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Updated: Jun 20, 2026

Induction of Leptomeningeal Cells Modification Via Intracisternal Injection
Published on: May 7, 2020
Neuropeptide alpha-MSH exerts pro-inflammatory effects on Neisseria meningitidis infection in vitro
Pawan Kumar1, Jeannette N Williams, Kesta L Durkin
1Division of Infection, Inflammation and Immunity, Department of Dermatopharmacology, University of Southampton Medical School, Southampton General Hospital, Tremona Road, Southampton SO16 6YD, UK.
Objective And Design:
alpha-Melanoycte stimulating hormone (alpha-MSH), a neuropeptide hormone with reported anti-microbial and immuno-modulatory properties in vitro, has previously been detected in the cerebrospinal fluid of children with bacterial meningitis. We investigated the therapeutic effects of alpha-MSH administration on Neisseria meningitidis infection of human meningeal cell cultures in vitro.
Materials And Methods:
Meningeal cell lines (n = 2) were infected with meningococci (10(2)-10(8) cfu/monolayer), isolated bacterial outer membranes (OM; 1 microg/ml) or lipo-oligosaccharide (LOS; 1 microg/ml) with and without alpha-MSH (10(-5)-10 microM). Bacterial adherence was quantified at 6 h, and cytokine production and microbicidal activity of alpha-MSH for meningococci were assessed at 24 h.
Results:
Compared with infection by meningococci alone, alpha-MSH (10 microM) up-regulated secretion of IL-6 and IL-8 (mean values increased from approximately 33 to 60 ng/ml), RANTES (mean values increased from approximately 26 to 105 ng/ml) and GM-CSF (mean values increased from approximately 0.3 to 1 ng/ml; P < 0.05). Upregulated secretion correlated with a neuropeptide-mediated rapid and >5-fold increase (P < 0.05) in bacterial adherence to cells and was dependent on OM components including LOS acting synergistically with alpha-MSH. Meningococci were resistant to the anti-microbial activity of alpha-MSH at all concentrations tested.
Conclusions:
Our study demonstrates that a potentially therapeutic neuropeptide exerts pro-inflammatory effects during meningococcal infection in vitro and its use in the treatment of meningitis is contra-indicated.
Insights
Alpha-melanocyte stimulating hormone (alpha-MSH) increased inflammation and bacterial adherence in meningococcal meningitis models. This neuropeptide is not suitable for treating meningitis due to these pro-inflammatory effects.
Area of Science:
- Neuroimmunology
- Microbiology
Background:
- Alpha-melanocyte stimulating hormone (alpha-MSH) is a neuropeptide with known antimicrobial and immunomodulatory properties.
- Alpha-MSH has been detected in cerebrospinal fluid of children with bacterial meningitis.
Purpose of the Study:
- To investigate the therapeutic effects of alpha-MSH on Neisseria meningitidis infection in human meningeal cell cultures.
- To assess the impact of alpha-MSH on bacterial adherence, cytokine production, and antimicrobial activity in vitro.
Main Methods:
- Human meningeal cell lines were infected with Neisseria meningitidis, bacterial outer membranes, or lipo-oligosaccharide (LOS).
- Cells were treated with varying concentrations of alpha-MSH.
- Bacterial adherence, cytokine secretion (IL-6, IL-8, RANTES, GM-CSF), and antimicrobial activity were measured.
Main Results:
- Alpha-MSH (10 microM) significantly upregulated secretion of IL-6, IL-8, RANTES, and GM-CSF.
- Upregulated cytokine secretion correlated with a >5-fold increase in bacterial adherence, dependent on outer membrane components and LOS.
- Neisseria meningitidis showed resistance to the antimicrobial activity of alpha-MSH at all tested concentrations.
Conclusions:
- Alpha-MSH exhibits pro-inflammatory effects in vitro during meningococcal infection.
- The synergistic action of alpha-MSH with bacterial components enhances adherence.
- Alpha-MSH administration is contraindicated for the treatment of meningitis.
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