The mycobacterial ATP burst is a lysis artifact and serves as an assay for drug-induced cell wall damage

Claire V Mulholland1, Bei Shi Lee2, Alexander Chong1

  • 1Department of Microbiology and Immunology, Albert Einstein College of Medicine, Bronx, NY 10461, USA.

Cell Reports
|April 24, 2026
PubMed

Insights

The "ATP burst" phenomenon in tuberculosis drug studies is an artifact of cell lysis, not a biological response. Mechanical lysis reveals true ATP levels, aiding antimycobacterial drug discovery.

Area of Science:

  • Microbiology
  • Drug Discovery
  • Tuberculosis Research

Background:

  • Cell wall targeting antibiotics are crucial for tuberculosis treatment.
  • The "ATP burst" phenomenon, an increase in bacterial ATP levels, has been observed with these drugs and linked to bacterial killing.
  • The precise mechanism behind the ATP burst and its role in drug efficacy are not fully understood.

Purpose of the Study:

  • To investigate the mechanistic basis of the observed ATP burst in mycobacteria treated with cell wall inhibitors.
  • To determine if the ATP burst is a genuine biological response or an experimental artifact.
  • To develop a more reliable method for assessing drug effects on mycobacteria.

Main Methods:

  • Utilized the BacTiter-Glo luminescence assay to measure ATP levels in mycobacteria.
  • Compared ATP measurements with and without mechanical lysis (bead beating) after drug treatment.
  • Assessed the utility of the modified assay for identifying novel cell wall-disrupting compounds and screening drug interactions.

Main Results:

  • The study demonstrates that the "ATP burst" is an experimental artifact caused by enhanced cell lysis induced by cell-wall-targeting drugs.
  • Mechanical lysis by bead beating effectively eliminates the artifact, allowing for accurate ATP level assessment.
  • The refined method serves as a functional readout for identifying compounds that disrupt the mycobacterial cell wall.

Conclusions:

  • The ATP burst is not a biological indicator of drug-induced killing but a result of experimental conditions.
  • Mechanical lysis provides a more reliable method for evaluating the effects of antimycobacterial drugs.
  • This approach offers a practical tool for advancing antimycobacterial drug discovery and understanding drug mechanisms.