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Bacterial Persister Cell Formation and Dormancy

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TLDR
It is concluded that the best model for persister cells is still dormancy, with the latest mechanistic studies shedding light on how cells reach this dormant state.
Abstract
Bacterial cells may escape the effects of antibiotics without undergoing genetic change; these cells are known as persisters. Unlike resistant cells that grow in the presence of antibiotics, persister cells do not grow in the presence of antibiotics. These persister cells are a small fraction of exponentially growing cells (due to carryover from the inoculum) but become a significant fraction in the stationary phase and in biofilms (up to 1%). Critically, persister cells may be a major cause of chronic infections. The mechanism of persister cell formation is not well understood, and even the metabolic state of these cells is debated. Here, we review studies relevant to the formation of persister cells and their metabolic state and conclude that the best model for persister cells is still dormancy, with the latest mechanistic studies shedding light on how cells reach this dormant state.

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Molecular mechanisms of biofilm-based antibiotic resistance and tolerance in pathogenic bacteria

TL;DR: This review summarises both historical and recent scientific data in support of the known biofilm resistance and tolerance mechanisms and suggestions for future work in the field are provided.
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Antibiotic resistance in Pseudomonas aeruginosa: mechanisms and alternative therapeutic strategies

TL;DR: The mechanism of antibiotic resistance in P. aeruginosa is a recently characterized mechanism, which includes biofilm-mediated resistance and formation of multidrug-tolerant persister cells, and is responsible for recalcitrance and relapse of infections.
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The importance of the viable but non-culturable state in human bacterial pathogens.

TL;DR: The characteristics of VBNC cells, including the similarities and differences to viable, culturable cells and dead cells, and different detection methods are discussed, and their potential influence on human health is reviewed.
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An overview of the antimicrobial resistance mechanisms of bacteria

TL;DR: Understanding more about the mechanisms of resistance should hopefully lead to better treatment options for infective diseases, and development of antimicrobial drugs that can withstand the microorganisms attempts to become resistant.
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Bacterial Biofilm Eradication Agents: A Current Review.

TL;DR: The current understanding of biofilm antibiotic tolerance mechanisms is reviewed and an overview ofBiofilm remediation strategies is provided, focusing primarily on the most promising biofilm eradication agents and approaches.
References
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Journal ArticleDOI

Bacterial Persistence as a Phenotypic Switch

TL;DR: Investigating the persistence of single cells of Escherichia coli with the use of microfluidic devices found phenotypic switching occurred between normally growing cells and persister cells having reduced growth rates, leading to a simple mathematical description of the persistence switch.
Journal ArticleDOI

Persister cells, dormancy and infectious disease

TL;DR: The molecular mechanisms that underlie the formation of dormant persister cells are now being unravelled and are the focus of this Review.
Journal ArticleDOI

Persister cells and tolerance to antimicrobials.

TL;DR: The data indicate that persisters are specialized survivor cells that are not at a particular stage in the cell cycle, neither are they defective cells nor cells created in response to antibiotics.
Journal ArticleDOI

Signal transduction and regulatory mechanisms involved in control of the sigma(S) (RpoS) subunit of RNA polymerase.

TL;DR: This review summarizes the current knowledge about the molecular functions and interactions of the σS subunit of RNA polymerase and tries to establish a framework for further research on the mode of multiple signal input into this complex regulatory system.
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