2017
DOI: 10.1128/msphere.00158-17
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Evolution of Cost-Free Resistance under Fluctuating Drug Selection in Pseudomonas aeruginosa

Abstract: Antibiotic resistance is a global problem that greatly impacts human health. How resistance persists, even in the absence of antibiotic treatment, is thus a public health problem of utmost importance. In this study, we explored the antibiotic treatment conditions under which cost-free resistance arises, using experimental evolution of the bacterium Pseudomonas aeruginosa and the quinolone antibiotic ciprofloxacin. We found that intermittent antibiotic treatment led to the evolution of cost-free resistance and … Show more

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Cited by 54 publications
(39 citation statements)
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References 61 publications
(68 reference statements)
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“…3B, Table S3; log 10 (MIC) * day interaction from model comparison: χ 2 = 0.2112, P = 0.6459). This result is consistent with the selection of second-site compensatory mutations that improve growth rate under drug-free conditions without compromising resistance (Gagneux et al 2006;Comas et al 2012;Wong et al 2012;Melnyk et al 2017) or the selective replacement of costly resistance mutations by independently-arising resistance mutations with lower costs. Irrespective of the underlying genetic causes of this weakened trade-off, the internal equilibrium frequency of resistant strains (i.e., resistance frequency when ω = 1) increases on average from ß59% at day 20 to ß87% by day 40 (Fig.…”
Section: Resultssupporting
confidence: 81%
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“…3B, Table S3; log 10 (MIC) * day interaction from model comparison: χ 2 = 0.2112, P = 0.6459). This result is consistent with the selection of second-site compensatory mutations that improve growth rate under drug-free conditions without compromising resistance (Gagneux et al 2006;Comas et al 2012;Wong et al 2012;Melnyk et al 2017) or the selective replacement of costly resistance mutations by independently-arising resistance mutations with lower costs. Irrespective of the underlying genetic causes of this weakened trade-off, the internal equilibrium frequency of resistant strains (i.e., resistance frequency when ω = 1) increases on average from ß59% at day 20 to ß87% by day 40 (Fig.…”
Section: Resultssupporting
confidence: 81%
“…; Melnyk et al. ) or the selective replacement of costly resistance mutations by independently‐arising resistance mutations with lower costs. Irrespective of the underlying genetic causes of this weakened trade‐off, the internal equilibrium frequency of resistant strains (i.e., resistance frequency when ω = 1) increases on average from ∼59% at day 20 to ∼87% by day 40 (Fig.…”
Section: Resultsmentioning
confidence: 99%
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