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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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