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Updated: Apr 1, 2026

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Published on: February 23, 2021
Hypoionic shock treatment enables aminoglycosides antibiotics to eradicate bacterial persisters
Liu Jiafeng1, Xinmiao Fu1,2, Zengyi Chang1,2
1State Key Laboratory of Protein and Plant Gene Research, School of Life Sciences, Peking University, Beijing 100871, China.
Abstract:
Bacterial persisters, usually being considered as dormant cells that are tolerant to antibiotics, are an important source for recurrent infection and emergence of antibiotic resistant pathogens. Clinical eradication of pathogenic persisters is highly desired but greatly difficult mainly due to the substantial reduction in antibiotics uptake as well as the non-active state of the drug targets. Here we report that bacterial persisters (normal growing cells as well) can be effectively eradicated by aminoglycoside antibiotics upon hypoionic shock (e.g. pure water treatment) even for less than one minute. Such hypoionic shock potentiation effect on aminoglycosides is proton motive force-independent, and is apparently achieved by promoting the entrance of aminoglycosides, speculatively through the mechanosensitive ion channels. Our revelations may provide a simple and powerful strategy to eradicate pathogen persisters.
Insights
Bacterial persisters can be eradicated by aminoglycoside antibiotics combined with a brief hypoionic shock. This simple strategy enhances antibiotic entry, offering a new approach to combat recurrent infections and antibiotic resistance.
Area of Science:
- Microbiology
- Infectious Diseases
- Drug Discovery
Background:
- Bacterial persisters are dormant cells tolerant to antibiotics, contributing to recurrent infections and antibiotic resistance.
- Eradicating persisters is challenging due to reduced antibiotic uptake and inactive drug targets in these cells.
Purpose of the Study:
- To investigate a novel strategy for eradicating bacterial persisters.
- To determine if hypoionic shock can potentiate aminoglycoside antibiotic efficacy against persisters.
Main Methods:
- Treatment of bacterial persisters with aminoglycoside antibiotics.
- Application of hypoionic shock (pure water treatment) for short durations.
- Assessment of antibiotic efficacy and bacterial eradication.
Main Results:
- Hypoionic shock significantly enhanced the eradication of bacterial persisters by aminoglycoside antibiotics.
- Effective eradication was achieved within one minute of hypoionic shock treatment.
- The potentiation effect was independent of proton motive force, suggesting mechanosensitive ion channels may be involved.
Conclusions:
- A brief hypoionic shock is a simple and powerful strategy to potentiate aminoglycoside antibiotics for eradicating bacterial persisters.
- This approach offers a promising method to combat recurrent infections and the emergence of antibiotic-resistant pathogens.
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