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Updated: Aug 10, 2026

Analyzing the Permeability of the Blood-Brain Barrier by Microbial Traversal through Microvascular Endothelial Cells
Published on: February 14, 2020
Microbial translocation of the blood-brain barrier
1Division of Pediatric Infectious Diseases, Johns Hopkins University School of Medicine, 600 North Wolfe Street, Park 256, Baltimore, MD 21287, USA. kwangkim@jhmi.edu
Abstract:
A major contributing factor to high mortality and morbidity associated with CNS infection is the incomplete understanding of the pathogenesis of this disease. Relatively small numbers of pathogens account for most cases of CNS infections in humans, but it is unclear how such pathogens cross the blood-brain barrier (BBB) and cause infections. The development of the in vitro BBB model using human brain microvascular endothelial cells has facilitated our understanding of the microbial translocation of the BBB, a key step for the acquisition of CNS infections. Recent studies have revealed that microbial translocation of the BBB involves host cell actin cytoskeletal rearrangements, most likely as the result of specific microbial-host interactions. A better understanding of microbial-host interactions that are involved in microbial translocation of the BBB should help in developing new strategies to prevent CNS infections. This review summarises our current understanding of the pathogenic mechanisms involved in translocation of the BBB by meningitis-causing bacteria, fungi and parasites.
Insights
Understanding how pathogens cross the blood-brain barrier (BBB) is key to preventing CNS infections. This review details microbial translocation mechanisms across the BBB, focusing on host-pathogen interactions.
Area of Science:
- Neuroscience
- Infectious Diseases
- Microbiology
Background:
- Central nervous system (CNS) infections contribute significantly to mortality and morbidity.
- Pathogenesis of CNS infections remains incompletely understood, particularly pathogen translocation across the blood-brain barrier (BBB).
Purpose of the Study:
- To review current understanding of pathogenic mechanisms involved in the translocation of the BBB by meningitis-causing pathogens.
- To highlight the role of microbial-host interactions in BBB translocation.
Main Methods:
- Utilizes an in vitro BBB model with human brain microvascular endothelial cells.
- Summarizes recent studies on microbial translocation across the BBB.
Main Results:
- Microbial translocation across the BBB is a critical step in CNS infection acquisition.
- Host cell actin cytoskeletal rearrangements are involved in microbial translocation, driven by specific microbial-host interactions.
Conclusions:
- Improved understanding of microbial-host interactions at the BBB is crucial for developing novel prevention strategies for CNS infections.
- This review consolidates knowledge on BBB translocation by bacteria, fungi, and parasites causing meningitis.
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