---
_id: '1619'
abstract:
- lang: eng
  text: The emergence of drug resistant pathogens is a serious public health problem.
    It is a long-standing goal to predict rates of resistance evolution and design
    optimal treatment strategies accordingly. To this end, it is crucial to reveal
    the underlying causes of drug-specific differences in the evolutionary dynamics
    leading to resistance. However, it remains largely unknown why the rates of resistance
    evolution via spontaneous mutations and the diversity of mutational paths vary
    substantially between drugs. Here we comprehensively quantify the distribution
    of fitness effects (DFE) of mutations, a key determinant of evolutionary dynamics,
    in the presence of eight antibiotics representing the main modes of action. Using
    precise high-throughput fitness measurements for genome-wide Escherichia coli
    gene deletion strains, we find that the width of the DFE varies dramatically between
    antibiotics and, contrary to conventional wisdom, for some drugs the DFE width
    is lower than in the absence of stress. We show that this previously underappreciated
    divergence in DFE width among antibiotics is largely caused by their distinct
    drug-specific dose-response characteristics. Unlike the DFE, the magnitude of
    the changes in tolerated drug concentration resulting from genome-wide mutations
    is similar for most drugs but exceptionally small for the antibiotic nitrofurantoin,
    i.e., mutations generally have considerably smaller resistance effects for nitrofurantoin
    than for other drugs. A population genetics model predicts that resistance evolution
    for drugs with this property is severely limited and confined to reproducible
    mutational paths. We tested this prediction in laboratory evolution experiments
    using the “morbidostat”, a device for evolving bacteria in well-controlled drug
    environments. Nitrofurantoin resistance indeed evolved extremely slowly via reproducible
    mutations—an almost paradoxical behavior since this drug causes DNA damage and
    increases the mutation rate. Overall, we identified novel quantitative characteristics
    of the evolutionary landscape that provide the conceptual foundation for predicting
    the dynamics of drug resistance evolution.
article_number: e1002299
author:
- first_name: Guillaume
  full_name: Chevereau, Guillaume
  id: 424D78A0-F248-11E8-B48F-1D18A9856A87
  last_name: Chevereau
- first_name: Marta
  full_name: Dravecka, Marta
  id: 4342E402-F248-11E8-B48F-1D18A9856A87
  last_name: Dravecka
  orcid: 0000-0002-2519-8004
- first_name: Tugce
  full_name: Batur, Tugce
  last_name: Batur
- first_name: Aysegul
  full_name: Guvenek, Aysegul
  last_name: Guvenek
- first_name: Dilay
  full_name: Ayhan, Dilay
  last_name: Ayhan
- first_name: Erdal
  full_name: Toprak, Erdal
  last_name: Toprak
- first_name: Mark Tobias
  full_name: Bollenbach, Mark Tobias
  id: 3E6DB97A-F248-11E8-B48F-1D18A9856A87
  last_name: Bollenbach
  orcid: 0000-0003-4398-476X
citation:
  ama: Chevereau G, Lukacisinova M, Batur T, et al. Quantifying the determinants of
    evolutionary dynamics leading to drug resistance. <i>PLoS Biology</i>. 2015;13(11).
    doi:<a href="https://doi.org/10.1371/journal.pbio.1002299">10.1371/journal.pbio.1002299</a>
  apa: Chevereau, G., Lukacisinova, M., Batur, T., Guvenek, A., Ayhan, D., Toprak,
    E., &#38; Bollenbach, M. T. (2015). Quantifying the determinants of evolutionary
    dynamics leading to drug resistance. <i>PLoS Biology</i>. Public Library of Science.
    <a href="https://doi.org/10.1371/journal.pbio.1002299">https://doi.org/10.1371/journal.pbio.1002299</a>
  chicago: Chevereau, Guillaume, Marta Lukacisinova, Tugce Batur, Aysegul Guvenek,
    Dilay Ayhan, Erdal Toprak, and Mark Tobias Bollenbach. “Quantifying the Determinants
    of Evolutionary Dynamics Leading to Drug Resistance.” <i>PLoS Biology</i>. Public
    Library of Science, 2015. <a href="https://doi.org/10.1371/journal.pbio.1002299">https://doi.org/10.1371/journal.pbio.1002299</a>.
