Centre of Microbial and Plant Genetics, KU Leuven - University of Leuven, Kasteelpark Arenberg 20, 3001 Heverlee, Belgium.
Trends Microbiol. 2012 Dec;20(12):577-85. doi: 10.1016/j.tim.2012.08.009. Epub 2012 Sep 5.
Persister cells display tolerance to high doses of bactericidal antibiotics and typically comprise a small fraction of a bacterial population. Recently, evidence was provided for a causal link between therapy failure and the presence of persister cells in chronic infections, underscoring the need for research on bacterial persistence. A series of recent breakthroughs have shed light on the multiplicity of persister genes, the contribution of gene expression noise to persister formation, the importance of active responses to antibiotic tolerance and heterogeneity among persister cells. Moreover, the development of in vivo model systems has highlighted the clinical relevance of persistence. This review discusses these recent advances and how this knowledge fundamentally changes the way in which we will perceive the problem of antibiotic tolerance in years to come.
持留细胞对高剂量杀菌抗生素表现出耐受性,通常只占细菌群体的一小部分。最近,有证据表明慢性感染中治疗失败与持留细胞的存在之间存在因果关系,这突显了对细菌持留研究的必要性。最近的一系列突破揭示了持留基因的多样性、基因表达噪声对持留形成的贡献、对抗生素耐受性的主动反应的重要性以及持留细胞之间的异质性。此外,体内模型系统的发展突出了持留的临床相关性。本文讨论了这些最新进展,以及这些知识如何从根本上改变我们未来看待抗生素耐药性问题的方式。