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Published on: November 20, 2015
Interactions of the Pneumococcus with the Central Nervous System: Postnatal Meningitis Versus Fetal Neurodevelopment
Amy Davis1,2, Elaine Tuomanen1
1Department of Host-Microbe Interactions, St Jude Children's Research Hospital, Memphis, Tennessee, USA.
Insights
Prenatal bacterial exposure causes quiet brain immune responses, leading to abnormal neurodevelopment. Postnatal infections trigger destructive inflammation, like pneumococcal meningitis, damaging the central nervous system.
Area of Science:
- Neuroscience
- Immunology
- Developmental Biology
Background:
- Pneumococcal meningitis in children exemplifies a severe, inflammatory central nervous system response.
- Prenatal exposure to bacterial components from maternal infection induces a noninflammatory immune response in the fetal brain.
Purpose of the Study:
- To review and contrast prenatal and postnatal bacterial-host signaling within the brain.
- To elucidate differing immune responses to bacterial agents during distinct developmental stages.
Main Methods:
- Literature review of studies on prenatal and postnatal brain infections.
- Comparative analysis of immune signaling pathways in response to bacterial components.
Main Results:
- Postnatal bacterial meningitis involves a destructive innate inflammatory response in the CNS.
- Prenatal exposure triggers a quiet, noninflammatory immune response, promoting neuroproliferation and altered brain architecture.
Conclusions:
- Prenatal and postnatal bacterial exposures elicit fundamentally different immune responses in the brain.
- Understanding these distinct signaling pathways is crucial for addressing neurodevelopmental outcomes and CNS damage.
Abstract:
In young children, pneumococcal meningitis epitomizes the paradigm of a destructive innate inflammatory response in the central nervous system: a five-alarm fire. In contrast, cell-free bacterial components reaching the fetal brain from an infected mother signal a quiet, noninflammatory immune response that drives abnormal neurodevelopment, changing brain architecture through neuroproliferation. This review addresses the difference between prenatal and postnatal bacterial-host signaling within the brain.
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