2015
DOI: 10.1371/journal.pbio.1002104
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Using a Sequential Regimen to Eliminate Bacteria at Sublethal Antibiotic Dosages

Abstract: We need to find ways of enhancing the potency of existing antibiotics, and, with this in mind, we begin with an unusual question: how low can antibiotic dosages be and yet bacterial clearance still be observed? Seeking to optimise the simultaneous use of two antibiotics, we use the minimal dose at which clearance is observed in an in vitro experimental model of antibiotic treatment as a criterion to distinguish the best and worst treatments of a bacterium, Escherichia coli. Our aim is to compare a combination … Show more

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Cited by 84 publications
(97 citation statements)
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“…Exposing bacteria to fluctuating environments has been shown to be a potentially good strategy for slowing down the development of resistance [12,19,68]. More broadly, mechanisms of memory and history dependence in bacterial systems are being uncovered to better understand the dynamics of bacterial survival and adaptation in changing environments [69][70][71].…”
Section: Discussionmentioning
confidence: 99%
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“…Exposing bacteria to fluctuating environments has been shown to be a potentially good strategy for slowing down the development of resistance [12,19,68]. More broadly, mechanisms of memory and history dependence in bacterial systems are being uncovered to better understand the dynamics of bacterial survival and adaptation in changing environments [69][70][71].…”
Section: Discussionmentioning
confidence: 99%
“…For consistency, stocks were revived from Days 0 (Ancestor), 5,10,15,19,20,25,30,35 During analysis of the mutations, we deduced that there were some cross-contaminations between replicates in a few lineages. Namely, we saw sets of mutations that were identical in 2 replicates.…”
Section: Adaptive Laboratory Evolutionmentioning
confidence: 99%
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“…Overcoming genetic constraints by tradeoffs in a fluctuating environment could be relevant to these transitions given its few requirements and their ubiquitous presence. Additionally, this evolutionary mode may have implications for clinically or biotechnologically relevant problems, such as the treatment of infections with multidrug protocols (64)(65)(66) and the evolutionary engineering of antibodies (67). It will be of interest to test whether this adaptive mode affects the dynamics of experimental evolution in variable environments.…”
Section: Discussionmentioning
confidence: 99%
“…Environmental changes may be abrupt and severe, in which case populations are likely to drastically reduce in size and face extinction [70,71]. Adaptive evolution leading to population recovery is termed evolutionary rescue [72 -74].…”
Section: The Race Against Extinctionmentioning
confidence: 99%