bioRxiv preprint doi: https://doi.org/10.1101/578559; this version posted March 14, 2019. The copyright holder for this preprint (which was not certified by peer review) is the author/funder. All rights reserved. No reuse allowed without permission. 1 Spheroplast-mediated carbapenem tolerance in Gram-negative 2 pathogens 3 4 Trevor Cross *1, Brett Ransegnola *1, Jung-Ho Shin 1, Anna Weaver 1, Kathy Fauntleroy 5 2, Mike VanNieuwenhze 3, Lars F. Westblade 2,4# and Tobias Dörr 1# 6 7 1 Weill Institute for Cell and Molecular Biology and Department of Microbiology, Cornell University, Ithaca, 8 NY, USA 9 2 Department of Pathology and Laboratory Medicine, Weill Cornell Medicine, New York, NY, USA 10 3 Department of Molecular and Cellular Biochemistry and Department of Biology, Indiana University, 11 Bloomington, IN, USA 12 4 Division of Infectious Diseases, Department of Medicine, Weill Cornell Medicine, New York, NY, USA 13 14 *These authors contributed equally to this work 15 #To whom correspondence should be addressed: 16
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[email protected] 17 18 Running title: Spheroplast-mediated carbapenem tolerance 19 20 Keywords: antibiotic, carbapenem, carbapenemase, Gram-negative, L- 21 form, meropenem, tolerance 22 23 bioRxiv preprint doi: https://doi.org/10.1101/578559; this version posted March 14, 2019. The copyright holder for this preprint (which was not certified by peer review) is the author/funder. All rights reserved. No reuse allowed without permission. 24 Abstract 25 Antibiotic tolerance, the ability to temporarily sustain viability in the presence of 26 bactericidal antibiotics, constitutes an understudied, yet likely widespread cause of 27 antibiotic treatment failure.