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Identification of Intracellular Signaling Events Induced in Viable Cells by Interaction with Neighboring Cells Undergoing Apoptotic Cell Death
Published on: December 27, 2016
Bacterial inhibition of phosphatidylcholine synthesis triggers apoptosis in the brain
Janine Zweigner1, Suzanne Jackowski, Shannon H Smith
1Department of Infectious Diseases, St. Jude Children's Research Hospital, 332 North Lauderdale Street, Memphis, TN 38105, USA.
Abstract:
Streptococcus pneumoniae is the most common cause of bacterial meningitis of high mortality and morbidity. Neurological sequelae include paralysis, mental retardation, and learning disorders. In humans, neurons of the hippocampus undergo apoptosis as a result of meningitis. Phosphatidylcholine (PtdCho) is an essential component of mammalian cell membranes and PtdCho deficiency, either due to chemicals or altered nutrition, leads to apoptosis, especially in hippocampal neurons. We show that apoptosis of a variety of brain cells after pneumococcal infection arises from inhibition of PtdCho biosynthesis, the first such activity described for a bacterium. Apoptosis inhibitors did not prevent the bacterial-dependent inhibition of PtdCho biosynthesis. Supplementation with exogenous lyso-phosphatidylcholine prevents cell death and treatment of mice with cytidine diphosphocholine attenuates hippocampal damage during meningitis, even after the onset of infection. We conclude that bacterial inhibition of PtdCho biosynthesis activates an apoptotic cascade that is a causative event in pathogenesis and amenable to therapeutic intervention.
Insights
Bacterial meningitis triggers brain cell apoptosis by inhibiting phosphatidylcholine (PtdCho) biosynthesis. Supplementing PtdCho precursors offers therapeutic potential against this neurological damage.
Area of Science:
- Neuroscience
- Microbiology
- Biochemistry
Background:
- Streptococcus pneumoniae causes bacterial meningitis, a leading cause of death and neurological deficits.
- Hippocampal neuron apoptosis is a hallmark of meningitis-induced brain damage.
- Phosphatidylcholine (PtdCho) is vital for neuronal membrane integrity; its deficiency induces apoptosis.
Purpose of the Study:
- To investigate the mechanism by which pneumococcal infection induces apoptosis in brain cells.
- To determine if bacterial manipulation of PtdCho biosynthesis is involved in meningitis pathogenesis.
- To explore therapeutic strategies targeting PtdCho metabolism for meningitis-induced brain injury.
Main Methods:
- Investigated the effect of Streptococcus pneumoniae infection on brain cell apoptosis.
- Assessed the impact of infection on phosphatidylcholine (PtdCho) biosynthesis pathways.
- Utilized apoptosis inhibitors and PtdCho precursors (lyso-phosphatidylcholine, cytidine diphosphocholine) in cellular and murine models of meningitis.
Main Results:
- Pneumococcal infection inhibits bacterial PtdCho biosynthesis, leading to apoptosis in various brain cells.
- This bacterial-dependent inhibition of PtdCho synthesis was not prevented by general apoptosis inhibitors.
- Supplementation with lyso-phosphatidylcholine prevented cell death, and cytidine diphosphocholine treatment reduced hippocampal damage in infected mice.
Conclusions:
- Bacterial inhibition of phosphatidylcholine (PtdCho) biosynthesis is a novel mechanism driving apoptosis in meningitis.
- This pathway represents a critical event in the pathogenesis of pneumococcal meningitis.
- Targeting PtdCho biosynthesis or supplementing precursors presents a promising therapeutic avenue for treating meningitis-associated neurological damage.
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