Abstract
A fraction of otherwise antimicrobial-sensitive Bacillus subtilis cells, called persisters, are phenotypically tolerant of antimicrobial treatment. We report that, independently of B. subtilis' growth phase, transient ζ toxin expression induces a dormant state and alters cellular responses so that cells are more sensitive to antimicrobials with different modes of action. This outcome is modulated by fine tuning (p)ppGpp and GTP levels: i) in the presence of low "dysregulated" (p)ppGpp levels (as in relA (-) cells) hyper-tolerance to both toxin and antimicrobials was observed; ii) physiological or low (p)ppGpp levels (as in the wild-type, sasA (-), sasB (-) and relA (-) sasA (-) context) show a normal toxin and antimicrobial tolerance; and iii) lower levels (in relA (-) sasB (-)) or absence of (p)ppGpp (in the relA (-) sasA (-) sasB (-) context), in concert with elevated GTP levels, potentiate the efficacy of both toxin and antimicrobial action, rendering tolerance vulnerable to eradication.
Publication types
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Research Support, Non-U.S. Gov't
MeSH terms
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Anti-Bacterial Agents / pharmacology*
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Antitoxins / biosynthesis
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Antitoxins / genetics
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Bacillus subtilis / drug effects*
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Bacillus subtilis / genetics*
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Bacillus subtilis / metabolism
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Bacterial Toxins / genetics*
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Bacterial Toxins / metabolism
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Drug Resistance, Bacterial / genetics
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Gene Expression Regulation, Bacterial*
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Genes, Bacterial
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Guanosine Tetraphosphate / deficiency
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Guanosine Triphosphate / metabolism
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Microbial Sensitivity Tests
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Transcription, Genetic
Substances
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Anti-Bacterial Agents
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Antitoxins
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Bacterial Toxins
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Guanosine Tetraphosphate
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Guanosine Triphosphate
Grants and funding
The research was partially financed by the European Union (Grant Health-F3-2009-223111) and by the Ministerio de Economia y Competividad (MINECO) (BFU2012-39879-C02-01) to J.C.A., by the MINECO (BFU2012-39879-C02-02) and by the Comunidad de Madrid (CM-BIO0260-2006) to S.A. The funders had no role in study design, data collection and analysis, decision to publish, or preparation of the manuscript.