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Persistent Persister Misperceptions
1Department of Chemical Engineering, Pennsylvania State University, University Park PA, USA.
Abstract:
Persister cells survive antibiotic treatment due to their lack of metabolism, rather than through genetic change, as shown via four seminal experiments conducted by the discoverers of the phenotype (Hobby et al., 1942; Bigger, 1944). Unfortunately, over seven decades of persister cell research, the literature has been populated by misperceptions that do not withstand scrutiny. This opinion piece examines some of those misunderstandings in the literature with the hope that by shining some light on these inaccuracies, the field may be advanced and subsequent manuscripts may be reviewed more critically.
Insights
Persister cells survive antibiotics by entering a dormant, non-metabolic state, not through genetic mutations. This review clarifies historical misunderstandings about these resilient bacterial cells.
Area of Science:
- Microbiology
- Bacterial Physiology
- Antibiotic Resistance
Background:
- Persister cells are a subpopulation of microorganisms exhibiting transient resistance to antibiotics.
- Early research (Hobby et al., 1942; Bigger, 1944) indicated dormancy, not genetic alteration, as the basis for survival.
- Decades of research have introduced misperceptions regarding the mechanisms of persister cell survival.
Conclusions:
- Revisiting foundational research is crucial for correcting widespread misconceptions about persister cells.
- Accurate understanding of persister cell dormancy is essential for advancing antibiotic tolerance research.
- Critical evaluation of manuscripts is needed to prevent the perpetuation of inaccuracies in the field.
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