Hervé Nicoloff
Bacteria don't always need a new gene to resist an antibiotic. They can take one that already exists and copy it, repeatedly and temporarily. Hervé Nicoloff works on how that happens and what it means for treatment.

Associate Professor
Department of Medical Biochemistry and Microbiology at Uppsala University
Research focus and interests
- Antibiotic resistance
- Antibiotic heteroresistance
- Resistance mechanisms
- Tandem genetic amplifications
- Plasmids
- Plasmids copy number regulation
- Bacterial populations genetics
- Bacterial fitness
Research expertise and methodologies
- Long-read and short read sequencing
- Optimization of long-read sequencing (Nanopore)
- Bacterial molecular genetics
- Targeted mutagenesis
- Fitness determination
- Microbiology
Ongoing research projects
Current projects:
- Distribution of tandem genetic amplifications increasing the gene copy number of resistance genes in bacterial populations and its impact on heteroresistance
- Plasmid copy number increase as a mechanism of antibiotic heteroresistance and its impact on horizontal gene transfer of resistance genes
- Potential for β-lactamases to cause heteroresistance when present at increased copy number
(Hopefully) future projects:
- Genome-wide characterization of bacterial genetic plasticity and its impact on the evolution of antibiotic heteroresistance
- Expression and regulation of antibiotic resistance genes in clinical isolates: role of genetic context (promoters) and impact on observed discrepancies between genotypes and antimicrobial susceptibility tests
Key Publications
- Jonsson S., Guliaev A., Berryhill B.A., Andersson D.I., Nicoloff H. (2026) The dynamic distribution of genetic tandem amplifications in a heteroresistant Escherichia coli population revealed by ultra-deep long read sequencing. Nature Communications. https://doi.org/10.1038/s41467-026-70044-8
- Heyman G., Jonsson S., Fatsis-Kavalopoulos N., Hjort K., Nicoloff H., Furebring M., Andersson D.I. (2025) Prevalence, misclassification, and clinical consequences of the heteroresistant phenotype in Escherichia coli bloodstream infections in patients in Uppsala, Sweden: a retrospective cohort study. The Lancet Microbe, 6(4):101010. https://doi.org/10.1016/j.lanmic.2024.101010
- Nicoloff H., Hjort K., Wang H., Andersson D.I. (2024) Three concurrent mechanisms generate gene copy number variation and transient antibiotic heteroresistance. Nature Communications, 15(1):3981. https://doi.org/10.1038/s41467-024-48233-0
- Nicoloff H., Hjort K., Levin B.R., Andersson D.I. (2019) The high prevalence of antibiotic heteroresistance in pathogenic bacteria is mainly caused by gene amplification. Nature Microbiology, 4(3):504–514. https://doi.org/10.1038/s41564-018-0342-0
- Andersson D.I., Nicoloff H., Hjort K. (2019) Mechanisms and clinical relevance of bacterial heteroresistance. Nature Reviews Microbiology, 17(8):479–496. https://doi.org/10.1038/s41579-019-0218-1
Publications
-
A portable epigenetic switch for bistable gene expression in bacteria
Part of Scientific Reports, 2019
- DOI for A portable epigenetic switch for bistable gene expression in bacteria
- Download full text (pdf) of A portable epigenetic switch for bistable gene expression in bacteria
-
Part of Journal of Bacteriology, 2017
-
2022
-
2022
-
2022
-
2022
-
2022
-
2022
-
Part of mBio, 2026
- DOI for Deletions of recombination genes impair tandem amplification and reshape heteroresistance mechanisms in Escherichia coli
- Download full text (pdf) of Deletions of recombination genes impair tandem amplification and reshape heteroresistance mechanisms in Escherichia coli
-
Heteroresistance and clinical outcomes: much still to be understood – Authors' reply
Part of The Lancet Microbe, 2025
- DOI for Heteroresistance and clinical outcomes: much still to be understood – Authors' reply
- Download full text (pdf) of Heteroresistance and clinical outcomes: much still to be understood – Authors' reply
-
-
Part of PLoS biology, 2024
- DOI for High prevalence of heteroresistance in Staphylococcus aureus is caused by a multitude of mutations in core genes
- Download full text (pdf) of High prevalence of heteroresistance in Staphylococcus aureus is caused by a multitude of mutations in core genes
-
Impact of the bacterial genetic background on plasmid-borne antibiotic resistance
-
2022
-
2022
-
2022
-
2022
-
2022
-
2022
-
Part of Journal of Antimicrobial Chemotherapy, p. 100-110, 2016
-
Part of Molecular Microbiology, p. 1233-1248, 2013
-
Part of PLoS biology, 2022
- DOI for Low levels of tetracyclines select for a mutation that prevents the evolution of high-level resistance to tigecycline
- Download full text (pdf) of Low levels of tetracyclines select for a mutation that prevents the evolution of high-level resistance to tigecycline
-
Machine learning detection of heteroresistance in Escherichia coli
Part of EBioMedicine, 2025
- DOI for Machine learning detection of heteroresistance in Escherichia coli
- Download full text (pdf) of Machine learning detection of heteroresistance in Escherichia coli
-
Mechanisms and clinical relevance of bacterial heteroresistance
Part of Nature Reviews Microbiology, p. 479-496, 2019
-
Part of The Lancet Microbe, 2025
- DOI for Prevalence, misclassification, and clinical consequences of the heteroresistant phenotype in Escherichia coli bloodstream infections in patients in Uppsala, Sweden: a retrospective cohort study
- Download full text (pdf) of Prevalence, misclassification, and clinical consequences of the heteroresistant phenotype in Escherichia coli bloodstream infections in patients in Uppsala, Sweden: a retrospective cohort study
-
Part of Nature Communications, 2026
- DOI for The dynamic distribution of genetic tandem amplifications in a heteroresistant Escherichia coli population revealed by ultra-deep long read sequencing
- Download full text (pdf) of The dynamic distribution of genetic tandem amplifications in a heteroresistant Escherichia coli population revealed by ultra-deep long read sequencing
-
2025
-
Part of Nature Microbiology, p. 504-514, 2019
-
-
Part of Nature Communications, 2024
- DOI for Three concurrent mechanisms generate gene copy number variation and transient antibiotic heteroresistance
- Download full text (pdf) of Three concurrent mechanisms generate gene copy number variation and transient antibiotic heteroresistance
-
Part of Molecular Microbiology, p. 274-289, 2016
- DOI for Unstable tandem gene amplification generates heteroresistance (variation in resistance within a population) to colistin in Salmonella enterica
- Download full text (pdf) of Unstable tandem gene amplification generates heteroresistance (variation in resistance within a population) to colistin in Salmonella enterica