  ieee: G. Chevereau <i>et al.</i>, “Quantifying the determinants of evolutionary
    dynamics leading to drug resistance,” <i>PLoS Biology</i>, vol. 13, no. 11. Public
    Library of Science, 2015.
  ista: Chevereau G, Lukacisinova M, Batur T, Guvenek A, Ayhan D, Toprak E, Bollenbach
    MT. 2015. Quantifying the determinants of evolutionary dynamics leading to drug
    resistance. PLoS Biology. 13(11), e1002299.
  mla: Chevereau, Guillaume, et al. “Quantifying the Determinants of Evolutionary
    Dynamics Leading to Drug Resistance.” <i>PLoS Biology</i>, vol. 13, no. 11, e1002299,
    Public Library of Science, 2015, doi:<a href="https://doi.org/10.1371/journal.pbio.1002299">10.1371/journal.pbio.1002299</a>.
  short: G. Chevereau, M. Lukacisinova, T. Batur, A. Guvenek, D. Ayhan, E. Toprak,
    M.T. Bollenbach, PLoS Biology 13 (2015).
date_created: 2018-12-11T11:53:04Z
date_published: 2015-11-18T00:00:00Z
date_updated: 2024-03-25T23:30:14Z
day: '18'
ddc:
- '570'
department:
- _id: ToBo
doi: 10.1371/journal.pbio.1002299
ec_funded: 1
file:
- access_level: open_access
  checksum: 0e82e3279f50b15c6c170c042627802b
  content_type: application/pdf
  creator: system
  date_created: 2018-12-12T10:09:00Z
  date_updated: 2020-07-14T12:45:07Z
  file_id: '4723'
  file_name: IST-2016-468-v1+1_journal.pbio.1002299.pdf
  file_size: 1387760
  relation: main_file
file_date_updated: 2020-07-14T12:45:07Z
has_accepted_license: '1'
intvolume: '        13'
issue: '11'
language:
- iso: eng
month: '11'
oa: 1
oa_version: Published Version
project:
- _id: 25EB3A80-B435-11E9-9278-68D0E5697425
  grant_number: RGP0042/2013
  name: Revealing the fundamental limits of cell growth
- _id: 25E9AF9E-B435-11E9-9278-68D0E5697425
  call_identifier: FWF
  grant_number: P27201-B22
  name: Revealing the mechanisms underlying drug interactions
- _id: 25E83C2C-B435-11E9-9278-68D0E5697425
  call_identifier: FP7
  grant_number: '303507'
  name: Optimality principles in responses to antibiotics
publication: PLoS Biology
publication_status: published
publisher: Public Library of Science
publist_id: '5547'
pubrep_id: '468'
quality_controlled: '1'
related_material:
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  - id: '9765'
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  - id: '6263'
    relation: dissertation_contains
    status: public
scopus_import: 1
status: public
title: Quantifying the determinants of evolutionary dynamics leading to drug resistance
tmp:
  image: /images/cc_by.png
  legal_code_url: https://creativecommons.org/licenses/by/4.0/legalcode
  name: Creative Commons Attribution 4.0 International Public License (CC-BY 4.0)
  short: CC BY (4.0)
type: journal_article
user_id: 2DF688A6-F248-11E8-B48F-1D18A9856A87
volume: 13
year: '2015'
...
---
_id: '1823'
abstract:
- lang: eng
  text: Abstract Drug combinations are increasingly important in disease treatments,
    for combating drug resistance, and for elucidating fundamental relationships in
    cell physiology. When drugs are combined, their individual effects on cells may
    be amplified or weakened. Such drug interactions are crucial for treatment efficacy,
    but their underlying mechanisms remain largely unknown. To uncover the causes
    of drug interactions, we developed a systematic approach based on precise quantification
    of the individual and joint effects of antibiotics on growth of genome-wide Escherichia
    coli gene deletion strains. We found that drug interactions between antibiotics
    representing the main modes of action are highly robust to genetic perturbation.
    This robustness is encapsulated in a general principle of bacterial growth, which
    enables the quantitative prediction of mutant growth rates under drug combinations.
    Rare violations of this principle exposed recurring cellular functions controlling
    drug interactions. In particular, we found that polysaccharide and ATP synthesis
    control multiple drug interactions with previously unexplained mechanisms, and
    small molecule adjuvants targeting these functions synthetically reshape drug
    interactions in predictable ways. These results provide a new conceptual framework
    for the design of multidrug combinations and suggest that there are universal
    mechanisms at the heart of most drug interactions. Synopsis A general principle
    of bacterial growth enables the prediction of mutant growth rates under drug combinations.
