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

PLoS Biol. 2021 Apr 19;19(4):e3001194. doi: 10.1371/journal.pbio.3001194. eCollection 2021 Apr.

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.

Publication types

  • Research Support, N.I.H., Extramural
  • Research Support, U.S. Gov't, Non-P.H.S.

MeSH terms

  • Anti-Bacterial Agents / pharmacology
  • Bacteria / drug effects
  • Bacteria / genetics
  • Bacteria / growth & development
  • Bacteria / metabolism*
  • Bacterial Physiological Phenomena / drug effects*
  • Citric Acid Cycle / drug effects
  • Drug Resistance, Multiple, Bacterial* / drug effects
  • Energy Metabolism / drug effects
  • Energy Metabolism / physiology
  • Escherichia coli / drug effects
  • Escherichia coli / growth & development
  • Escherichia coli / metabolism
  • Microbial Sensitivity Tests
  • Microbial Viability / drug effects
  • Organisms, Genetically Modified

Substances

  • Anti-Bacterial Agents