4.7 Review

Ecology and evolution of antibiotic persistence

Journal

TRENDS IN MICROBIOLOGY
Volume 30, Issue 5, Pages 466-479

Publisher

CELL PRESS
DOI: 10.1016/j.tim.2021.10.001

Keywords

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Funding

  1. Research Foundation Flanders (FWO) [G0B0420N, G055517N, 1528318N, 1513120N]
  2. KU Leuven [C16/17/006]
  3. Flanders Institute for Biotechnology (VIB)
  4. FWO [12O1917N, 12O1922N, 1S86721N]

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Bacteria have multiple strategies to withstand antibiotic stress, including resistance and persistence. Persistence is influenced by ecological and evolutionary forces, and understanding this phenotype is important for developing effective antibacterial therapies.
Bacteria have at their disposal a battery of strategies to withstand antibiotic stress. Among these, resistance is a well-known mechanism, yet bacteria can also survive antibiotic attack by adopting a tolerant phenotype. In the case of persistence, only a small fraction within an isogenic population switches to this antibiotic-tolerant state. Persistence depends on the ecological niche and the genetic background of the strains involved. Furthermore, it has been shown to be under direct and indirect evolutionary pressure. Persister cells play a role in chronic infections and the development of resistance, and therefore a better understanding of this phenotype could contribute to the development of effective antibacterial therapies. In the current review, we discuss how ecological and evolutionary forces shape persistence.

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