    Rare violations of this principle expose cellular functions that control drug
    interactions and can be targeted by small molecules to alter drug interactions
    in predictable ways. Drug interactions between antibiotics are highly robust to
    genetic perturbations. A general principle of bacterial growth enables the prediction
    of mutant growth rates under drug combinations. Rare violations of this principle
    expose cellular functions that control drug interactions. Diverse drug interactions
    are controlled by recurring cellular functions, including LPS synthesis and ATP
    synthesis. A general principle of bacterial growth enables the prediction of mutant
    growth rates under drug combinations. Rare violations of this principle expose
    cellular functions that control drug interactions and can be targeted by small
    molecules to alter drug interactions in predictable ways.
article_number: '807'
author:
- first_name: Guillaume
  full_name: Chevereau, Guillaume
  id: 424D78A0-F248-11E8-B48F-1D18A9856A87
  last_name: Chevereau
- first_name: Mark Tobias
  full_name: Bollenbach, Mark Tobias
  id: 3E6DB97A-F248-11E8-B48F-1D18A9856A87
  last_name: Bollenbach
  orcid: 0000-0003-4398-476X
citation:
  ama: Chevereau G, Bollenbach MT. Systematic discovery of drug interaction mechanisms.
    <i>Molecular Systems Biology</i>. 2015;11(4). doi:<a href="https://doi.org/10.15252/msb.20156098">10.15252/msb.20156098</a>
  apa: Chevereau, G., &#38; Bollenbach, M. T. (2015). Systematic discovery of drug
    interaction mechanisms. <i>Molecular Systems Biology</i>. Nature Publishing Group.
    <a href="https://doi.org/10.15252/msb.20156098">https://doi.org/10.15252/msb.20156098</a>
  chicago: Chevereau, Guillaume, and Mark Tobias Bollenbach. “Systematic Discovery
    of Drug Interaction Mechanisms.” <i>Molecular Systems Biology</i>. Nature Publishing
    Group, 2015. <a href="https://doi.org/10.15252/msb.20156098">https://doi.org/10.15252/msb.20156098</a>.
  ieee: G. Chevereau and M. T. Bollenbach, “Systematic discovery of drug interaction
    mechanisms,” <i>Molecular Systems Biology</i>, vol. 11, no. 4. Nature Publishing
    Group, 2015.
  ista: Chevereau G, Bollenbach MT. 2015. Systematic discovery of drug interaction
    mechanisms. Molecular Systems Biology. 11(4), 807.
  mla: Chevereau, Guillaume, and Mark Tobias Bollenbach. “Systematic Discovery of
    Drug Interaction Mechanisms.” <i>Molecular Systems Biology</i>, vol. 11, no. 4,
    807, Nature Publishing Group, 2015, doi:<a href="https://doi.org/10.15252/msb.20156098">10.15252/msb.20156098</a>.
  short: G. Chevereau, M.T. Bollenbach, Molecular Systems Biology 11 (2015).
date_created: 2018-12-11T11:54:12Z
date_published: 2015-04-01T00:00:00Z
date_updated: 2021-01-12T06:53:26Z
day: '01'
ddc:
- '570'
department:
- _id: ToBo
doi: 10.15252/msb.20156098
ec_funded: 1
file:
- access_level: open_access
  checksum: 4289b518fbe2166682fb1a1ef9b405f3
  content_type: application/pdf
  creator: system
  date_created: 2018-12-12T10:14:34Z
  date_updated: 2020-07-14T12:45:17Z
  file_id: '5087'
  file_name: IST-2015-395-v1+1_807.full.pdf
  file_size: 1273573
  relation: main_file
file_date_updated: 2020-07-14T12:45:17Z
has_accepted_license: '1'
intvolume: '        11'
issue: '4'
language:
- iso: eng
month: '04'
oa: 1
oa_version: Published Version
project:
- _id: 25E9AF9E-B435-11E9-9278-68D0E5697425
  call_identifier: FWF
  grant_number: P27201-B22
  name: Revealing the mechanisms underlying drug interactions
- _id: 25EB3A80-B435-11E9-9278-68D0E5697425
  grant_number: RGP0042/2013
  name: Revealing the fundamental limits of cell growth
- _id: 25E83C2C-B435-11E9-9278-68D0E5697425
  call_identifier: FP7
  grant_number: '303507'
  name: Optimality principles in responses to antibiotics
publication: Molecular Systems Biology
publication_status: published
publisher: Nature Publishing Group
publist_id: '5283'
pubrep_id: '395'
quality_controlled: '1'
scopus_import: 1
status: public
title: Systematic discovery of drug interaction mechanisms
tmp:
  image: /images/cc_by.png
  legal_code_url: https://creativecommons.org/licenses/by/4.0/legalcode
  name: Creative Commons Attribution 4.0 International Public License (CC-BY 4.0)
  short: CC BY (4.0)
type: journal_article
user_id: 2DF688A6-F248-11E8-B48F-1D18A9856A87
volume: 11
year: '2015'
...
