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Resuscitation of Viable but Nonculturable Bacteria: History
Please note this is an old version of this entry, which may differ significantly from the current revision.
Contributor: Hanxu Pan , Qing Ren

The viable but nonculturable (VBNC) state is a survival strategy for bacteria when encountered with unfavorable conditions. Under favorable environments such as nutrient supplementation, external stress elimination, or supplementation with resuscitation-promoting substances, bacteria will recover from the VBNC state, which is termed “resuscitation”.

  • resuscitation
  • viable but nonculturable state
  • functional bacteria

1. Confirmation of Resuscitation from the VBNC State

Since the viable but nonculturable (VBNC) state is an ecologically significant state for bacteria, the ability of cells to undergo a resuscitation process from this dormant state to an actively metabolizing state must be possible to prove the existence of the VBNC state. There was skepticism that the regrowth phenomenon might be due to the very few culturable cells rather than the resuscitation of VBNC cells [1][2][3]. For example, Bogosian et al. thought that the resuscitation of VBNC-state V. vulnificus induced by a low temperature was the regrowth of H2O2 sensitive culturable cells [1]. To contradict the above suspicions, several strategies were adopted to exclude the impact of possibly existent culturable cells. For instance, the induced VBNC-state bacterial suspensions were diluted serially to minimize the possible existence of culturable cells before resuscitation [4][5]. When mixtures of culturable and nonculturable cells are diluted to the point where only nonculturable cells are present, the revived cells are resuscitated cells from the VBNC state [6]. In addition, antibiotics such as ampicillin were added to the medium after VBNC induction to inhibit the proliferation of remaining culturable cells, the actively growing cells during the resuscitation procedure were therefore confirmed to be resuscitated cells from the VBNC state [7]. Furthermore, the possibility of the regrowth of H2O2-sensitive culturable cells was excluded by the addition of an H2O2 scavenger including sodium pyruvates and catalases to the resuscitation medium [8][9]. Based on the above strategies, the resuscitation process from the VBNC state was confirmed and the strategies were further applied in resuscitation-related investigations. With the evidence proposed above, resuscitation is now widely accepted as the recovery of VBNC cells, which is usually determined through plate counting or turbidity measurement [10][11].
The ability to resuscitate is dependent on the persistent period of the VBNC state and external stress intensity. It was proposed that resuscitation ability was gradually impaired with a prolonged VBNC-state duration time [8][12]. After an overlong time, bacteria might even lose the ability to resuscitate [13]. Therefore, this period was defined as the “resuscitation window” [14]. In addition, Zhao et al. discovered that the resuscitation ability of VBNC state E. coli O157:H7 reduced significantly with an increased intensity of induction conditions [15].

2. Resuscitation: The Reverse Process of the VBNC State?

Plenty of factors are contributory to the resuscitation of VBNC cells, including, but not limited to, external stress removal, supplementation with peroxidases, coculturing with or being inoculated to the host of VBNC cells, and supplementation with resuscitation promoting factors (Rpfs). In many cases, the simple reversal of VBNC-inducing factors was sufficient to allow resuscitation, so the resuscitation process sometimes might be simply regarded as a reverse process of the VBNC state. However, it may be inexact because the removal of stressful environments sometimes may not be contributory to resuscitation [16]. In addition, other resuscitation factors such as Rpfs and autoinducers (AIs) have also implied the existence of signaling pathways to stimulate resuscitation. Therefore, the resuscitation process may be a complicated physiological process rather than the simple reverse of the VBNC sate.
VBNC cells have distinct characteristics such as declined metabolic activity, decreased or loss of pathogenicity, dwarfing, or abnormal morphology [14][17][18]. Stimulated by a variety of environmental, biological, or chemical stimuli, VBNC cells may resuscitate and recover their cell division ability with an elevated metabolic level, as well as pathogenicity and cell morphology. The recovery of the abnormal morphology of VBNC cells to some extent is a re-shape process, and the restored cell division ability during resuscitation from the VBNC state requires the re-synthesis of cytoplasmic proteins and cell wall peptidoglycan. Through supplementing chloramphenicol and penicillin, which inhibits protein and peptidoglycan synthesis, respectively, to the resuscitation medium, VBNC state V. vulnificus was found unable to resuscitate [13][19]. In addition, after the inhibition of the penicillin-binding proteins PBP1 and PBP5, which were involved in the late assembly of peptidoglycan, VBNC state E. Faecalis cells could not resuscitate [20]. Therefore, resuscitation is not simply a reverse process of the VBNC state; newly synthesized proteins and possibly a remodeling of the cell wall to shape a normal morphology may be necessary in this process.

