The eradication of bacterial persisters with antibiotic-generated hydroxyl radical

During Mycobacterium tuberculosis infection, a population of bacteria likely becomes refractory to antibiotic killing in the absence of genotypic resistance, making treatment challenging. We describe an in vitro model capable of yielding a phenotypically antibiotic-tolerant subpopulation of cells, o...

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Main Authors: Haseley, Nathan Scott, Grant, Sarah Schmidt, Kaufmann, Benjamin B., Chand, Nikhilesh S., Hung, Deborah T.
Other Authors: Harvard University--MIT Division of Health Sciences and Technology
Format: Article
Language:en_US
Published: National Academy of Sciences (U.S.) 2013
Online Access:http://hdl.handle.net/1721.1/76727
https://orcid.org/0000-0003-2616-4030
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author Haseley, Nathan Scott
Grant, Sarah Schmidt
Kaufmann, Benjamin B.
Chand, Nikhilesh S.
Hung, Deborah T.
author2 Harvard University--MIT Division of Health Sciences and Technology
author_facet Harvard University--MIT Division of Health Sciences and Technology
Haseley, Nathan Scott
Grant, Sarah Schmidt
Kaufmann, Benjamin B.
Chand, Nikhilesh S.
Hung, Deborah T.
author_sort Haseley, Nathan Scott
collection MIT
description During Mycobacterium tuberculosis infection, a population of bacteria likely becomes refractory to antibiotic killing in the absence of genotypic resistance, making treatment challenging. We describe an in vitro model capable of yielding a phenotypically antibiotic-tolerant subpopulation of cells, often called persisters, within populations of Mycobacterium smegmatis and M. tuberculosis. We find that persisters are distinct from the larger antibiotic-susceptible population, as a small drop in dissolved oxygen (DO) saturation (20%) allows for their survival in the face of bactericidal antibiotics. In contrast, if high levels of DO are maintained, all cells succumb, sterilizing the culture. With increasing evidence that bactericidal antibiotics induce cell death through the production of reactive oxygen species (ROS), we hypothesized that the drop in DO decreases the concentration of ROS, thereby facilitating persister survival, and maintenance of high DO yields sufficient ROS to kill persisters. Consistent with this hypothesis, the hydroxyl-radical scavenger thiourea, when added to M. smegmatis cultures maintained at high DO levels, rescues the persister population. Conversely, the antibiotic clofazimine, which increases ROS via an NADH-dependent redox cycling pathway, successfully eradicates the persister population. Recent work suggests that environmentally induced antibiotic tolerance of bulk populations may result from enhanced antioxidant capabilities. We now show that the small persister subpopulation within a larger antibiotic-susceptible population also shows differential susceptibility to antibiotic-induced hydroxyl radicals. Furthermore, we show that stimulating ROS production can eradicate persisters, thus providing a potential strategy to managing persistent infections.
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spelling mit-1721.1/767272022-10-01T13:49:57Z The eradication of bacterial persisters with antibiotic-generated hydroxyl radical Haseley, Nathan Scott Grant, Sarah Schmidt Kaufmann, Benjamin B. Chand, Nikhilesh S. Hung, Deborah T. Harvard University--MIT Division of Health Sciences and Technology Haseley, Nathan Scott During Mycobacterium tuberculosis infection, a population of bacteria likely becomes refractory to antibiotic killing in the absence of genotypic resistance, making treatment challenging. We describe an in vitro model capable of yielding a phenotypically antibiotic-tolerant subpopulation of cells, often called persisters, within populations of Mycobacterium smegmatis and M. tuberculosis. We find that persisters are distinct from the larger antibiotic-susceptible population, as a small drop in dissolved oxygen (DO) saturation (20%) allows for their survival in the face of bactericidal antibiotics. In contrast, if high levels of DO are maintained, all cells succumb, sterilizing the culture. With increasing evidence that bactericidal antibiotics induce cell death through the production of reactive oxygen species (ROS), we hypothesized that the drop in DO decreases the concentration of ROS, thereby facilitating persister survival, and maintenance of high DO yields sufficient ROS to kill persisters. Consistent with this hypothesis, the hydroxyl-radical scavenger thiourea, when added to M. smegmatis cultures maintained at high DO levels, rescues the persister population. Conversely, the antibiotic clofazimine, which increases ROS via an NADH-dependent redox cycling pathway, successfully eradicates the persister population. Recent work suggests that environmentally induced antibiotic tolerance of bulk populations may result from enhanced antioxidant capabilities. We now show that the small persister subpopulation within a larger antibiotic-susceptible population also shows differential susceptibility to antibiotic-induced hydroxyl radicals. Furthermore, we show that stimulating ROS production can eradicate persisters, thus providing a potential strategy to managing persistent infections. National Human Genome Research Institute (U.S.) (Grant T32 HG002295) 2013-02-05T18:32:09Z 2013-02-05T18:32:09Z 2012-07 2012-03 Article http://purl.org/eprint/type/JournalArticle 0027-8424 1091-6490 http://hdl.handle.net/1721.1/76727 Grant, S. S. et al. “Eradication of Bacterial Persisters with Antibiotic-generated Hydroxyl Radicals.” Proceedings of the National Academy of Sciences 109.30 (2012): 12147–12152. © 2013 National Academy of Sciences https://orcid.org/0000-0003-2616-4030 en_US http://dx.doi.org/10.1073/pnas.1203735109 Proceedings of the National Academy of Sciences of the United States of America Article is made available in accordance with the publisher's policy and may be subject to US copyright law. Please refer to the publisher's site for terms of use. application/pdf National Academy of Sciences (U.S.) PNAS
spellingShingle Haseley, Nathan Scott
Grant, Sarah Schmidt
Kaufmann, Benjamin B.
Chand, Nikhilesh S.
Hung, Deborah T.
The eradication of bacterial persisters with antibiotic-generated hydroxyl radical
title The eradication of bacterial persisters with antibiotic-generated hydroxyl radical
title_full The eradication of bacterial persisters with antibiotic-generated hydroxyl radical
title_fullStr The eradication of bacterial persisters with antibiotic-generated hydroxyl radical
title_full_unstemmed The eradication of bacterial persisters with antibiotic-generated hydroxyl radical
title_short The eradication of bacterial persisters with antibiotic-generated hydroxyl radical
title_sort eradication of bacterial persisters with antibiotic generated hydroxyl radical
url http://hdl.handle.net/1721.1/76727
https://orcid.org/0000-0003-2616-4030
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