It has been demonstrated that numerous species of bacteria enter a viable b
ut nonculturable (VBNC) state in response to environmental stress. There ha
ve been numerous reports on the physiology of these cells as well as the co
nditions which induce nonculturability. There have been fewer convincing re
ports of resuscitation. Thus, our knowledge of the processes involved in in
duction of the VBNC state has increased significantly while the processes i
nvolved in resuscitation of these cells has been less forthcoming. Nonethel
ess, it is apparent that VBNC formation and resuscitation are important ada
ptive responses to environmental stress, much like starvation and outgrowth
responses. Research in the field of nonculturability has recently seen a s
hift from the purely physiological characterization of VBNC cells to the ex
amination of the genetic regulation involved in the induction of noncultura
bility and to the factors required for resuscitation. It has become apparen
t that factors such as oxidative stress may play a large role in both the e
ntry into and exit from the VBNC state. In addition, recent evidence indica
tes that signaling molecules play an important role in adaptive responses.
This review will summarize the current research in the field of nonculturab
ility and discuss current directions being taken to further our knowledge o
f such adaptive responses.