1–26 Jul 2019
Nordita, Stockholm
Europe/Stockholm timezone

Equivalent exposure histories produce wide spectrum of multidrug resistance outcomes contingent on drug order

9 Jul 2019, 14:30
30m
FB52 (Nordita, Stockholm)

FB52

Nordita, Stockholm

Speaker

Johannes Cairns

Description

Historical contingency has been shown to affect drug resistance evolutionary trajectories. However, the extent of this effect has been unclear. Here we address this by exposing E. coli to 24 equivalent drug histories, consisting of one drug-free and three drug-containing epochs, only altering the order of exposure. We further repeat the experiment by introducing the T4 bacteriophage, since bacteriophages are increasingly being used to treat bacterial infections alongside antibiotics. We find dramatic differences between histories in resistance evolutionary patterns, with outcomes ranging from virtually no resistance to virtually complete multidrug and phage resistance. We also identify factors responsible for desirable and poor outcomes. For instance, the presence of bacteriophage almost invariably results in a strong reduction in antibiotic resistance. These results show that historical contingency directs drug resistance trajectories to highly variable outcomes with predictable patterns that could be exploited in therapy optimization

Primary author

Johannes Cairns

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