Evidence map›Paper›PMID 33872303›Full record

ArticlePLoS biology2021

Bacterial persisters are a stochastically formed subpopulation of low-energy cells.

Sylvie Manuse, Yue Shan, Silvia J Canas-Duarte, Somenath Bakshi, Wei-Sheng Sun, Hirotada Mori, Johan Paulsson, Kim Lewis

Open access · goldAbstract read
In one paragraph

Article in PLoS biology, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 102 papers.

0numbers the graph read from it
0cells of the map it votes in
102citing papers in PubMed
22.0field-weighted citation impact, top 1% 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

102 citing papers in PubMed, 165 citations in OpenAlex.

  1. Article
  2. Article
  3. Review
  4. Article
  5. Association ofPathogens (Basel, Switzerland) · 2026
    Article
  6. Article
  7. Article
  8. Article
  9. Review
  10. Microorganisms · 2026
    Review
  11. Review
  12. Article
  13. Article
  14. Article
  15. Review
  16. Stationary-phasemSphere · 2026
    Article
  17. Article
  18. Molecular Basis of Persister Awakening and Lag-Phase Recovery inInternational journal of molecular sciences · 2026
    Review
  19. Review
  20. Review

42 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

8 authors at 3 institutions in 2 countries.

Sylvie ManuseAntimicrobial Discovery Center, Department of Biology, Northeastern University, Boston, Massachusetts, United States of America.
Yue ShanAntimicrobial Discovery Center, Department of Biology, Northeastern University, Boston, Massachusetts, United States of America.
Silvia J Canas-DuarteDepartment of Systems Biology, Harvard Medical School, Boston, Massachusetts, United States of America.ORCID 0000-0001-5705-0023
Somenath BakshiDepartment of Systems Biology, Harvard Medical School, Boston, Massachusetts, United States of America.ORCID 0000-0003-3864-2546
Wei-Sheng SunAntimicrobial Discovery Center, Department of Biology, Northeastern University, Boston, Massachusetts, United States of America.
Hirotada MoriGraduate School of Biological Sciences, Nara Institute of Science and Technology, Nara, Japan.ORCID 0000-0003-3855-778X
Johan PaulssonDepartment of Systems Biology, Harvard Medical School, Boston, Massachusetts, United States of America.
Kim LewisAntimicrobial Discovery Center, Department of Biology, Northeastern University, Boston, Massachusetts, United States of America.ORCID 0000-0002-1335-9982
Northeastern University · USHarvard University · USNara Institute of Science and Technology · JP

Funding

A general mechanism of persister formationR01AI141966 · NIAID · NORTHEASTERN UNIVERSITY · PI LEWIS, KIM, PAULSSON, JOHAN · 2019 to 2022
$2.9M
NIAID NIH HHS R01 AI141966
6 · The paper itself

Abstract

Persisters represent a small subpopulation of non- or slow-growing bacterial cells that are tolerant to killing by antibiotics. Despite their prominent role in the recalcitrance of chronic infections to antibiotic therapy, the mechanism of their formation has remained elusive. We show that sorted cells of Escherichia coli with low levels of energy-generating enzymes are better able to survive antibiotic killing. Using microfluidics time-lapse microscopy and a fluorescent reporter for in vivo ATP measurements, we find that a subpopulation of cells with a low level of ATP survives killing by ampicillin. We propose that these low ATP cells are formed stochastically as a result of fluctuations in the abundance of energy-generating components. These findings point to a general "low energy" mechanism of persister formation.

Indexed as

Drug Resistance, Multiple, BacterialAnti-Bacterial AgentsBacteriaBacterial Physiological PhenomenaCitric Acid CycleEnergy MetabolismEscherichia coliMicrobial Sensitivity TestsMicrobial ViabilityOrganisms, Genetically ModifiedAnti-Bacterial Agents

Identifiers

PMID33872303
PMCPMC8084331
OpenAlexW3152566676

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.