Intracellular Staphylococcus aureus persisters upon antibiotic exposure

Nat Commun. 2020 May 4;11(1):2200. doi: 10.1038/s41467-020-15966-7.

Abstract

Bacterial persister cells are phenotypic variants that exhibit a transient non-growing state and antibiotic tolerance. Here, we provide in vitro evidence of Staphylococcus aureus persisters within infected host cells. We show that the bacteria surviving antibiotic treatment within host cells are persisters, displaying biphasic killing and reaching a uniformly non-responsive, non-dividing state when followed at the single-cell level. This phenotype is stable but reversible upon antibiotic removal. Intracellular S. aureus persisters remain metabolically active but display an altered transcriptomic profile consistent with activation of stress responses, including the stringent response as well as cell wall stress, SOS and heat shock responses. These changes are associated with multidrug tolerance after exposure to a single antibiotic. We hypothesize that intracellular S. aureus persisters may constitute a reservoir for relapsing infection and could contribute to therapeutic failures.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • A549 Cells
  • Animals
  • Anti-Bacterial Agents / pharmacology*
  • Cell Line
  • Cell Line, Tumor
  • Cells, Cultured
  • Drug Resistance, Multiple, Bacterial / drug effects*
  • Drug Resistance, Multiple, Bacterial / genetics
  • Energy Metabolism / drug effects
  • Energy Metabolism / genetics
  • Gene Expression Profiling / methods
  • Gene Expression Regulation, Bacterial / drug effects
  • Humans
  • MCF-7 Cells
  • Macrophages / drug effects
  • Macrophages / microbiology
  • Mice
  • Microbial Sensitivity Tests
  • Microbial Viability / drug effects*
  • Microbial Viability / genetics
  • Microscopy, Confocal
  • Staphylococcus aureus / drug effects*
  • Staphylococcus aureus / genetics
  • Staphylococcus aureus / physiology
  • THP-1 Cells

Substances

  • Anti-Bacterial Agents