Evidence map›Paper›PMID 40374742›Full record

ArticleNature microbiology2025

A shared alarmone-GTP switch controls persister formation in bacteria.

Danny K Fung, Jessica T Barra, Jin Yang, Jeremy W Schroeder, Fukang She, Megan Young, David Ying, David M Stevenson, Daniel Amador-Noguez, Jue D Wang

Abstract read
In one paragraph

Article in Nature microbiology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers.

0numbers the graph read from it
0cells of the map it votes in
21citing 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

21 citing papers in PubMed.

  1. Translation factors that keep the ribosome Pro-active.Microbiology and molecular biology reviews : MMBR · 2026
    Review
  2. Review
  3. Article
  4. Article
  5. Association ofPathogens (Basel, Switzerland) · 2026
    Article
  6. Article
  7. Article
  8. Article
  9. Microorganisms · 2026
    Review
  10. Article
  11. Article
  12. Article
  13. Article
  14. Article
  15. Article
  16. Article
  17. Article
  18. Article
  19. Article
  20. Review
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

10 authors.

Danny K Fung *Department of Bacteriology, University of Wisconsin, Madison, WI, USA.
Jessica T Barra *Department of Bacteriology, University of Wisconsin, Madison, WI, USA.
Jin YangDepartment of Bacteriology, University of Wisconsin, Madison, WI, USA.ORCID http://orcid.org/0000-0003-3442-5608
Jeremy W SchroederDepartment of Bacteriology, University of Wisconsin, Madison, WI, USA.ORCID http://orcid.org/0000-0001-8829-8494
Fukang SheDepartment of Bacteriology, University of Wisconsin, Madison, WI, USA.ORCID http://orcid.org/0009-0008-8633-252X
Megan YoungDepartment of Bacteriology, University of Wisconsin, Madison, WI, USA.
David YingDepartment of Bacteriology, University of Wisconsin, Madison, WI, USA.
David M StevensonDepartment of Bacteriology, University of Wisconsin, Madison, WI, USA.
Daniel Amador-NoguezDepartment of Bacteriology, University of Wisconsin, Madison, WI, USA.ORCID http://orcid.org/0000-0002-3568-3070
Jue D WangDepartment of Bacteriology, University of Wisconsin, Madison, WI, USA. wang@bact.wisc.edu.ORCID http://orcid.org/0000-0003-1503-170X

Funding

The critical roles of (p)ppGpp in homeostasis and antibiotic tolerance in Gram positive bacteriaR35GM127088 · NIGMS · UNIVERSITY OF WISCONSIN-MADISON · PI Jue D. Wang · 2018 to 2026
$3.9M
Howard Hughes Medical Institute (HHMI) EPINational Science Foundation (NSF) 1715710NIGMS NIH HHS R35 GM127088U.S. Department of Health & Human Services | NIH | National Institute of General Medical Sciences (NIGMS) R35GM127088
6 · The paper itself

Abstract

Persisters are phenotypically switched bacteria that survive antibiotic exposure despite being genetically susceptible. Three pathways to persistence-triggered, spontaneous and antibiotic-induced-have been described, but the underlying molecular mechanisms are poorly understood. Here, we used antibiotic time-kill assays as well as single-cell approaches to show that all of the pathways depend on a common switch involving the alarmone guanosine tetra/penta-phosphate ((p)ppGpp) in Bacillus subtilis, each stemming from different alarmone synthetase(s). The accumulation of (p)ppGpp promotes persistence through depletion of intracellular GTP. We developed a fluorescent GTP reporter to visualize rare events of persister formation in wild-type bacteria, revealing a rapid switch from growth to dormancy in single cells as their GTP levels drop beneath a threshold. While a decrease in GTP in the bulk population slows growth and promotes antibiotic tolerance, (p)ppGpp drives persistence by driving rapid, switch-like decreases in GTP levels beneath the persister threshold in single cells. Persistence through alarmone-GTP antagonism is probably a widespread mechanism to survive antibiotics in B. subtilis and potentially beyond.

Indexed as

Bacillus subtilisGuanosine TriphosphateAnti-Bacterial AgentsBacterial ProteinsDrug Resistance, BacterialGene Expression Regulation, BacterialGuanosine PentaphosphateGuanosine TetraphosphateLigasesSingle-Cell AnalysisAnti-Bacterial AgentsBacterial ProteinsGuanosine PentaphosphateGuanosine TetraphosphateGuanosine TriphosphateLigases

Identifiers

PMID40374742
PMCPMC12221987

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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.