Evidence map›Paper›PMID 25136970›Full record

ArticlePLoS biology2014

Bistable expression of virulence genes in salmonella leads to the formation of an antibiotic-tolerant subpopulation.

Markus Arnoldini, Ima Avalos Vizcarra, Rafael Peña-Miller, Nicolas Stocker, Médéric Diard, Viola Vogel, Robert E Beardmore, Wolf-Dietrich Hardt, Martin Ackermann

Abstract read
In one paragraph

Article in PLoS biology, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 119 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
119citing papers in PubMed, 1 pooled it
–field-weighted citation impact
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

119 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Article
  3. Article
  4. Review
  5. Characterization of Antibiotic-Tolerant Persister Cells inAnimals : an open access journal from MDPI · 2026
    Article
  6. Article
  7. Article
  8. Fast, StreamlinedChemical & biomedical imaging · 2026
    Article
  9. Exploring bet-hedging inmSystems · 2026
    Article
  10. Glycerol-Driven Energy and Proteostasis Underpin Antibiotic Tolerance inbioRxiv : the preprint server for biology · 2026
    Article
  11. Review
  12. Regulator-derived growth and fitness costs ofbioRxiv : the preprint server for biology · 2026
    Article
  13. Article
  14. Review
  15. Article
  16. Article
  17. Article
  18. Article
  19. Epigenetic cellular memory inProceedings of the National Academy of Sciences of the United States of America · 2025
    Article
  20. Article

59 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

9 authors.

Markus ArnoldiniInstitute of Biogeochemistry and Pollutant Dynamics, Department of Environmental Systems Science, ETH Zurich, Zurich, Switzerland; Department of Environmental Microbiology, Eawag, Dübendorf, Switzerland.
Ima Avalos VizcarraLaboratory of Applied Mechanobiology, Department of Health Science and Technology, ETH Zurich, Zurich, Switzerland.
Rafael Peña-MillerCentro de Ciencias Genómicas, Universidad Nacional Autónoma de México, Mexico City, Mexico.
Nicolas StockerInstitute of Biogeochemistry and Pollutant Dynamics, Department of Environmental Systems Science, ETH Zurich, Zurich, Switzerland; Department of Environmental Microbiology, Eawag, Dübendorf, Switzerland.
Médéric DiardInstitute of Microbiology, Department of Biology, ETH Zurich, Zurich, Switzerland.
Viola VogelLaboratory of Applied Mechanobiology, Department of Health Science and Technology, ETH Zurich, Zurich, Switzerland.
Robert E BeardmoreBiosciences, University of Exeter, Exeter, United Kingdom.
Wolf-Dietrich HardtInstitute of Microbiology, Department of Biology, ETH Zurich, Zurich, Switzerland.
Martin AckermannInstitute of Biogeochemistry and Pollutant Dynamics, Department of Environmental Systems Science, ETH Zurich, Zurich, Switzerland; Department of Environmental Microbiology, Eawag, Dübendorf, Switzerland.

Funding

Medical Research Council G0802611
6 · The paper itself

Abstract

Phenotypic heterogeneity can confer clonal groups of organisms with new functionality. A paradigmatic example is the bistable expression of virulence genes in Salmonella typhimurium, which leads to phenotypically virulent and phenotypically avirulent subpopulations. The two subpopulations have been shown to divide labor during S. typhimurium infections. Here, we show that heterogeneous virulence gene expression in this organism also promotes survival against exposure to antibiotics through a bet-hedging mechanism. Using microfluidic devices in combination with fluorescence time-lapse microscopy and quantitative image analysis, we analyzed the expression of virulence genes at the single cell level and related it to survival when exposed to antibiotics. We found that, across different types of antibiotics and under concentrations that are clinically relevant, the subpopulation of bacterial cells that express virulence genes shows increased survival after exposure to antibiotics. Intriguingly, there is an interplay between the two consequences of phenotypic heterogeneity. The bet-hedging effect that arises through heterogeneity in virulence gene expression can protect clonal populations against avirulent mutants that exploit and subvert the division of labor within these populations. We conclude that bet-hedging and the division of labor can arise through variation in a single trait and interact with each other. This reveals a new degree of functional complexity of phenotypic heterogeneity. In addition, our results suggest a general principle of how pathogens can evade antibiotics: Expression of virulence factors often entails metabolic costs and the resulting growth retardation could generally increase tolerance against antibiotics and thus compromise treatment.

Indexed as

Adaptation, PhysiologicalAnti-Bacterial AgentsGene Expression Regulation, BacterialGenes, BacterialMutationSalmonella typhimuriumSelection, GeneticVirulenceAnti-Bacterial Agents

Identifiers

PMID25136970
PMCPMC4138020

What OpenQuestion holds

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LicenceCC BY
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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.