The Error-Prone Polymerase DnaE2 Mediates the Evolution of Antibiotic Resistance in Persister Mycobacterial Cells

S Salini1, Sinchana G Bhat1, Saba Naz2

  • 1Mycobacterium Research Laboratory, Rajiv Gandhi Centre for Biotechnologygrid.418917.2, Thiruvananthapuram, Kerala, India.

Insights

Bacterial persisters develop antibiotic resistance by activating the SOS response and upregulating error-prone DNA polymerase DnaE2. The drug suramin inhibits this process, offering a new strategy against bacterial drug resistance.

Area of Science:

  • Microbiology
  • Molecular Biology
  • Drug Discovery

Background:

  • Antibiotic treatment generates persister cells that survive antibiotic exposure.
  • Mycobacterial persisters develop resistance via unknown mechanisms, possibly involving oxidative stress.

Purpose of the Study:

  • To elucidate the mechanisms of de novo resistance emergence in mycobacterial persisters.
  • To identify potential therapeutic targets for combating antibiotic resistance development.

Main Methods:

  • Analysis of SOS response activation in mycobacterial persisters.
  • Investigating the role of DNA polymerase DnaE2 in mutagenesis and resistance.
  • Testing the efficacy of RecA inhibition by suramin in various bacterial species.

Main Results:

  • Mycobacterial persisters activate the SOS response, leading to DnaE2 upregulation.
  • Sustained DnaE2 expression drives mutagenesis and rapid antibiotic resistance evolution.
  • Suramin inhibits RecA, reducing persister-to-resistor conversion across diverse bacteria.

Conclusions:

  • The SOS response and DnaE2 are key drivers of antibiotic resistance in bacterial persisters.
  • Suramin demonstrates potential as a broad-spectrum agent to prevent drug resistance development.

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