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代谢通路中的噪声导致结核分枝杆菌形成持留菌。

Noise in a Metabolic Pathway Leads to Persister Formation in Mycobacterium tuberculosis.

机构信息

Antimicrobial Discovery Center, Department of Biology, Northeastern University, Boston, Massachusetts, USA.

出版信息

Microbiol Spectr. 2022 Oct 26;10(5):e0294822. doi: 10.1128/spectrum.02948-22. Epub 2022 Oct 4.

Abstract

Tuberculosis is difficult to treat due to dormant cells formed in response to immune stress and stochastically formed persisters, both of which are tolerant of antibiotics. Bactericidal antibiotics kill by corrupting their energy-dependent targets. We reasoned that stochastic variation, or noise, in the expression of an energy-generating component will produce rare persister cells. In sorted M. tuberculosis cells grown on acetate, there is considerable cell-to-cell variation in the level of mRNA coding for AckA, the acetate kinase. Quenching the noise by overexpressing sharply decreases persisters, showing that it acts as the main persister gene under these conditions. This demonstrates that a low energy mechanism is responsible for the formation of M. tuberculosis persisters. Entrance into a low-energy state driven by noise in expression of energy-producing enzymes is likely a general mechanism by which bacteria produce persisters. M. tuberculosis infection requires the administration of multiple antibiotics for a prolonged period of time. Treatment difficulty is generally attributed to M. tuberculosis entrance into a nonreplicative, antibiotic-tolerant state. M. tuberculosis enters this nonreplicative state in response to immune stress. However, a small population of cells enter a nonreplicative, multidrug-tolerant state under normal growth conditions, absent any stress. These cells are termed persisters. The mechanisms by which persisters enter a nonreplicative state are largely unknown. Here, we show that, as with other bacteria, M. tuberculosis persisters are low-energy cells formed stochastically during normal growth. Additionally, we identify the natural variation in the expression of energy producing genes as a source of the stochastic entrance of M. tuberculosis into the low-energy persister state. These findings have important implications for understanding the heterogeneous nature of M. tuberculosis infection and will aid in designing better treatment regimens against this important human pathogen.

摘要

结核病难以治疗,是因为细胞在受到免疫压力和随机形成的持续存在菌时会进入休眠状态,这两者对抗生素都具有耐受性。杀菌抗生素通过破坏其依赖能量的靶标而致死。我们推测,能量产生成分表达的随机变化或噪声会产生罕见的持续存在菌。在醋酸盐上生长的分离的结核分枝杆菌细胞中,编码醋酸激酶 AckA 的 mRNA 的水平存在相当大的细胞间变化。通过过表达 来抑制噪声,会显著减少持续存在菌,表明在这些条件下它是主要的持续存在菌基因。这表明低能量机制是结核分枝杆菌持续存在菌形成的原因。由产生能量酶的表达噪声驱动的进入低能量状态很可能是细菌产生持续存在菌的一般机制。结核分枝杆菌感染需要长时间给予多种抗生素。治疗困难通常归因于结核分枝杆菌进入非复制、抗生素耐受状态。结核分枝杆菌在受到免疫压力时进入这种非复制状态。然而,在正常生长条件下,即使没有任何压力,一小部分细胞也会进入非复制、多药耐受状态。这些细胞被称为持续存在菌。持续存在菌进入非复制状态的机制在很大程度上尚不清楚。在这里,我们表明,与其他细菌一样,结核分枝杆菌持续存在菌是在正常生长过程中随机形成的低能量细胞。此外,我们将产生能量的基因表达的自然变化确定为结核分枝杆菌进入低能量持续存在菌状态的随机入口的来源。这些发现对于理解结核分枝杆菌感染的异质性具有重要意义,并将有助于设计针对这种重要人类病原体的更好的治疗方案。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5e1b/9602276/9a903fbf7206/spectrum.02948-22-f001.jpg

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