Rifampicin can induce antibiotic tolerance in mycobacteria via paradoxical changes in rpoB transcription

Nat Commun. 2018 Oct 11;9(1):4218. doi: 10.1038/s41467-018-06667-3.

Abstract

Metrics commonly used to describe antibiotic efficacy rely on measurements performed on bacterial populations. However, certain cells in a bacterial population can continue to grow and divide, even at antibiotic concentrations that kill the majority of cells, in a phenomenon known as antibiotic tolerance. Here, we describe a form of semi-heritable tolerance to the key anti-mycobacterial agent rifampicin, which is known to inhibit transcription by targeting the β subunit of the RNA polymerase (RpoB). We show that rifampicin exposure results in rpoB upregulation in a sub-population of cells, followed by growth. More specifically, rifampicin preferentially inhibits one of the two rpoB promoters (promoter I), allowing increased rpoB expression from a second promoter (promoter II), and thus triggering growth. Disruption of promoter architecture leads to differences in rifampicin susceptibility of the population, confirming the contribution of rifampicin-induced rpoB expression to tolerance.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Anti-Bacterial Agents / pharmacology*
  • Base Sequence
  • DNA-Directed RNA Polymerases / genetics*
  • DNA-Directed RNA Polymerases / metabolism
  • Drug Resistance, Bacterial / drug effects
  • Drug Resistance, Bacterial / genetics*
  • Gene Expression Regulation, Bacterial / drug effects
  • Humans
  • Models, Biological
  • Mycobacterium / drug effects
  • Promoter Regions, Genetic / genetics
  • Rifampin / pharmacology*
  • Transcription, Genetic / drug effects*
  • Up-Regulation / drug effects
  • Up-Regulation / genetics

Substances

  • Anti-Bacterial Agents
  • DNA-Directed RNA Polymerases
  • Rifampin