---
_id: '9711'
article_processing_charge: No
author:
- first_name: Guillaume
  full_name: Chevereau, Guillaume
  id: 424D78A0-F248-11E8-B48F-1D18A9856A87
  last_name: Chevereau
- first_name: Marta
  full_name: Lukacisinova, Marta
  id: 4342E402-F248-11E8-B48F-1D18A9856A87
  last_name: Lukacisinova
  orcid: 0000-0002-2519-8004
- first_name: Tugce
  full_name: Batur, Tugce
  last_name: Batur
- first_name: Aysegul
  full_name: Guvenek, Aysegul
  last_name: Guvenek
- first_name: Dilay Hazal
  full_name: Ayhan, Dilay Hazal
  last_name: Ayhan
- first_name: Erdal
  full_name: Toprak, Erdal
  last_name: Toprak
- first_name: Mark Tobias
  full_name: Bollenbach, Mark Tobias
  id: 3E6DB97A-F248-11E8-B48F-1D18A9856A87
  last_name: Bollenbach
  orcid: 0000-0003-4398-476X
citation:
  ama: Chevereau G, Lukacisinova M, Batur T, et al. Excel file containing the raw
    data for all figures. 2015. doi:<a href="https://doi.org/10.1371/journal.pbio.1002299.s001">10.1371/journal.pbio.1002299.s001</a>
  apa: Chevereau, G., Lukacisinova, M., Batur, T., Guvenek, A., Ayhan, D. H., Toprak,
    E., &#38; Bollenbach, M. T. (2015). Excel file containing the raw data for all
    figures. Public Library of Science. <a href="https://doi.org/10.1371/journal.pbio.1002299.s001">https://doi.org/10.1371/journal.pbio.1002299.s001</a>
  chicago: Chevereau, Guillaume, Marta Lukacisinova, Tugce Batur, Aysegul Guvenek,
    Dilay Hazal Ayhan, Erdal Toprak, and Mark Tobias Bollenbach. “Excel File Containing
    the Raw Data for All Figures.” Public Library of Science, 2015. <a href="https://doi.org/10.1371/journal.pbio.1002299.s001">https://doi.org/10.1371/journal.pbio.1002299.s001</a>.
  ieee: G. Chevereau <i>et al.</i>, “Excel file containing the raw data for all figures.”
    Public Library of Science, 2015.
  ista: Chevereau G, Lukacisinova M, Batur T, Guvenek A, Ayhan DH, Toprak E, Bollenbach
    MT. 2015. Excel file containing the raw data for all figures, Public Library of
    Science, <a href="https://doi.org/10.1371/journal.pbio.1002299.s001">10.1371/journal.pbio.1002299.s001</a>.
  mla: Chevereau, Guillaume, et al. <i>Excel File Containing the Raw Data for All
    Figures</i>. Public Library of Science, 2015, doi:<a href="https://doi.org/10.1371/journal.pbio.1002299.s001">10.1371/journal.pbio.1002299.s001</a>.
  short: G. Chevereau, M. Lukacisinova, T. Batur, A. Guvenek, D.H. Ayhan, E. Toprak,
    M.T. Bollenbach, (2015).
date_created: 2021-07-23T11:53:50Z
date_published: 2015-11-18T00:00:00Z
date_updated: 2023-02-23T10:07:02Z
day: '18'
department:
- _id: ToBo
doi: 10.1371/journal.pbio.1002299.s001
month: '11'
oa_version: Published Version
publisher: Public Library of Science
related_material:
  record:
  - id: '1619'
    relation: used_in_publication
    status: public
status: public
title: Excel file containing the raw data for all figures
type: research_data_reference
user_id: 6785fbc1-c503-11eb-8a32-93094b40e1cf
year: '2015'
...
