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Updated: Aug 24, 2026

Invasion of Human Cells by a Bacterial Pathogen
Published on: March 21, 2011
Invasion of the central nervous system by intracellular bacteria
Douglas A Drevets1, Pieter J M Leenen, Ronald A Greenfield
1Department of Medicine, Oklahoma University Health Sciences Center, Oklahoma City, Oklahoma 73104, USA. douglas-drevets@ouhsc.edu
Abstract:
Infection of the central nervous system (CNS) is a severe and frequently fatal event during the course of many diseases caused by microbes with predominantly intracellular life cycles. Examples of these include the facultative intracellular bacteria Listeria monocytogenes, Mycobacterium tuberculosis, and Brucella and Salmonella spp. and obligate intracellular microbes of the Rickettsiaceae family and Tropheryma whipplei. Unfortunately, the mechanisms used by intracellular bacterial pathogens to enter the CNS are less well known than those used by bacterial pathogens with an extracellular life cycle. The goal of this review is to elaborate on the means by which intracellular bacterial pathogens establish infection within the CNS. This review encompasses the clinical and pathological findings that pertain to the CNS infection in humans and includes experimental data from animal models that illuminate how these microbes enter the CNS. Recent experimental data showing that L. monocytogenes can invade the CNS by more than one mechanism make it a useful model for discussing the various routes for neuroinvasion used by intracellular bacterial pathogens.
Insights
Intracellular bacteria can infect the central nervous system (CNS) through various mechanisms. This review details how these pathogens, like Listeria monocytogenes, invade the CNS, aiding in understanding neuroinvasion.
Area of Science:
- Microbiology
- Neuroscience
- Infectious Diseases
Background:
- Central nervous system (CNS) infections by intracellular pathogens are severe and often fatal.
- Mechanisms of CNS invasion by intracellular bacteria are less understood than extracellular pathogens.
- Pathogens include Listeria monocytogenes, Mycobacterium tuberculosis, Brucella, Salmonella, Rickettsiaceae, and Tropheryma whipplei.
Purpose of the Study:
- To review the mechanisms by which intracellular bacterial pathogens establish CNS infections.
- To elucidate the routes of neuroinvasion used by these microbes.
- To consolidate clinical, pathological, and experimental findings on CNS infection by intracellular bacteria.
Main Methods:
- Review of clinical and pathological findings in human CNS infections.
- Analysis of experimental data from animal models of neuroinvasion.
- Focus on Listeria monocytogenes as a model organism for studying neuroinvasion mechanisms.
Main Results:
- Intracellular bacterial pathogens utilize diverse strategies to enter the CNS.
- Listeria monocytogenes demonstrates multiple pathways for CNS invasion, serving as a key model.
- Understanding these mechanisms is crucial for developing effective treatments.
Conclusions:
- Intracellular bacterial pathogens pose a significant threat to the CNS.
- Multiple invasion routes exist, with L. monocytogenes offering valuable insights.
- Further research into these mechanisms is essential for combating CNS infections.
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