Monitoring intracellular antibiotic concentrations in real-time using allosteric biosensors

Antibiotic treatment can fail due to insufficient drug availability at the site of infection or limited accumulation within bacterial pathogens. However, it is poorly understood how antibiotics penetrate infected tissues and complex bacterial aggregates, limiting insights into the mechanisms of treatment failure. Here, we present genetically-encoded allosteric biosensors for two antibiotic classes, trimethoprim and tetracycline, which enable real-time monitoring of antibiotic concentrations inside bacterial cells. The biosensors consist of circularly permuted EGFP linked to the sensory domains DHFR or TetR. To extend this approach to low oxygen environments, we engineered an oxygen-independent trimethoprim biosensor by fusing DHFR to a circularly permuted version of the fluorogenic protein FAST. Using these biosensors, we monitored the antibiotic exposure dynamics of intracellular Salmonella enterica during macrophage infection at the single-cell level, and antibiotic penetration into anaerobic regions of Vibrio cholerae biofilms, as well as antibiotic availability in microoxic conditions in a human bladder tissue model infected with uropathogenic Escherichia coli. These fluorescent biosensors have the potential to be broadly applied for determining antibiotic distributions at infection sites with high spatial and temporal resolution.