Abstract

BackgroundClonal microbial populations often harbor rare phenotypic variants that are typically hidden within the majority of the remaining cells, but are crucial for the population’s resilience to external perturbations. Persister and viable but non-culturable (VBNC) cells are two important clonal bacterial subpopulations that can survive antibiotic treatment. Both persister and VBNC cells pose a serious threat to human health. However, unlike persister cells, which quickly resume growth following drug removal, VBNC cells can remain non-growing for prolonged periods of time, thus eluding detection via traditional microbiological assays. Therefore, understanding the molecular mechanisms underlying the formation of VBNC cells requires the characterization of the clonal population with single-cell resolution. A combination of microfluidics, time-lapse microscopy, and fluorescent reporter strains offers the perfect platform for investigating individual cells while manipulating their environment.MethodsHere, we report a novel single-cell approach to investigate VBNC cells. We perform drug treatment, bacterial culturing, and live/dead staining in series by using transcriptional reporter strains and novel adaptations to the mother machine technology. Since we track each cell throughout the experiment, we are able to quantify the size, morphology and fluorescence that each VBNC cell displayed before, during and after drug treatment.ResultsWe show that VBNC cells are not dead or dying cells but share similar phenotypic features with persister cells, suggesting a link between these two subpopulations, at least in the Escherichia coli strain under investigation. We strengthen this link by demonstrating that, before drug treatment, both persister and VBNC cells can be distinguished from the remainder of the population by their lower fluorescence when using a reporter strain for tnaC, encoding the leader peptide of the tnaCAB operon responsible for tryptophan metabolism.ConclusionOur data demonstrates the suitability of our approach for studying the physiology of non-growing cells in response to external perturbations. Our approach will allow the identification of novel biomarkers for the isolation of VBNC and persister cells and will open new opportunities to map the detailed biochemical makeup of these clonal subpopulations.

Highlights

  • Clonal microbial populations often harbor rare phenotypic variants that are typically hidden within the majority of the remaining cells, but are crucial for the population’s resilience to external perturbations

  • (2) We show that, before drug treatment, viable but non-culturable (VBNC) cells exhibit cell length and levels of fluorescence for selected reporter strains similar to the ones measured in persister cells, supporting the hypothesis that these two phenotypes are part of a shared physiological continuum at least in the investigated E. coli strain [4]. (3) We demonstrate that, after drug treatment, VBNC cells are distinct from dead or dying cells and display fluorescence levels comparable to persister cells

  • Identification of VBNC cells We chose to apply our novel single-cell approach to stationary phase E. coli cultures because the fraction of VBNC and persister cells in this growth phase is in the range 10-3–10-1 [18, 20, 26, 27]

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Summary

Introduction

Clonal microbial populations often harbor rare phenotypic variants that are typically hidden within the majority of the remaining cells, but are crucial for the population’s resilience to external perturbations. Persister and VBNC cells pose a serious threat to human health since they may be recalcitrant to drug treatment [2], and can contribute to the relapse of diseases such as tuberculosis, cystic fibrosis-associated lung infections, candidiasis, cholera, septicemia, and gastroenteritis [4]. These subpopulations may constitute a reservoir for the development of antibiotic resistance mechanisms [14]

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