7Persister cells, which are characterized by inactive metabolism and tolerance to antibiotics or 1 8 stresses, pose a significant challenge to the treatment of many persistent infections. Although 1 9 3 1(ydcX), which are two well-known persister genes while the remaining 11 novel genes (gnsA, 3 2 gnsB, ybfA, yjjQ, ymdF, yhdU, csgD, yncN, rpmF, yohJ, rbsD) have not been reported 3 3 previously. Persister levels of 7 constructed knockout mutants (ΔgnsA,Δ ybfA, Δ yjjQ, Δ yhdU, 3 4 Δ csgD, Δ yohJ andΔ rpmF) and 10 overexpression strains (gnsA, gnsB, ybfA, yjjQ, ymdF, 3 5 yhdU, csgD, rpmF, yohJ, rbsD) in E. coli uropathogenic strain UTI89 were determined upon 3 6 treatment with different cidal antibiotics (ampicillin, levofloxacin and gentamicin).
7Additionally, ranking of these overlapping genes according to their impact on persister levels 3 8 2 were also performed. Two genes (rpmF encoding 50S ribosomal subunit protein L32, and 3 9 yjjQ encoding a putative LuxR-type transcription factor) showed the most obvious phenotype 4 0 on persister levels in both knockout and overexpression studies, which suggests they are 4 1 broad and key factors for persister formation. While previous studies cannot distinguish if a 4 2 given persister gene is involved in persister formation or persister survival, our findings 4 3 clearly identify novel persister forming genes and pathways involving a ribosome protein and 4 4 a LuxR type transcription factor during the bona fide persister formation process and may 4 5 7 1 involved in type II persister formation. Fifty-three and thirty-two genes were found to have 7 2 significantly different expression in S2 and S3 compared with S1, respectively. Specially, 13 7 3 genes overlap in both comparison groups. Apart from 4 genes (gnsB, ymdF, yncN, ybfA) with 7 4 uncharacteristic functions and 2 genes (ssrA, ydcX) with definite effect on persistence (Li et 7 5 al., 2013; Islam et al., 2015), the remaining 7 overlapping genes were mapped to ribosomal 7 6 protein (rpmF), regulator of phosphatidylethanolamine synthesis (gnsA), membrane protein 7 7(yohJ, yhdU), DNA-binding transcriptional activator (csgD), transcription factor (yjjQ) and 7 8 cytoplasmic sugar-binding protein (rbsD). We confirm two genes (rpmF and yjjQ) play 7 9 crucial roles in persister formation under multiple antibiotic treatment and stress conditions. 8 0 Together, our data provide a dynamic profile of genes involved in type II persister formation 8 1 3 which leads to novel insight on bona fide mechanisms of persister formation. 8 2 Methods 8 3 Bacteria and culture conditions 8 4 E. coli K12 strain W3110 from glycerol stocks at -80 °C were 1:1000 diluted in Luria-Bertani 8 5(LB) broth (10 g Bacto-tryptone, 5 g yeast extract, and 10 g NaCl/liter) without antibiotics 8 6 and incubated at 37 °C for 16 hours. For transcriptomics, the overnight culture was diluted 8 7 1:10 5 inoculated in 3.5 liters, 2 liters and 1 liter fresh LB medium for each time point (3 hrs, 4 8 8 hrs and 5 hrs) to satisfy the quantity requirement fo...