Persistent bacterial infections and persister cells
Author(s)
Fisher, RA
Gollan, B
Helaine, S
Type
Journal Article
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.
Date Issued
2017-05-22
Date Acceptance
2017-05-01
Citation
Nature Reviews Microbiology, 2017, 15 (8), pp.453-464
ISSN
1740-1526
Publisher
Nature Publishing Group
Start Page
453
End Page
464
Journal / Book Title
Nature Reviews Microbiology
Volume
15
Issue
8
Copyright Statement
Copyright © 2017, Rights Managed by Nature Publishing Group
Sponsor
Medical Research Council (MRC)
Medical Research Council (MRC)
Medical Research Council (MRC)
MRC
Grant Number
MR/J006874/1B
MR/M009629/1
MR/M009629/1
MRC
Subjects
Science & Technology
Life Sciences & Biomedicine
Microbiology
TOXIN-ANTITOXIN SYSTEMS
STAPHYLOCOCCUS-AUREUS BACTEREMIA
PSEUDOMONAS-AERUGINOSA BIOFILMS
HELICOBACTER-PYLORI INFECTION
ESCHERICHIA-COLI
ANTIBIOTIC TOLERANCE
STRESS-RESPONSE
MYCOBACTERIUM-TUBERCULOSIS
MULTIDRUG TOLERANCE
TRANSFER-RNA
Publication Status
Published