Effect of antibiotic treatment on the formation of non-spore Clostridium difficile persister-like cells

R. Álvarez, O. Inostroza, M. Garavaglia, N. P. Minton, D. Paredes-Sabja, F. Gil*

*Corresponding author for this work

Research output: Contribution to journalArticlepeer-review

7 Scopus citations

Abstract

Background: The spore is the virulence factor identified to be involved in the recurrence of the disease caused by Clostridium difficile. Objectives: To demonstrate that lethal antibiotic concentrations induce the appearance of C. difficile persisterlike non-spore cells. Methods: C. difficile and derivative spo0A mutant strains were tested for their susceptibility to antibiotics, as determined using an agar dilution method. Persister-cell generation was determined for all strains using up to 10× the MIC of every antibiotic for up to 6 days. Results: Using up to 10× the MIC of every antibiotic, we were able to induce the appearance of persister-like behaviour since biphasic killing curves could be observed in response to treatment antibiotics. Conclusions: To the best of our knowledge, this work provides, for the first time, experimental evidence of the appearance of C. difficile persister-like cells, opening a new research avenue in the pathogenesis of this nosocomial pathogen.

Original languageEnglish
Pages (from-to)2396-2399
Number of pages4
JournalJournal of Antimicrobial Chemotherapy
Volume73
Issue number9
DOIs
StatePublished - 1 Sep 2018
Externally publishedYes

Bibliographical note

Publisher Copyright:
© 2018 The Author(s). Published by Oxford University Press on behalf of the British Society for Antimicrobial Chemotherapy. All Rights Reserved.

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