Ampicillin Treatment of Intracellular Listeria monocytogenes Triggers Formation of Persistent, Drug-Resistant L-Form

Virginie Grosboillot1, Isabelle Keller1, Chantal Ernst1

  • 1Institute for Food, Nutrition and Health, Swiss Federal Institute of Technology (ETH) Zurich, Zurich, Switzerland.

Insights

Antibiotic treatment can cause Listeria monocytogenes to form dormant, resistant L-forms inside host cells. These intracellular L-forms can persist and regrow, potentially explaining infection relapses.

Area of Science:

  • Microbiology
  • Infectious Diseases
  • Cell Biology

Background:

  • Listeria monocytogenes is a dangerous foodborne pathogen causing listeriosis.
  • High mortality rates in at-risk individuals highlight the severity of L. monocytogenes infections.
  • Reported infection relapses after antibiotic treatment suggest bacterial persistence mechanisms.

Purpose of the Study:

  • To investigate the intracellular generation of antibiotic-resistant L-forms of L. monocytogenes.
  • To determine if L. monocytogenes can evade antibiotic treatment by forming dormant subpopulations.
  • To characterize the viability and proliferative capacity of intracellular L-forms.

Main Methods:

  • Infection of host cells with L. monocytogenes followed by Ampicillin treatment.
  • Detection and identification of intracellular L. monocytogenes L-forms using fluorescence in situ hybridization and confocal laser scanning microscopy.
  • Isolation of single intracellular L-form cells via micromanipulation for subsequent culture.

Main Results:

  • Intracellular generation of antibiotic-resistant L-forms of L. monocytogenes was observed after Ampicillin treatment.
  • Fluorescence in situ hybridization and confocal microscopy confirmed the presence of these L-forms within host cells.
  • Micromanipulation enabled the isolation of viable intracellular L-forms capable of regrowth in fresh medium.

Conclusions:

  • Antibiotic treatment of infected host cells can induce the formation of L-forms from intracellular L. monocytogenes.
  • Intracellular L-forms persist within host cells, representing viable bacteria.
  • These findings suggest that intracellular L-forms contribute to persistent L. monocytogenes infections and potential treatment failure.

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