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Updated: Jan 25, 2026

Population and Single-Cell Analysis of Antibiotic Persistence in Escherichia coli
Published on: March 24, 2023
Demonstration of the phenomena of microbial persistence and reversion with bacterial L-forms in human embryonic
Abstract:
A series of experiments was undertaken in which human embryonic kidney (HEK) fibroblasts were infected with either relatively stable or stable L-forms of Streptococcus faecalis. The infected cells were maintained by splitting over long periods (1 to 2 months) while samples were withdrawn for culture and electron microscopic studies. Relatively stable S. faecalis L-forms could be cultured from infected cells only during the first week after infection, although L-form-like material was frequently detected at later periods by electron microscopy. HEK cells continued to proliferate and showed no gross histopathology until reversion occurred. At reversion, electron microscopy revealed the presence of intracellular L-forms, transitional variants, and intra- and extracellular bacterial forms. Unlike relatively stable L-forms, stable L-forms were culturable throughout the experimental period. These experiments demonstrate the phenomena of persistence and reversion in vitro. Electron microscopy indicated that the L-forms entered the HEK cells, where they underwent morphological changes. Observations suggested that these altered L-forms (elementary bodies) persisted in the cell until reversion to the parent bacterial form was triggered. Infected cells, when treated with L-form antiserum and stained with fluorescein-conjugated goat anti-rabbit serum, were consistently positive regardless of cultural findings.
Insights
Streptococcus faecalis L-forms can persist within human embryonic kidney cells, undergoing morphological changes and potentially reverting to bacterial forms. Stable L-forms remained culturable, demonstrating in vitro persistence and reversion phenomena.
Area of Science:
- Microbiology
- Cell Biology
- Bacterial Pathogenesis
Background:
- L-forms are cell-wall-deficient variants of bacteria.
- Understanding bacterial persistence and reversion is crucial for infectious disease research.
Purpose of the Study:
- To investigate the in vitro persistence and reversion of Streptococcus faecalis L-forms in human embryonic kidney cells.
- To characterize the morphological changes and culturability of L-forms within host cells over time.
Main Methods:
- Infection of human embryonic kidney (HEK) fibroblasts with stable and relatively stable Streptococcus faecalis L-forms.
- Long-term cell culture (1-2 months) with serial sampling.
- Bacterial culturing and electron microscopy for morphological analysis.
- Immunofluorescence staining with L-form antiserum.
Main Results:
- Relatively stable L-forms were culturable only during the first week, though L-form-like material persisted.
- Stable L-forms were culturable throughout the experimental period.
- Electron microscopy revealed intracellular L-forms, transitional forms, and reversion to bacterial forms at later stages.
- Infected cells showed positive immunofluorescence regardless of culturability.
Conclusions:
- Demonstrates in vitro phenomena of bacterial L-form persistence and reversion within host cells.
- Suggests L-forms can undergo morphological changes (elementary bodies) and persist intracellularly before reverting.
- Highlights the potential for L-forms to evade culturing-based detection while remaining viable within cells.
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