Enhanced antibiotic resistance development from fluoroquinolone persisters after a single exposure to antibiotic. Author Theresa Barrett, Wendy Mok, Allison Murawski, Mark Brynildsen Publication Year 2019 Type Journal Article Abstract Bacterial persisters are able to tolerate high levels of antibiotics and give rise to new populations. Persister tolerance is generally attributed to minimally active cellular processes that prevent antibiotic-induced damage, which has led to the supposition that persister offspring give rise to antibiotic-resistant mutants at comparable rates to normal cells. Using time-lapse microscopy to monitor Escherichia coli populations following ofloxacin treatment, we find that persisters filament extensively and induce impressive SOS responses before returning to a normal appearance. Further, populations derived from fluoroquinolone persisters contain significantly greater quantities of antibiotic-resistant mutants than those from untreated controls. We confirm that resistance is heritable and that the enhancement requires RecA, SOS induction, an opportunity to recover from treatment, and the involvement of error-prone DNA polymerase V (UmuDC). These findings show that fluoroquinolones damage DNA in persisters and that the ensuing SOS response accelerates the development of antibiotic resistance from these survivors. Keywords Escherichia coli, Anti-Bacterial Agents, Microscopy, Fluorescence, Escherichia coli Proteins, DNA Damage, Time-Lapse Imaging, Ofloxacin, Drug Resistance, Bacterial, DNA-Directed DNA Polymerase, Rec A Recombinases, SOS Response, Genetics Journal Nat Commun Volume 10 Issue 1 Pages 1177 Date Published 2019 Mar 12 ISSN Number 2041-1723 DOI 10.1038/s41467-019-09058-4 Alternate Journal Nat Commun PMCID PMC6414640 PMID 30862812 PubMedPubMed CentralGoogle ScholarBibTeXEndNote X3 XML