3. Mechanisms of Resuscitation

Previously, most VBNC-related studies focused on the exploration of formation mechanism [11][21][22][23], while studies on the mechanisms of resuscitation were rare. For the purpose of preventing and controlling the hidden risk caused by VBNC cells (resuscitated VBNC cells) or VBNC bacterial strain application after resuscitation, an explanation of the resuscitation mechanism was necessary. Summarized from the existing studies, such mechanisms can be classified into the following aspects: resuscitation promoting factors (Rpfs), quorum sensing, pyruvates sensing and application, and mechanisms based on global metabolism analysis.

3.1. Rpfs

The discovery and application of Rpf is a notable landmark in the resuscitation of VBNC cells. Rpf protein was first discovered in M. luteus as a bacterial cytokine, which promotes the resuscitation and growth of non-growing or dormant cells [24][25]. Rpf is a muralytic enzyme revealed by its cell wall peptidoglycan lysis ability, which contains a 70-residue domain at the C-terminal that adopts a lysozyme-like fold, and the invariant catalytic glutamate residue is conserved [26]. Similar proteins are widely occurred among other high G+C gram-positive bacteria, including corynebacterial, mycobacteria, streptomycetes, and fermicutes (contain Rpf analogues) [27]. It was reported that Rpf protein with a picomolar concentration could increase the viable cell number of dormant M. luteus at least 100-fold [25].
The resuscitation effect of Rpf was significant; however, its functioning mechanisms were not thoroughly studied. Through analyzing the products from mycobacterial peptidoglycan hydrolysis reactions, RpfB was found to form a complex with a protein named as resuscitation-promoting factor interacting protein (RipA) [28]. In this complex, RpfB cleaves the β-1,4-glycosidic bond between N-acetylmuramic acid (MurNAc) and GlcNAc, whereas RipA is predicted to be an endopeptidase that cleaves the stem peptide (D-iGlu-meso-diaminopimelic acid (Dap)) [28][29]. Both proteins colocalize at the septum of dividing cells and work synergistically to hydrolyze mycobacterial PG [30]. The complex of RpfB–RipA was reported to be inhibited by penicillin binding protein 1 (PBP1): RipA would form a complex with PBP1 and form a thick layer of PG at the septum. With the increased concentration of RpfB, RipA might exchange PBP1 for RpfB to form a new complex with a high efficiency of PG hydrolysis [31]. Some researchers thought that such a type of cell wall hydrolysis would directly stimulate VBNC cell resuscitation, since the peptide moieties of PG were crosslinked heavily in the VBNC state to resist external stresses [17][28][32]. Therefore, the recruitment of Rpf and RipA during PG remodeling is essential for cell division and resuscitation. Apart from that, the PG fragments derived from cell wall hydrolysis could directly activate resuscitation [33]. However, how exactly PG fragments activate the resuscitation process remains unclear and researchers have proposed hypotheses to try to explain it. Panutdaporn et al. found that the addition of rabbit anti-Rpf Ab inhibited the resuscitation effect by Rpf, thereby suggesting that Rpf might be a signal molecule that could bind to the receptor to trigger the resuscitation process [34]. Moreover, the extracytoplasmic domain of Ser/Thr kinase PknB in Mycobacterium tuberculosis could bind exogenous PG fragments hydrolyzed by Rpf with its muralytic activity, which was conducive for PknB to localize at the mid-cell to stimulate growth [35]. Although possible mechanisms have been proposed, more evidence is still needed to prove the activation process of PG fragments in resuscitation, which is a problem to be solved in future studies.
Other Rpf analogues were also reported to possess resuscitation-promoting abilities. The YeaZ protein in V. parahaemolyticus, V. harveyi, S. typhimurium, and E. coli has been shown to have promoting effects on VBNC-state recovery [34][36][37][38]. The yeaZ gene was found to be ubiquitous in the genome of bacteria such as Salmonella sp. and E. coli, which was necessary for bacterial growth [39]. Zhao et al. proposed that YeaZ exhibited protease activity, and muralytic activity was lower. Single amino acid mutation greatly affected protease activity, as well as resuscitation-promoting ability [40]. However, the impact of mutation was much less on the muralytic activity of YeaZ, and the resuscitation-promoting effect was not affected [40]. Hence, in contrast to Rpf, the promoting effect of YeaZ may be correlated with its protease activities, but its function mechanism lacks further investigation.

