Colistin has a pretty interesting mechanism of action, disrupting ionic balance in cell wall of lipopolysaccharide.
The mechanism of resistance may well be lucky upregulation of ionic balance and cell wall stabilization proteins in response to the attack. Same as for lysozyme.
This kind of ionic environment has wide ranging effects on cell metabolism so changes genre expression. In multiple generations, the resistance might get baked into the genome...
Good point :).
Some bacteria have a "persistent" phenotype which means that they slow their metabolism way down, stop replicating and just hang out although they are genetically identical to the rest of the population. Normally (or in nutrient-rich conditions) this puts them at a disadvantage vs. the rest of the population, but in the event that there is an antibiotic compound the persisters survive way better. Persisters make up a very small percentage of the total population but can end up re-seeding the entire population after antibiotic treatment. It's not clear how the persister phenotype is regulated, so scientists often refer to it as stochastic. The really interesting thing is that persisters and non-persisters are genetically identical, and it's thought that maintaining some level of persisters in population is a bet-hedging strategy of the population.
*will edit with sources in a little bit
Even though they have the same blueprints, they’re activating their genes differently, Weiss says. It’s unclear how or why this happens.
I think that's the most interesting part of the article. Skip to that if you want to save some time and don't need the background on antibiotic-resistant bacteria.
It also highlights a misconception I had that genetically identical individuals would express the same genes when subjected to the same stimuli/conditions. Can someone with more knowledge share more details about how gene expression works?