2017
DOI: 10.1016/j.copbio.2017.02.012
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Bacterial persistence from a system-level perspective

Abstract: In recent years, our understanding about bacterial persistence has significantly advanced: we comprehend the persister phenotype better, more triggers for persistence entry have been found, and more insights in the involvement and role of toxin-antitoxin systems and other molecular mechanisms have been unravelled. In this review, we attempt to put these findings into an integrated, system-level perspective. From this point of view, persistence can be seen as a response to a strong perturbation of metabolic hom… Show more

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Cited by 52 publications
(55 citation statements)
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“…These mechanisms involve the general stringent response, a strongly regulated process governed by the alternative sigma factor RpoS (35) up-regulated by the accumulation of hyperphosphorylated guanine nucleotides, as the "alarmone" (p)ppGpp (37)(38)(39). That regulation might in fact reflect the metabolism of persisters which is oriented toward energy production, with depleted metabolite fluxes, which perpetuates the slow growth (12,40).…”
Section: Discussionmentioning
confidence: 99%
See 1 more Smart Citation
“…These mechanisms involve the general stringent response, a strongly regulated process governed by the alternative sigma factor RpoS (35) up-regulated by the accumulation of hyperphosphorylated guanine nucleotides, as the "alarmone" (p)ppGpp (37)(38)(39). That regulation might in fact reflect the metabolism of persisters which is oriented toward energy production, with depleted metabolite fluxes, which perpetuates the slow growth (12,40).…”
Section: Discussionmentioning
confidence: 99%
“…First, they may have exhausted the locally available resources; thus modified their environment so their populations are at or near stationary phase (2)(3)(4)(5)(6). Second, although local nutrients may be sufficient for their replication, for hosts treated with bactericidal drugs these bacteria may be minority populations of physiologically refractory survivors, the so-called "persisters" (7)(8)(9)(10)(11)(12)(13). Third, the offending bacteria may be non-replicating because of exposure to bacteriostatic antibiotics, a state we shall refer to as antibiotic-induced stasis.…”
Section: Introductionmentioning
confidence: 99%
“…For example, addition of metabolic stimuli that promote an increase in proton-motive force by the oxidative electron transport chain triggers the uptake of aminoglycoside antibiotics in persister cells, thereby enhancing persister killing [27]. These observations indicate that persisters retain a distinct -and active -metabolic state, and highlight the importance of metabolism for persistence [6,29]. …”
Section: Introductionmentioning
confidence: 99%
“…OxidizeME represents another step in this direction. There is increasing recognition that microbial stress response plays an important role in infectious disease and antibiotic tolerance [7,8]. Stress-ME models (FoldME, OxidizeME, etc.)…”
Section: Discussionmentioning
confidence: 99%