3.2. Quorum Sensing

Quorum sensing (QS) is a widespread communication system in bacteria, which is a type of population density-dependent cell–cell signaling that triggers changes in behavior when the bacterial population reaches a critical density [41]. QS signaling can result in global changes in gene expression [42]. Typically, signal molecules are continually generated with a low bacterial concentration, and the signal accumulates to a threshold concentration as the population density increases. Afterwards, the signal will interact with its receptor protein to cause a coordinated change in bacterial gene expression [42]. Such hormone-like molecules are termed as autoinducers (AI), of which there are several types, including acyl-homoserine lactone (AHL)-type signals (usually generated in G- bacteria), short oligopeptide signals (in G+ bacteria), Streptomyces γ-butryolactones, and the AI-2 family (in V. harveyi and S. typhimurium) [41].
QS signaling in bacteria can orchestrate an adaption to stressful conditions, and it has been reported to play a role in the resuscitation of VBNC cells. Ayrapetyan et al. discovered that the bacterial cell-free supernatants of V. vulnificus containing AI-2 molecules could awake VBNC Vibrio populations within oysters and seawater, which was inhibited by the QS inhibitor cinnamaldehyde [A]. Previous studies have indicated that the QS system was involved in the activation of superoxide or catalase to regulate the antioxidation activities in Pseudomonas aeruginosa [43]. Furthermore, Liao et al. (2019) also suggested that the QS system triggered the expression of catalase to restore the growth of VBNC-state S. typhimurium [44]. In accordance with that, AI-2 was found to be useless in the resuscitation of the rpoS mutant of V. vulnificus, whose production of catalase was suppressed [45]. Hence, it was suggested that RpoS is also an important factor in AI-2-mediated resuscitation [45][46]. Based on the above results, a model was proposed: during resuscitation, the gradually generated AI-2 molecules synthesized by LuxS specifically bind to the periplasmic binding protein of LuxP, which forms a two-component sensing kinase system with LuxQ [47]. With a low level of AI-2, LuxQ acts as a kinase, but it acts as a phosphatase while AI-2 is at a high level. Therefore, the phosphorelay of LuxO derepresses the expression of LuxR (a transcription factor in the QS regulon), which can stimulate rpoS expression and subsequently induces the expression of catalase (KatG) [45]. Through this regulation, cells are allowed to persist under the toxic properties of H2O2 and revive to a culturable state [45]. To sum up, QS signaling may be critical for the resuscitation process of VBNC bacteria.

