Related Experiment Video
Updated: Jun 25, 2026

Evaluation of Caspase Activation to Assess Innate Immune Cell Death
Published on: January 20, 2023
Inducible nitric oxide synthase mediates hippocampal caspase-3 activation in pneumococcal meningitis
1Department of Neurology, Charite University Medicine, Berlin, Germany. johann.braun@charite.de
Abstract:
Brain damage in bacterial meningitis is still a major problem. More knowledge about the triggers and mechanisms of neuronal damage in bacterial meningitis is needed to improve outcome in bacterial meningitis. The most common bacterial meningitis pathogen--Streptococcus pneumoniae--causes caspase activation and neuronal apoptosis in the hippocampus via its toxins and extensive inflammatory potential. Nitric oxide (NO)--produced by inducible nitric oxide synthase (iNOS)--is a major inflammatory mediator clearly upregulated in the cerebrospinal fluid during pneumococcal meningitis. However, its effects in bacterial meningitis are still controversial. This article demonstrates that genetic inactivation of iNOS results in a marked reduction of caspase-3-mediated neuronal damage in experimental murine pneumococcal meningitis. Protection of hippocampal neurons in iNOS knockout mice was not due to differences in intrathecal growth of S. pneumoniae and must therefore be attributed to differences of host inflammatory mediators. This indicates that NO plays an important role in hippocampal caspase-3 activation during pneumococcal meningitis.
Insights
Nitric oxide (NO), produced by inducible nitric oxide synthase (iNOS), contributes to brain damage in bacterial meningitis. Inactivating iNOS significantly reduced neuronal damage in mice with pneumococcal meningitis.
Area of Science:
- Neuroscience
- Immunology
- Infectious Diseases
Background:
- Bacterial meningitis, particularly pneumococcal meningitis, causes significant neuronal damage.
- The role of nitric oxide (NO) in meningitis-induced brain injury remains unclear.
Purpose of the Study:
- To investigate the role of inducible nitric oxide synthase (iNOS) in neuronal damage during experimental pneumococcal meningitis.
Main Methods:
- Utilized a murine model of pneumococcal meningitis.
- Compared neuronal damage in wild-type mice versus iNOS knockout mice.
Main Results:
- Genetic inactivation of iNOS markedly reduced caspase-3-mediated neuronal damage in the hippocampus.
- Protection in iNOS knockout mice was not due to altered bacterial growth, but host inflammatory mediators.
Conclusions:
- NO produced by iNOS plays a crucial role in hippocampal caspase-3 activation and neuronal damage during pneumococcal meningitis.
- Targeting iNOS may offer a therapeutic strategy to mitigate brain injury in bacterial meningitis.
Related Concept Videos
Bacterial Meningitis II: Pathophysiology
Bacterial Meningitis
Nitric Oxide Signaling Pathway
Caspases
Cryptococcal Meningitis
Bacterial Meningitis I: Introduction

