Evidence map›Paper›PMID 15793130›Full record

ArticleAntimicrobial agents and chemotherapy2005

Phenotypic tolerance: antibiotic enrichment of noninherited resistance in bacterial populations.

C Wiuff, R M Zappala, R R Regoes, K N Garner, F Baquero, B R Levin

Open access · greenAbstract read
In one paragraph

Article in Antimicrobial agents and chemotherapy, 2005. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 95 papers.

0numbers the graph read from it
0cells of the map it votes in
95citing papers in PubMed
7.6field-weighted citation impact, top 2% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

95 citing papers in PubMed, 217 citations in OpenAlex.

  1. Review
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  13. Proteomic analysis of the initial wake up of vibrio splendidus persister cells.World journal of microbiology & biotechnology · 2023
    Article
  14. Genome Analysis ofPathogens (Basel, Switzerland) · 2023
    Article
  15. Article
  16. Antimicrobial Efficacy against Antibiotic-TolerantAntibiotics (Basel, Switzerland) · 2022
    Article
  17. Article
  18. Are all antibiotic persisters created equal?Frontiers in cellular and infection microbiology · 2022
    Review
  19. Enzymatic Activity and Horizontal Gene Transfer of Heavy Metals and Antibiotic ResistantThe Canadian journal of infectious diseases & medical microbiology = Journal canadien des maladies infectieuses et de la microbiologie medicale · 2022
    Article
  20. Article

35 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors at 2 institutions in 2 countries.

C WiuffDepartment of Biology, Emory University, 1510 Clifton Rd., Atlanta, Georgia 30322, USA. cwiuff@emory.edu
R M Zappala
R R Regoes
K N Garner
F Baquero
B R Levin
Emory University · USInstituto Cajal · ES

Funding

MEDICAL SCIENTIST TRAINING PROGRAMT32GM008169 · NIGMS · EMORY UNIVERSITY · PI GROSS, ROBERT E · 1987 to 2021
$20.3M
POPULATION GENETICS &EVOLUTION OF ANTIBIOTIC RESISTANCER01AI040662 · NIAID · EMORY UNIVERSITY · PI LEVIN, BRUCE RICHARD · 1997 to 2008
$1.1M
POPULATION BIOLOGY OF BACTERIAL VIRUSES AND PLASMIDSR01GM033782 · NIGMS · UNIVERSITY OF MASSACHUSETTS AMHERST · PI LEVIN, BRUCE RICHARD · 1985 to 2002
$744k
NIAID NIH HHS AI40662NIAID NIH HHS R01 AI040662NIGMS NIH HHS GM33782NIGMS NIH HHS R01 GM033782NIGMS NIH HHS T32 GM008169
6 · The paper itself

Abstract

When growing bacteria are exposed to bactericidal concentrations of antibiotics, the sensitivity of the bacteria to the antibiotic commonly decreases with time, and substantial fractions of the bacteria survive. Using Escherichia coli CAB1 and antibiotics of five different classes (ampicillin, ciprofloxacin, rifampin, streptomycin, and tetracycline), we examine the details of this phenomenon and, with the aid of mathematical models, develop and explore the properties and predictions of three hypotheses that can account for this phenomenon: (i) antibiotic decay, (ii) inherited resistance, and (iii) phenotypic tolerance. Our experiments cause us to reject the first two hypotheses and provide evidence that this phenomenon can be accounted for by the antibiotic-mediated enrichment of subpopulations physiologically tolerant to but genetically susceptible to these antibiotics, phenotypic tolerance. We demonstrate that tolerant subpopulations generated by exposure to one concentration of an antibiotic are also tolerant to higher concentrations of the same antibiotic and can be tolerant to antibiotics of the other four types. Using a mathematical model, we explore the effects of phenotypic tolerance to the microbiological outcome of antibiotic treatment and demonstrate, a priori, that it can have a profound effect on the rate of clearance of the bacteria and under some conditions can prevent clearance that would be achieved in the absence of tolerance.

Indexed as

Drug Resistance, BacterialDrug ToleranceAnti-Bacterial AgentsColony Count, MicrobialComputer SimulationCulture MediaEscherichia coliHumansMicrobial Sensitivity TestsModels, BiologicalPhenotypeAnti-Bacterial AgentsCulture Media

Identifiers

PMID15793130
PMCPMC1068602
OpenAlexW2098092466

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.