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Updated: Mar 16, 2026

Stress-induced Antibiotic Susceptibility Testing on a Chip
Published on: January 8, 2014
Systematically Altering Bacterial SOS Activity under Stress Reveals Therapeutic Strategies for Potentiating
Charlie Y Mo1, Sara A Manning2, Manuela Roggiani3
1Biochemistry and Molecular Biophysics Graduate Group, Perelman School of Medicine at the University of Pennsylvania, Philadelphia, Pennsylvania, USA; Department of Medicine, Perelman School of Medicine at the University of Pennsylvania, Philadelphia, Pennsylvania, USA; Department of Biochemistry and Biophysics, Perelman School of Medicine at the University of Pennsylvania, Philadelphia, Pennsylvania, USA.
Targeting the bacterial SOS response with LexA or RecA inhibitors can enhance antibiotic effectiveness. Combining SOS inhibitors with DNA-damaging antibiotics shows promise for reducing bacterial resistance and improving treatment outcomes.
Area of Science:
- Microbiology
- Bacterial genetics
- Drug resistance
Background:
- The bacterial SOS response is a DNA repair network crucial for survival and acquired drug resistance under antimicrobial stress.
- LexA and RecA are key regulators of the SOS response, making them potential targets for adjuvant therapies against antibiotic resistance.
- Uncertainty remains regarding the optimal strategy for targeting the SOS response, including whether hyperactivation is beneficial or which regulator (LexA or RecA) is a better target.
Purpose of the Study:
- To comprehensively assess the impact of modulating SOS response activity on bacterial susceptibility to various antimicrobials.
- To determine the relative efficacy of targeting LexA versus RecA for combating antibiotic resistance.
- To identify optimal antimicrobial partners for SOS-targeting adjuvant therapies.
Main Methods:
- Generated Escherichia coli strains with mutations in lexA or recA to achieve a full spectrum of SOS activity levels.
- Systematically analyzed the effects of various antimicrobials on these strains by measuring mean inhibitory concentrations (MICs) and induced mutation rates.
- Compared the impact of repressed versus hyperactivated SOS responses on antimicrobial efficacy.
Main Results:
- Significant changes in MICs were primarily observed with DNA-damaging antibiotics, with repressed SOS responses showing greater susceptibility.
- Antibiotic-induced mutation rates were suppressed across a broader range of antibiotics when SOS activity was reduced.
- Targeting either LexA or RecA demonstrated comparable viability as strategies for modulating the SOS response.
Conclusions:
- Perturbing the SOS response, by targeting either LexA or RecA, is a viable strategy to increase bacterial susceptibility and reduce mutagenesis.
- Combining SOS inhibitors with DNA-damaging antibiotics may be the most effective approach for lowering MICs and decreasing acquired drug resistance.
- This study provides evidence supporting multiple adjuvant strategies for combating antibiotic resistance by targeting the bacterial SOS pathway.
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