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杀菌抗生素治疗李斯特菌持续亚群存活。

Survival of bactericidal antibiotic treatment by a persister subpopulation of Listeria monocytogenes.

机构信息

Department of Systems Biology, Technical University of Denmark, Lyngby, Denmark.

出版信息

Appl Environ Microbiol. 2013 Dec;79(23):7390-7. doi: 10.1128/AEM.02184-13. Epub 2013 Sep 20.

Abstract

Listeria monocytogenes can cause the serious infection listeriosis, which despite antibiotic treatment has a high mortality. Understanding the response of L. monocytogenes to antibiotic exposure is therefore important to ensure treatment success. Some bacteria survive antibiotic treatment by formation of persisters, which are a dormant antibiotic-tolerant subpopulation. The purpose of this study was to determine whether L. monocytogenes can form persisters and how bacterial physiology affects the number of persisters in the population. A stationary-phase culture of L. monocytogenes was adjusted to 10(8) CFU ml(-1), and 10(3) to 10(4) CFU ml(-1) survived 72-h treatment with 100 μg of norfloxacin ml(-1), indicating a persister subpopulation. This survival was not caused by antibiotic resistance as regrown persisters were as sensitive to norfloxacin as the parental strain. Higher numbers of persisters (10(5) to 10(6)) were surviving when older stationary phase or surface-associated cells were treated with 100 μg of norfloxacin ml(-1). The number of persisters was similar when a ΔsigB mutant and the wild type were treated with norfloxacin, but the killing rate was higher in the ΔsigB mutant. Dormant norfloxacin persisters could be activated by the addition of fermentable carbohydrates and subsequently killed by gentamicin; however, a stable surviving subpopulation of 10(3) CFU ml(-1) remained. Nitrofurantoin that has a growth-independent mode of action was effective against both growing and dormant cells, suggesting that eradication of persisters is possible. Our study adds L. monocytogenes to the list of bacterial species capable of surviving bactericidal antibiotics in a dormant stage, and this persister phenomenon should be borne in mind when developing treatment regimens.

摘要

李斯特菌可引起严重的李斯特菌病感染,尽管进行了抗生素治疗,但其死亡率仍然很高。因此,了解李斯特菌对抗生素暴露的反应对于确保治疗成功非常重要。一些细菌通过形成休眠的抗生素耐药亚群——持久菌来存活抗生素治疗。本研究旨在确定李斯特菌是否能够形成持久菌,以及细菌生理学如何影响群体中的持久菌数量。将李斯特菌的静止期培养物调整至 10(8)CFU ml(-1),然后将 10(3)至 10(4)CFU ml(-1)在 100μg/ml 的诺氟沙星中处理 72 小时后存活,表明存在持久菌亚群。这种存活不是由于抗生素耐药性引起的,因为重新生长的持久菌与亲本菌株一样对诺氟沙星敏感。当用 100μg/ml 的诺氟沙星处理较老的静止期或表面相关细胞时,存活的持久菌数量(10(5)至 10(6))更高。当用诺氟沙星处理ΔsigB 突变体和野生型时,持久菌的数量相似,但在ΔsigB 突变体中,杀菌率更高。休眠的诺氟沙星持久菌可以通过添加可发酵的碳水化合物来激活,随后用庆大霉素杀死;然而,仍存在 10(3)CFU ml(-1)的稳定存活亚群。具有非生长依赖性作用模式的呋喃妥因对生长和休眠细胞均有效,这表明消除持久菌是可能的。我们的研究将李斯特菌添加到能够在休眠阶段存活杀菌抗生素的细菌物种列表中,在制定治疗方案时应考虑到这种持久菌现象。

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