Persistent bacterial infections and persister cells

RA Fisher, B Gollan, S Helaine - Nature Reviews Microbiology, 2017 - nature.com
RA Fisher, B Gollan, S Helaine
Nature Reviews Microbiology, 2017nature.com
Many bacteria can infect and persist inside their hosts for long periods of time. This can be
due to immunosuppression of the host, immune evasion by the pathogen and/or ineffective
killing by antibiotics. Bacteria can survive antibiotic treatment if they are resistant or tolerant
to a drug. Persisters are a subpopulation of transiently antibiotic-tolerant bacterial cells that
are often slow-growing or growth-arrested, and are able to resume growth after a lethal
stress. The formation of persister cells establishes phenotypic heterogeneity within a …
Abstract
Many bacteria can infect and persist inside their hosts for long periods of time. This can be due to immunosuppression of the host, immune evasion by the pathogen and/or ineffective killing by antibiotics. Bacteria can survive antibiotic treatment if they are resistant or tolerant to a drug. Persisters are a subpopulation of transiently antibiotic-tolerant bacterial cells that are often slow-growing or growth-arrested, and are able to resume growth after a lethal stress. The formation of persister cells establishes phenotypic heterogeneity within a bacterial population and has been hypothesized to be important for increasing the chances of successfully adapting to environmental change. The presence of persister cells can result in the recalcitrance and relapse of persistent bacterial infections, and it has been linked to an increase in the risk of the emergence of antibiotic resistance during treatment. If the mechanisms of the formation and regrowth of these antibiotic-tolerant cells were better understood, it could lead to the development of new approaches for the eradication of persistent bacterial infections. In this Review, we discuss recent developments in our understanding of bacterial persisters and their potential implications for the treatment of persistent infections.
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