“…Bacteria respond to environmental stimuli (oxidative stress, cold and heat, changes in pH, salinity and osmotic stress including antimicrobials) by changes in intracellular calcium ion, [Ca 2+ ]i, (Knight et al, 1991;Herbaud et al, 1998;Torrecilla et al, 2000Torrecilla et al, , 2001Naseem et al, 2009;González-Pleiter et al, 2017). Since changes in [Ca 2+ ]i are linked to gene expression (Naseem et al, 2009;Domínguez et al, 2011) and virulence (Sarkisova et al, 2005;Broder et al, 2016;Moretti et al, 2019;King et al, 2020), we hypothesize that when S. aureus cells are exposed to antibiotics or other drugs, they respond by spiking [Ca 2+ ]i, which in turn stimulates efflux pump activity.…”