---
_id: '9765'
article_processing_charge: No
author:
- first_name: Guillaume
  full_name: Chevereau, Guillaume
  id: 424D78A0-F248-11E8-B48F-1D18A9856A87
  last_name: Chevereau
- first_name: Marta
  full_name: Lukacisinova, Marta
  id: 4342E402-F248-11E8-B48F-1D18A9856A87
  last_name: Lukacisinova
  orcid: 0000-0002-2519-8004
- first_name: Tugce
  full_name: Batur, Tugce
  last_name: Batur
- first_name: Aysegul
  full_name: Guvenek, Aysegul
  last_name: Guvenek
- first_name: Dilay Hazal
  full_name: Ayhan, Dilay Hazal
  last_name: Ayhan
- first_name: Erdal
  full_name: Toprak, Erdal
  last_name: Toprak
- first_name: Mark Tobias
  full_name: Bollenbach, Mark Tobias
  id: 3E6DB97A-F248-11E8-B48F-1D18A9856A87
  last_name: Bollenbach
  orcid: 0000-0003-4398-476X
citation:
  ama: Chevereau G, Lukacisinova M, Batur T, et al. Gene ontology enrichment analysis
    for the most sensitive gene deletion strains for all drugs. 2015. doi:<a href="https://doi.org/10.1371/journal.pbio.1002299.s008">10.1371/journal.pbio.1002299.s008</a>
  apa: Chevereau, G., Lukacisinova, M., Batur, T., Guvenek, A., Ayhan, D. H., Toprak,
    E., &#38; Bollenbach, M. T. (2015). Gene ontology enrichment analysis for the
    most sensitive gene deletion strains for all drugs. Public Library of Science.
    <a href="https://doi.org/10.1371/journal.pbio.1002299.s008">https://doi.org/10.1371/journal.pbio.1002299.s008</a>
  chicago: Chevereau, Guillaume, Marta Lukacisinova, Tugce Batur, Aysegul Guvenek,
    Dilay Hazal Ayhan, Erdal Toprak, and Mark Tobias Bollenbach. “Gene Ontology Enrichment
    Analysis for the Most Sensitive Gene Deletion Strains for All Drugs.” Public Library
    of Science, 2015. <a href="https://doi.org/10.1371/journal.pbio.1002299.s008">https://doi.org/10.1371/journal.pbio.1002299.s008</a>.
  ieee: G. Chevereau <i>et al.</i>, “Gene ontology enrichment analysis for the most
    sensitive gene deletion strains for all drugs.” Public Library of Science, 2015.
  ista: Chevereau G, Lukacisinova M, Batur T, Guvenek A, Ayhan DH, Toprak E, Bollenbach
    MT. 2015. Gene ontology enrichment analysis for the most sensitive gene deletion
    strains for all drugs, Public Library of Science, <a href="https://doi.org/10.1371/journal.pbio.1002299.s008">10.1371/journal.pbio.1002299.s008</a>.
  mla: Chevereau, Guillaume, et al. <i>Gene Ontology Enrichment Analysis for the Most
    Sensitive Gene Deletion Strains for All Drugs</i>. Public Library of Science,
    2015, doi:<a href="https://doi.org/10.1371/journal.pbio.1002299.s008">10.1371/journal.pbio.1002299.s008</a>.
  short: G. Chevereau, M. Lukacisinova, T. Batur, A. Guvenek, D.H. Ayhan, E. Toprak,
    M.T. Bollenbach, (2015).
date_created: 2021-08-03T07:05:16Z
date_published: 2015-11-18T00:00:00Z
date_updated: 2023-02-23T10:07:02Z
day: '18'
department:
- _id: ToBo
doi: 10.1371/journal.pbio.1002299.s008
month: '11'
oa_version: Published Version
publisher: Public Library of Science
related_material:
  record:
  - id: '1619'
    relation: used_in_publication
    status: public
status: public
title: Gene ontology enrichment analysis for the most sensitive gene deletion strains
  for all drugs
type: research_data_reference
user_id: 6785fbc1-c503-11eb-8a32-93094b40e1cf
year: '2015'
...
