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Infection and Immunity, February 2001, p. 845-852, Vol. 69, No. 2
0019-9567/01/$04.00+0 DOI: 10.1128/IAI.69.2.845-852.2001
Copyright © 2001, American Society for Microbiology. All rights reserved.
Pneumolysin Is the Main Inducer of Cytotoxicity to Brain
Microvascular Endothelial Cells Caused by Streptococcus
pneumoniae
Gregor
Zysk,1,*
Barbara Katharina
Schneider-Wald,1
Jae Hyuk
Hwang,1
Levente
Bejo,1
Kwang Sik
Kim,2
Timothy J.
Mitchell,3
Regine
Hakenbeck,4 and
Hans-Peter
Heinz1
Department of Medical Microbiology and
Virology, University of Duesseldorf,
Duesseldorf,1 and Department of
Microbiology, University of Kaiserslautern,
Kaiserslautern,4 Germany; Division of
Infectious Diseases, Children's Hospital, University of Southern
California School of Medicine, Los Angeles,
California2; and Division of
Infection and Immunity, University of Glasgow, Glasgow,
Scotland3
Received 26 May 2000/Returned for modification 6 July 2000/Accepted 20 November 2000
In pneumococcal meningitis it is assumed that bacteria cross the
blood-brain barrier (BBB), which consists mainly of cerebral endothelial cells. The effect of Streptococcus pneumoniae
on the BBB was investigated with an in vitro BBB model using a human brain microvascular endothelial cell line (HBMEC) and primary cultures
of bovine brain microvascular endothelial cells (BBMEC). Within a few
hours of incubation with pneumococci, rounding and detachment of the
HBMEC were observed, and the transendothelial electrical resistance of
the BBMEC monolayer decreased markedly. An S. pneumoniae
mutant deficient in pneumolysin did not affect the integrity of the
endothelial cell monolayer. Neither cell wall fragments nor isolated
pneumococcal cell walls induced changes of endothelial cell morphology.
However, purified pneumolysin caused endothelial cell damage comparable
to that caused by the viable pneumococci. The cell detachment was
dependent on de novo protein synthesis and required the activities of
caspase and tyrosine kinases. The results show that pneumolysin is an
important component for damaging the BBB and may contribute to the
entry of pneumococci into the cerebral compartment and to the
development of brain edema in pneumococcal meningitis.
*
Corresponding author. Mailing address: Department of
Medical Microbiology and Virology, University of Duesseldorf, Geb.
22.21/U1, Universitaetsstrasse 1, D-40225 Duesseldorf, Germany. Phone
and fax: 49-211-8112496. E-mail: zysk{at}uni-duesseldorf.de.
Infection and Immunity, February 2001, p. 845-852, Vol. 69, No. 2
0019-9567/01/$04.00+0 DOI: 10.1128/IAI.69.2.845-852.2001
Copyright © 2001, American Society for Microbiology. All rights reserved.
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