3.3. Pyruvates Sensing and Application

Sodium pyruvate (SP), a well-known intermediate key metabolite in glycolysis, is known to be functional in the resuscitation of VBNC cells. VBNC cells are able to grow on standard media, but they can revive on media supplemented with SP [15]. SP has long been regarded as an H2O2-degrading compound that could facilitate the resuscitation of VBNC cells under prolonged stress or the effects of toxic chemicals, such as H2O2 produced in a culture media during autoclaving [48][49][50][51]. It was suggested that VBNC cells could be resuscitated to a culturable state by SP or other substances such as catalase and superoxide dismutase, due to their H2O2- or reactive oxygen-degrading effect [8][9].
More opinions have emerged recently. Apart from being an H2O2-degrading compound, pyruvate is also a kind of carbon source that can be utilized by bacterial cells. Morishige et al. found that pyruvate and its analogue α-ketobutyrate both showed restoration activities; however, other well-known antioxidant or radical-scavenging reagents such as N-acetyl-L-cysteine, α-lipoate, and D-mannitol were ineffective in resuscitating VBNC Salmonella Enteritidis cells induced by H2O2 [52]. Through further investigation, it was implied that α-keto acids and pyruvate were incorporated by VBNC cells, which were related to the restoration of the biosynthesis of macromolecules, especially DNA, not just degrading intracellular peroxide [52]. It was later shown that pyruvate was avidly taken up by starved and cold-stressed VBNC E. coli cells through the high-affinity pyruvate/H+ symporter BstT/YhjX, which was regulated by two pyruvate-sensing hidtidine kinase response regulator systems, BtsS/BtsR and YpdA/YpdB, respectively [53]. BtsSR and YpdAB are two-component systems (TCSs) which respond to extracellular pyruvate, composed of a membrane-integrated histidine kinase (BtsS/YpdA) that can perceive pyruvate, and a cytoplasmic response regulator (BtsR/YpdB) mediates btsT expression [54][55]

3.4. Mechanisms Based on Global Metabolism Analysis

On most occasions, the reported studies on resuscitation mechanisms were based on the role of specific proteins or pathways, which may result in a less systematic and comprehensive investigation. With the extensive application of high-throughput sequencing technologies in biomolecular frontiers, more research based on omics analysis has emerged in the investigation of not only the VBNC-formation mechanism, but also the resuscitation mechanism.
Up to now, most omics studies on resuscitation from the VBNC state were conducted based on proteomics analysis. A thorough iTRAQ-based proteomic profile analysis of VBNC and resuscitating cells of the plant-pathogenic bacterium Acidovorax citrulli was reported, indicating that protein expression varied in the different resuscitation processes [56]. In the early stage, the proteins associated with carbon metabolism, degradation of naphthalene and aromatic compounds, and superoxide dismutase or catalase were significantly enriched, while the proteins involved in oxidative phosphorylation, bacterial chemotaxis, ABC transporting, and quorum sensing were significantly enriched at the late resuscitation stages [56]. From this point, it is evident that as the resuscitation progress proceeds, the metabolic activities may change to meet their different needs. In the early stage, heavily stressed bacterial cells try their best to cope with the adverse environments to guarantee their survival and gradually increase their metabolic activity for multiplication. With the increase in the cell number, cell-to-cell signaling is enhanced to better adapt the environment for further revival. The proteomic profile of the resuscitating V. parahaemolyticus was compared with the VBNC state and the exponential phase cells, revealing that the metabolic activity of resuscitated cells shared minor differences with exponential phase cells, but when compared with VBNC cells, the differently expressed cells were comprehensively upregulated, which mainly involved protein synthesis, secretion system, trans-membrane transport, adhesion, movement, and other vital processes [57]. Debnath et al. suggested that the most variably expressed proteins of resuscitating V. cholerae showed a combination mode of adaptive and survival responses under conditions of nutrient limitation [58]. For example, the expression of PhoX, PstB, and Xds might help in the utilization of extracellular DNA to promote growth; the expression of AhpC addressed the significance of the oxidative stress response; the upregulation of EctC, an enzyme related to the biosynthesis of ectoine that is crucial for osmoadaptation, might be a response to the long-term stress of high salinity [58].

This entry is adapted from the peer-reviewed paper 10.3390/foods12010082

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