Folic acid prevented cognitive impairment in experimental pneumococcal meningitis

Tatiana Barichello1, Jaqueline S Generoso, Lutiana R Simões

  • 1Laboratório de Microbiologia Experimental, Programa de Pós-Graduação em Ciências da Saúde (PPGCS), Unidade Acadêmica de Ciências da Saúde (UNASAU), Universidade do Extremo Sul Catarinense, Criciúma, SC, 88806-000, Brazil, tba@unesc.net.

Insights

Folic acid (vitamin B9) supplementation prevented memory deficits in experimental pneumococcal meningitis. This neuroprotective effect was linked to reduced oxidative stress and increased brain-derived neurotrophic factor (BDNF).

Area of Science:

  • Neuroscience
  • Pharmacology
  • Infectious Diseases

Background:

  • Streptococcus pneumoniae causes bacterial meningitis with high mortality and neurological damage.
  • Folic acid is crucial for neuroplasticity and maintaining neuronal health.
  • Pneumococcal meningitis leads to memory impairment and oxidative stress in the brain.

Purpose of the Study:

  • To investigate folic acid's impact on memory, oxidative damage, and neurotrophic factors in experimental pneumococcal meningitis.
  • To assess the therapeutic potential of folic acid (vitamin B9) as an adjuvant treatment.

Main Methods:

  • Experimental pneumococcal meningitis model in animals.
  • Behavioral tests (open-field, step-down inhibitory avoidance) to assess memory.
  • Biochemical analysis of oxidative stress markers (lipid peroxidation, protein carbonylation, nitrate/nitrite) and enzymatic activity (superoxide dismutase, myeloperoxidase) in brain tissues.
  • Measurement of brain-derived neurotrophic factor (BDNF) expression.

Main Results:

  • Meningitis induced memory impairment, decreased BDNF expression, and increased oxidative damage.
  • Folic acid treatment (10 mg/kg) reversed memory deficits.
  • Folic acid administration increased BDNF levels and antioxidant enzyme activity (superoxide dismutase).
  • Folic acid reduced markers of oxidative stress (lipid peroxidation, protein carbonylation, nitrate/nitrite) and inflammation (myeloperoxidase) in the hippocampus and frontal cortex.

Conclusions:

  • Adjuvant folic acid treatment effectively prevented memory impairment in experimental pneumococcal meningitis.
  • Folic acid demonstrates neuroprotective effects by mitigating oxidative stress and enhancing BDNF expression.
  • Vitamin B9 holds therapeutic promise for managing neurological complications associated with bacterial meningitis.

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