Role of purinergic signaling in experimental pneumococcal meningitis

Marco Zierhut1, Susanne Dyckhoff1, Ilias Masouris1

  • 1Department of Neurology, Klinikum Grosshadern, Ludwig-Maximilians-University, Munich, Germany.

Scientific Reports
|March 17, 2017
PubMed

Insights

This study investigated ATP-P2R signaling in pneumococcal meningitis (PM). Researchers found that blocking P2 purinoceptors (P2Rs) did not affect disease course, suggesting this pathway has minimal impact on PM pathology.

Area of Science:

  • Neuroscience
  • Immunology
  • Pathology

Background:

  • Neutrophilic inflammation exacerbates brain damage in pneumococcal meningitis (PM).
  • The NLRP3 inflammasome/interleukin (IL)-1β pathway is a key inflammatory driver in PM.
  • The P2X7 receptor (P2R), activated by ATP, is crucial for NLRP3 inflammasome activation.

Purpose of the Study:

  • To investigate the role of ATP and P2Rs in the pathogenesis of pneumococcal meningitis.
  • To determine if targeting ATP-P2R signaling could be a therapeutic strategy for PM.

Main Methods:

  • A mouse model of pneumococcal meningitis was used.
  • P2R antagonists (suramin, brilliant blue G) were administered.
  • Brain P2R expression was analyzed using RT-PCR.
  • Cerebrospinal fluid (CSF) ATP levels were measured.
  • In vitro cell culture experiments were performed.

Main Results:

  • P2R antagonist treatment did not alter the course of meningitis.
  • RT-PCR and ATP analyses revealed down-regulation of brain P2R expression and decreased CSF ATP levels during meningitis.
  • Cell culture experiments indicated that neutrophils and macrophages hydrolyze ATP, reducing CSF ATP levels.

Conclusions:

  • ATP-P2R signaling appears to have minor or no significance in pneumococcal meningitis.
  • Reduced P2R expression and lower CSF ATP levels likely explain the lack of therapeutic effect.
  • This suggests that targeting the ATP-P2R pathway may not be an effective treatment for PM.