Definitions and guidelines for research on antibiotic persistence
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Published version
Author(s)
Type
Journal Article
Abstract
Increasing concerns about the rising rates of antibiotic therapy failure and advances in single-cell analyses have inspired a surge of research into antibiotic persistence. Bacterial persister cells represent a subpopulation of cells that can survive intensive antibiotic treatment without being resistant. Several approaches have emerged to define and measure persistence, and it is now time to agree on the basic definition of persistence and its relation to the other mechanisms by which bacteria survive exposure to bactericidal antibiotic treatments, such as antibiotic resistance, heteroresistance or tolerance. In this Consensus Statement, we provide definitions of persistence phenomena, distinguish between triggered and spontaneous persistence and provide a guide to measuring persistence. Antibiotic persistence is not only an interesting example of non-genetic single-cell heterogeneity, it may also have a role in the failure of antibiotic treatments. Therefore, it is our hope that the guidelines outlined in this article will pave the way for better characterization of antibiotic persistence and for understanding its relevance to clinical outcomes.
Date Issued
2019-07
Date Acceptance
2019-04-01
Citation
Nature Reviews Microbiology, 2019, 17 (7), pp.441-448
ISSN
1740-1526
Publisher
Nature Research (part of Springer Nature)
Start Page
441
End Page
448
Journal / Book Title
Nature Reviews Microbiology
Volume
17
Issue
7
Copyright Statement
© 2019 The Authors. This article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The images or other third party material in this article are included in the article’s Creative Commons license, unless indicated otherwise in a credit line to the material. If material is not included in the article’s Creative Commons license and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this license, visit http://creativecommons.org/licenses/by/4.0/
Identifier
https://www.ncbi.nlm.nih.gov/pubmed/30980069
PII: 10.1038/s41579-019-0196-3
Subjects
Science & Technology
Life Sciences & Biomedicine
Microbiology
ESCHERICHIA-COLI K-12
PHENOTYPIC HETEROGENEITY
BACTERIAL PERSISTENCE
MOLECULAR-MECHANISMS
TOLERANCE
FREQUENCY
CELLS
SALMONELLA
INFECTIONS
RESISTANCE
0605 Microbiology
1108 Medical Microbiology
Microbiology
Publication Status
Published
Coverage Spatial
England
Date Publish Online
2019-04-12