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Updated: Apr 5, 2026

Population and Single-Cell Analysis of Antibiotic Persistence in Escherichia coli
Published on: March 24, 2023
Inhibition of stationary phase respiration impairs persister formation in E. coli
Mehmet A Orman1, Mark P Brynildsen1
1Department of Chemical and Biological Engineering, Princeton University, Princeton, New Jersy 08544, USA.
Abstract:
Bacterial persisters are rare phenotypic variants that temporarily tolerate high antibiotic concentrations. Persisters have been hypothesized to underlie the recalcitrance of biofilm infections, and strategies to eliminate these cells have the potential to improve treatment outcomes for many hospital-treated infections. Here we investigate the role of stationary phase metabolism in generation of type I persisters in Escherichia coli, which are those that are formed by passage through stationary phase. We find that persisters are unlikely to derive from bacteria with low redox activity, and that inhibition of respiration during stationary phase reduces persister levels by up to ∼1,000-fold. Loss of stationary phase respiratory activity prevents digestion of endogenous proteins and RNA, which yields bacteria that are more capable of translation, replication and concomitantly cell death when exposed to antibiotics. These findings establish bacterial respiration as a prime target for reducing the number of persisters formed in nutrient-depleted, non-growing populations.
Insights
Bacterial persisters, cells tolerant to antibiotics, are reduced when respiration is inhibited during stationary phase. This strategy prevents persister formation and antibiotic tolerance in Escherichia coli.
Area of Science:
- Microbiology
- Bacterial Physiology
- Antibiotic Resistance
Background:
- Bacterial persisters are phenotypic variants that survive high antibiotic concentrations.
- Persisters are implicated in recalcitrant biofilm infections, hindering treatment outcomes.
- Understanding persister formation is crucial for developing effective antimicrobial strategies.
Purpose of the Study:
- To investigate the role of stationary phase metabolism in the generation of type I persisters in Escherichia coli.
- To identify metabolic targets for reducing persister formation.
Main Methods:
- Culturing Escherichia coli in stationary phase.
- Inhibiting bacterial respiration during stationary phase.
- Quantifying persister levels and assessing their metabolic activity.
Main Results:
- Persisters are unlikely to originate from bacteria with low redox activity.
- Inhibition of respiration during stationary phase reduced persister levels by up to 1,000-fold.
- Loss of respiratory activity prevented endogenous digestion, enhancing translation and replication upon antibiotic exposure.
Conclusions:
- Bacterial respiration is a key factor in the formation of type I persisters.
- Targeting bacterial respiration during stationary phase can significantly reduce persister populations.
- This offers a potential strategy to improve antibiotic treatment efficacy for persistent infections.
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