multiple, Bacterial*
  • Recurrence

Substances

  • Anti-Bacterial Agents