Nutrient-Driven Small-Colony Variants as an Adaptive Outcome in Carbapenem-Resistant Acinetobacter baumannii
Highlights • Vitamin B12 induces stable small-colony variants (SCVs) in CRAB. • SCVs exhibit reduced cefiderocol killing and regrowth. • Mutations affect iron uptake, envelope structure, and metabolism. • Co-exposure enriches SCVs with siderophore and BfmRS changes. • Nutrients modulate antibiotic efficacy and persistence in CRAB.