Scientists have largely assumed that antibiotic resistance in nutrient-deprived bacteria occurs passively as the starved cells stop growing and the antibiotic target is inactivated. However, Pradeep K. Singh, Ph.D., Dao Nguyen, Ph.D., and colleagues now report that antibiotic tolerance resulting in nutrient-starved P. aeuriginosa and biofilm cultures is in fact mediated by an active protective mechanism controlled by the starvation-signaling stringent response (SR). Their in vitro and in vivo studies showed that inactivating this protective mechanism sensitized biofilms to different classes of antibiotics, and significantly improved the effects of antibiotic treatment in mouse models of infection.
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