Evidence map›Paper›PMID 30988388›Full record

ArticleScientific reports2019

Birth and Resuscitation of (p)ppGpp Induced Antibiotic Tolerant Persister Cells.

Mikkel Skjoldan Svenningsen, Alexandra Veress, Alexander Harms, Namiko Mitarai, Szabolcs Semsey

Abstract read
In one paragraph

Article in Scientific reports, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 51 papers.

0numbers the graph read from it
0cells of the map it votes in
51citing papers in PubMed
–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

51 citing papers in PubMed.

  1. Review
  2. Association ofPathogens (Basel, Switzerland) · 2026
    Article
  3. Article
  4. Review
  5. Article
  6. Review
  7. Identification of a novel gene inAntimicrobial agents and chemotherapy · 2026
    Article
  8. Review
  9. Review
  10. Review
  11. Microbiology spectrum · 2025
    Article
  12. Article
  13. Article
  14. Review
  15. Article
  16. Bacterial persisters: molecular mechanisms and therapeutic development.Signal transduction and targeted therapy · 2024
    Review
  17. Article
  18. Recent Advances in Bacterial Persistence Mechanisms.International journal of molecular sciences · 2023
    Review
  19. Article
  20. Review
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

5 authors.

Mikkel Skjoldan SvenningsenNiels Bohr Institute, University of Copenhagen, Blegdamsvej 17, 2100 København Ø, København, Denmark.ORCID http://orcid.org/0000-0002-5373-4222
Alexandra VeressCentre for Bacterial Stress Response and Persistence, Department of Biology, University of Copenhagen, Ole Maaløesvej 5, 2200 København N, København, Denmark.
Alexander HarmsCentre for Bacterial Stress Response and Persistence, Department of Biology, University of Copenhagen, Ole Maaløesvej 5, 2200 København N, København, Denmark.
Namiko MitaraiNiels Bohr Institute, University of Copenhagen, Blegdamsvej 17, 2100 København Ø, København, Denmark. mitarai@nbi.ku.dk.ORCID http://orcid.org/0000-0003-0116-7606
Szabolcs SemseyCentre for Bacterial Stress Response and Persistence, Department of Biology, University of Copenhagen, Ole Maaløesvej 5, 2200 København N, København, Denmark. semseys@yahoo.com.ORCID http://orcid.org/0000-0002-4522-5495

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Transient antibiotic treatment typically eradicates most sensitive bacteria except a few survivors called persisters. The second messenger (p)ppGpp plays a key role in persister formation in Escherichia coli populations but the underlying mechanisms have remained elusive. In this study we induced (p)ppGpp synthesis by modulating tRNA charging and then directly observed the stochastic appearance, antibiotic tolerance, and resuscitation of persister cells using live microscopy. Different physiological parameters of persister cells as well as their regularly growing ancestors and sisters were continuously monitored using fluorescent reporters. Our results confirmed previous findings that high (p)ppGpp levels are critical for persister formation, but the phenomenon remained strikingly stochastic without any correlation between (p)ppGpp levels and antibiotic tolerance on the single-cell level. We could not confirm previous notions that persisters exhibit markedly low concentrations of intracellular ATP or were linked to post-transcriptional effects of (p)ppGpp through the activation of small genetic elements known as toxin-antitoxin (TA) modules. Instead, we suggest that persister cell formation under regular conditions is driven by the transcriptional response to increased (p)ppGpp levels.

Indexed as

Gene Expression Regulation, BacterialAnti-Bacterial AgentsDrug Resistance, BacterialEscherichia coliEscherichia coli ProteinsGuanosine PentaphosphateMutationRNA, TransferTranscriptional ActivationAnti-Bacterial AgentsEscherichia coli ProteinsGuanosine PentaphosphateRNA, Transfer

Identifiers

PMID30988388
PMCPMC6465370

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Registered trials

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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.