Bacterial Drug Persisters: Basis, Regulatory Events, and Role in Pathogenesis

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Department of Microbiology, University of Wisconsin-La, Crosse, 1725 State St., La Crosse, WI 54601, USA
Interests: drug discovery; Staphylococcus aureus; uropathogenic Escherichia coli; biofilms; drug persisters; bacterial regulatory systems
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Special Issue Information

Dear Colleagues,

This Special Issue will examine bacterial drug persistence, a phenomenon where the bacteria are able to survive in the presence of an otherwise lethal dose of an antibiotic without the development of resistance. Topics covered in this issue will include the basis of drug persistence, differences associated with drug persistence, and characterizing bacterial drug persisters. It also includes regulation of genes that may be tied to persistence, as well as pathogenesis if there is a possible connection to persister cells.

Professor Dr. William Schwan
Guest Editor

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Keywords

  • bacteria

  • drug persisters

  • antibiotics

  • antibacterials

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Published Papers (1 paper)

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Review

19 pages, 745 KiB  
Review
Antibiotic Persistence as a Metabolic Adaptation: Stress, Metabolism, the Host, and New Directions
by Damien J. Cabral, Jenna I. Wurster and Peter Belenky
Pharmaceuticals 2018, 11(1), 14; https://doi.org/10.3390/ph11010014 - 1 Feb 2018
Cited by 61 | Viewed by 9162
Abstract
Persistence is a phenomenon during which a small fraction of a total bacterial population survives treatment with high concentrations of antibiotics for an extended period of time. In conjunction with biofilms, antibiotic persisters represent a major cause of recalcitrant and recurring infections, resulting [...] Read more.
Persistence is a phenomenon during which a small fraction of a total bacterial population survives treatment with high concentrations of antibiotics for an extended period of time. In conjunction with biofilms, antibiotic persisters represent a major cause of recalcitrant and recurring infections, resulting in significant morbidity and mortality. In this review, we discuss the clinical significance of persister cells and the central role of bacterial metabolism in their formation, specifically with respect to carbon catabolite repression, sugar metabolism, and growth regulation. Additionally, we will examine persister formation as an evolutionary strategy used to tolerate extended periods of stress and discuss some of the response mechanisms implicated in their formation. To date, the vast majority of the mechanistic research examining persistence has been conducted in artificial in vitro environments that are unlikely to be representative of host conditions. Throughout this review, we contextualize the existing body of literature by discussing how in vivo conditions may create ecological niches that facilitate the development of persistence. Lastly, we identify how the development of next-generation sequencing and other “big data” tools may enable researchers to examine persistence mechanisms within the host to expand our understanding of their clinical importance. Full article
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