Persistent bacterial infections and persister cells
Abstract
Many bacteria can infect and persist inside their hosts for long periods of time. This can be due to immunosuppression of the host, immune evasion by the pathogen and/or ineffective killing by antibiotics. Bacteria can survive antibiotic treatment if they are resistant or tolerant to a drug. Persisters are a subpopulation of transiently antibiotic-tolerant bacterial cells that are often slow-growing or growth-arrested, and are able to resume growth after a lethal stress. The formation of persister cells establishes phenotypic heterogeneity within a bacterial population and has been hypothesized to be important for increasing the chances of successfully adapting to environmental change. The presence of persister cells can result in the recalcitrance and relapse of persistent bacterial infections, and it has been linked to an increase in the risk of the emergence of antibiotic resistance during treatment. If the mechanisms of the formation and regrowth of these antibiotic-tolerant cells were better understood, it could lead to the development of new approaches for the eradication of persistent bacterial infections. In this Review, we discuss recent developments in our understanding of bacterial persisters and their potential implications for the treatment of persistent infections.
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Bacterial drug persistence is transient and mediated by phenotypic plasticity rather than genetic alterations.
“demonstrating that bacterial drug persistence is transient and mediated by phenotypic plasticity rather than genetic alterations (Figure 2A) [31,32].”
From Emerging Insights into Targeted Therapy-Tolerant Persister Cells in Cancer (2021) · cites this paper as [32]
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<i>Aspergillus fumigatus</i> Can Display Persistence to the Fungicidal Drug Voriconazole
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- Authors
- Fisher, R. A., Gollan, B., & Helaine, S.
- Affiliations
- Imperial College London (GB)
- ORCID
- Fisher, Robert A.
- Venue
- Nature Reviews Microbiology
- Published
- 2017-05-22
- Volume
- 15
- Issue
- 8
- Pages
- 453-464
- ISSN
- 1740-1526 (ISSN-L)
- 1740-1534
- OpenAlex
- W2620525720
- Cited by
- 1,243
- References
- 155
- Citations by year
- 2026: 138 · 2025: 163 · 2024: 162 · 2023: 161 · 2022: 157 · 2021: 144 · 2020: 131 · 2019: 97 · 2018: 81 · 2017: 9
- FWCI
- 11.18
- Type
- journal article
- Language
- en
- Open access
- closed
- Licence
- www.springer.com/tdm (tdm)
- Locations
- Nature Reviews Microbiology (publishedVersion)
- PubMed (publishedVersion)
- Spiral (Imperial College London) (submittedVersion)
- Funders
- Medical Research Council (MR/J006874/1, MR/M009629/1)
- Topics
- Life Sciences › Biochemistry, Genetics and Molecular Biology › Genetics › Bacterial Genetics and Biotechnology
- Life Sciences › Biochemistry, Genetics and Molecular Biology › Molecular Biology › Bacterial biofilms and quorum sensing
- Health Sciences › Medicine › Infectious Diseases › Antimicrobial Resistance in Staphylococcus
- Keywords
- persister cells, persistent bacterial infection, antibiotic tolerance, antibiotic resistance, phenotypic heterogeneity, immune evasion, immunosuppression, relapse, growth arrest
- MeSH terms
- Anti-Bacterial Agents, Bacteria, Bacterial Infections, Humans, Drug Resistance, Multiple, Bacterial
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