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Updated: Feb 19, 2026

Neisseria meningitidis Infection of Induced Pluripotent Stem-Cell Derived Brain Endothelial Cells
Published on: July 14, 2020
Peripheral blood vessels are a niche for blood-borne meningococci
Elena Capel1,2, Jean-Philippe Barnier1,2,3, Aldert L Zomer4
1a Institut Necker Enfants-Malades, INSERM U1151, Equipe 11 , Paris , France.
Abstract:
Neisseria meningitidis is the causative agent of cerebrospinal meningitis and that of a rapidly progressing fatal septic shock known as purpura fulminans. Meningococcemia is characterized by bacterial adhesion to human endothelial cells of the microvessels. Host specificity has hampered studies on the role of blood vessels colonization in N. meningitidis associated pathogenesis. In this work, using a humanized model of SCID mice allowing the study of bacterial adhesion to human cells in an in vivo context we demonstrate that meningococcal colonization of human blood vessels is a prerequisite to the establishment of sepsis and lethality. To identify the molecular pathways involved in bacterial virulence, we performed transposon insertion site sequencing (Tn-seq) in vivo. Our results demonstrate that 36% of the genes that are important for growth in the blood of mice are dispensable when bacteria colonize human blood vessels, suggesting that human endothelial cells lining the blood vessels are feeding niches for N. meningitidis in vivo. Altogether, our work proposes a new paradigm for meningococcal virulence in which colonization of blood vessels is associated with metabolic adaptation and sustained bacteremia responsible for sepsis and subsequent lethality.
Insights
Neisseria meningitidis colonization of human blood vessels is essential for sepsis and death. Human endothelial cells act as nutrient sources, enabling bacterial adaptation and sustained bacteremia.
Area of Science:
- Microbiology
- Pathogenesis
- Infectious Diseases
Background:
- Neisseria meningitidis causes meningitis and purpura fulminans.
- Bacterial adhesion to endothelial cells is key in meningococcemia.
- Host specificity limits understanding of blood vessel colonization's role.
Purpose of the Study:
- To investigate the role of blood vessel colonization in N. meningitidis pathogenesis.
- To identify molecular virulence factors using a humanized mouse model.
- To elucidate the metabolic adaptations of N. meningitidis during human endothelial cell colonization.
Main Methods:
- Utilized a humanized SCID mouse model for in vivo studies.
- Employed transposon insertion site sequencing (Tn-seq) to identify virulence genes.
- Analyzed bacterial gene requirements for growth in mouse blood versus human blood vessels.
Main Results:
- Demonstrated that meningococcal colonization of human blood vessels is critical for sepsis and lethality.
- Found that 36% of genes essential for growth in mouse blood are dispensable for human blood vessel colonization.
- Identified human endothelial cells as nutrient-rich niches for N. meningitidis.
Conclusions:
- Proposes a new model for meningococcal virulence centered on blood vessel colonization.
- Highlights metabolic adaptation to human endothelial cells as a key virulence strategy.
- Links sustained bacteremia, driven by endothelial cell colonization, to sepsis and fatality.
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