Related Experiment Video
Updated: Aug 19, 2026

Inducing Meningococcal Meningitis Serogroup C in Mice via Intracisternal Delivery
Published on: November 5, 2019
Pathogenesis and pathophysiology of meningitis
A R Tunkel1, B Wispelwey, W M Scheld
1Division of Infectious Diseases, University of Virginia School of Medicine, Charlottesville.
Abstract:
Advances in the understanding of the pathogenesis and pathophysiology of meningitis have occurred primarily through the use of experimental animal models. These models have proven to be particularly valuable in experimental bacterial meningitis, focusing on the bacterial virulence factors responsible for the initiation of infections, CNS invasion, and induction of SAS inflammation. Recent studies have examined the formation of host inflammatory cytokines in response to these virulence factors. These cytokines may be responsible for many of the pathophysiologic consequences of bacterial meningitis (eg. increased BBB permeability, cerebral edema, and increased intracranial pressure). Meningitis due to C. neoformans occurs most commonly in patients with defects in cell-mediated immunity (eg, AIDS), and the depletion of T helper cells in AIDS patients may allow unrestricted cryptococcal growth. Viral meningitis is an illness of low prevalence when compared with the overall occurrence of viral infections at other sites. CNS infection usually occurs by means of traversal across barriers that normally exclude viral invasion of the CNS, primarily through hematogenous dissemination from initial sites of infection. These advances in the pathogenesis and pathophysiology of bacterial, fungal, and viral meningitis may lead to the development of innovative treatment strategies for these disorders.
Insights
Experimental animal models advance understanding of meningitis pathogenesis. These models investigate bacterial, fungal, and viral meningitis, paving the way for novel treatments.
Area of Science:
- Neuroscience
- Infectious Diseases
- Immunology
Background:
- Meningitis pathogenesis and pathophysiology are primarily understood through experimental animal models.
- These models are crucial for studying bacterial meningitis, focusing on virulence factors, central nervous system (CNS) invasion, and subarachnoid space (SAS) inflammation.
Purpose of the Study:
- To review advances in understanding the pathogenesis and pathophysiology of bacterial, fungal, and viral meningitis.
- To highlight the role of experimental animal models in this understanding.
- To explore the potential for developing innovative treatment strategies based on these advances.
Main Methods:
- Utilizing experimental animal models to study meningitis.
- Investigating bacterial virulence factors and host inflammatory cytokine responses.
- Examining the pathophysiology of CNS invasion and inflammation in bacterial, fungal (Cryptococcus neoformans), and viral meningitis.
Main Results:
- Experimental models have elucidated bacterial virulence factors' roles in CNS infection and inflammation.
- Host inflammatory cytokines are implicated in pathophysiological consequences like increased blood-brain barrier (BBB) permeability, cerebral edema, and intracranial pressure.
- Understanding C. neoformans meningitis in immunocompromised individuals (e.g., AIDS) and viral meningitis mechanisms (hematogenous dissemination) is enhanced.
Conclusions:
- Advances in understanding meningitis pathogenesis and pathophysiology through animal models are significant.
- These insights into bacterial, fungal, and viral meningitis mechanisms offer potential for novel therapeutic strategies.
- Further research using these models may lead to improved treatments for various forms of meningitis.
Related Concept Videos
Bacterial Meningitis
Viral Meningitis
Cryptococcal Meningitis
Bacterial Meningitis I: Introduction
Bacterial Meningitis II: Pathophysiology
Encephalitis ll: Pathophysiology

