Understanding and Sensitizing Density-Dependent Persistence to Quinolone Antibiotics

Autor: Saloni R. Jain, Michael A. Lobritz, Arnaud Gutierrez, Meagan Hamblin, James J. Collins, Prerna Bhargava
Přispěvatelé: Institute for Medical Engineering and Science, Massachusetts Institute of Technology. Department of Biological Engineering, Gutierrez, Arnaud, Jain, Saloni R., Saluja, Prerna Bhargava, Lobritz, Michael Andrew, Collins, James J.
Rok vydání: 2017
Předmět:
Zdroj: Elsevier
ISSN: 1097-4164
Popis: Physiologic and environmental factors can modulate antibiotic activity and thus pose a significant challenge to antibiotic treatment. The quinolone class of antibiotics, which targets bacterial topoisomerases, fails to kill bacteria that have grown to high density; however, the mechanistic basis for this persistence is unclear. Here, we show that exhaustion of the metabolic inputs that couple carbon catabolism to oxidative phosphorylation is a primary cause of growth phase-dependent persistence to quinolone antibiotics. Supplementation of stationary-phase cultures with glucose and a suitable terminal electron acceptor to stimulate respiratory metabolism is sufficient to sensitize cells to quinolone killing. Using this approach, we successfully sensitize high-density populations of Escherichia coli, Staphylococcus aureus, and Mycobacterium smegmatis to quinolone antibiotics. Our findings link growth-dependent quinolone persistence to discrete impairments in respiratory metabolism and identify a strategy to kill non-dividing bacteria. Gutierrez et al. show that activation of cellular respiration is sufficient to sensitize antibiotic refractory bacteria at high densities to drugs targeting DNA topoisomerases. This suggests that the nutrient environment and metabolic state are key components of bacterial persistence phenotypes. Keywords: quinolones; drug persistence; antibiotic; oxidative phosphorylation
Defense Threat Reduction Agency (DTRA) (Grant HDTRA1-15-1-0051)
Databáze: OpenAIRE