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Updated: Feb 5, 2026

Stress-induced Antibiotic Susceptibility Testing on a Chip
Published on: January 8, 2014
Incomplete base excision repair contributes to cell death from antibiotics and other stresses
Charley C Gruber1, Graham C Walker1
1Department of Biology, Massachusetts Institute of Technology, Cambridge, MA, 02139, United States.
Abstract:
Numerous lethal stresses in bacteria including antibiotics, thymineless death, and MalE-LacZ expression trigger an increase in the production of reactive oxygen species. This results in the oxidation of the nucleotide pool by radicals produced by Fenton chemistry. Following the incorporation of these oxidized nucleotides into the genome, the cell's unsuccessful attempt to repair these lesions through base excision repair (BER) contributes causally to the lethality of these stresses. We review the evidence for this phenomenon of incomplete BER-mediated cell death and discuss how better understanding this pathway could contribute to the development of new antibiotics.
Insights
Bacterial stresses like antibiotics increase reactive oxygen species, oxidizing nucleotides. Incomplete base excision repair (BER) of these oxidized nucleotides causes cell death, offering new antibiotic development targets.
Area of Science:
- Microbiology
- Molecular Biology
- Biochemistry
Background:
- Lethal bacterial stresses, including antibiotics and thymineless death, elevate reactive oxygen species (ROS) production.
- ROS, generated via Fenton chemistry, oxidize the intracellular nucleotide pool.
- Incorporation of oxidized nucleotides into DNA leads to genome damage.
Purpose of the Study:
- To review evidence linking incomplete base excision repair (BER) to cell death under stress.
- To explore the causal role of BER in mediating lethality from oxidative stress.
- To discuss the therapeutic potential of targeting this pathway for novel antibiotic development.
Main Methods:
- Literature review of studies on bacterial stress responses.
- Analysis of the role of reactive oxygen species and nucleotide oxidation.
- Examination of the base excision repair pathway's involvement in cell death.
Main Results:
- Oxidized nucleotides are incorporated into bacterial genomes during stress.
- Failed attempts by the base excision repair (BER) system to repair these lesions are a key factor in bacterial lethality.
- This incomplete BER-mediated cell death is a common mechanism across various lethal stresses.
Conclusions:
- Incomplete base excision repair (BER) is a significant contributor to bacterial cell death under stress.
- Understanding this pathway provides a novel target for antimicrobial drug discovery.
- Targeting BER could lead to the development of new antibiotics to combat bacterial infections.
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