Heterogeneous Flagellar Expression in Single Salmonella Cells Promotes Diversity in Antibiotic Tolerance.

Phenotypic heterogeneity among single cells in a genetically identical population leads to diverse environmental adaptation. The human and animal pathogen Salmonella enterica serovar Typhimurium exhibits heterogeneous expression of virulence genes, including flagellar and Salmonella pathogenicity island (SPI) genes. Little is known about how the differential expression of flagellar genes among single cells affects bacterial adaptation to stresses. Here, we have developed a triple-fluorescence reporter to simultaneously monitor the expression of flagellar and SPI-1 pathways. We show that the two pathways cross talk at the single-cell level. Intriguingly, cells expressing flagella (-ON) exhibit decreased tolerance to antibiotics compared to OFF cells. Such variation depends on TolC-dependent efflux pumps. We further show that -ON cells contain higher intracellular proton concentrations. This suggests that the assembly and rotation of flagella consume the proton motive force and decrease the efflux activity, resulting in antibiotic sensitivity. Such a trade-off between motility and efflux highlights a novel mechanism of antibiotic tolerance. Antibiotic resistance and tolerance pose a severe threat to human health. How bacterial pathogens acquire antibiotic tolerance is not clear. Here, we show that the human and animal pathogen Salmonella divides its population into subgroups that are different in their abilities to tolerate antibiotic treatments. In a Salmonella population that is genetically identical, some cells express flagella to move toward nutrients, while other cells do not express flagella. Interestingly, we show that Salmonella cells that do not express flagella are more tolerant to antibiotics. We have further determined the mechanism underlying such diverse responses to antibiotics. Flagellar motility uses cellular energy stored in the form of proton motive force and makes cells less efficient in pumping out toxic molecules such as antibiotics. The overall bacterial population therefore gains benefits from such diversity to quickly adapt to different environmental conditions.