Cytokine-induced meningitis is dramatically attenuated in mice deficient in endothelial selectins

T Tang1, P S Frenette, R O Hynes

  • 1Department of Pathology, Brigham and Women's Hospital, Boston, Massachusetts 02115, USA.

Insights

Blocking P- and E-selectins significantly reduces leukocyte infiltration and blood-brain barrier disruption in meningitis models. This suggests targeting these selectins could be a novel therapeutic strategy for bacterial meningitis.

Area of Science:

  • Neuroimmunology
  • Vascular Biology
  • Inflammation Research

Background:

  • Leukocyte accumulation in cerebrospinal fluid and blood-brain barrier disruption are hallmarks of meningitis.
  • Endothelial selectins (P-selectin and E-selectin) mediate leukocyte adhesion and extravasation, but their role in meningitis was unexplored.

Purpose of the Study:

  • To investigate the role of P-selectin and E-selectin in a mouse model of acute meningitis.
  • To assess the therapeutic potential of blocking these selectins in meningitis.

Main Methods:

  • Developed an acute cytokine-induced meningitis model in adult mice.
  • Utilized mice genetically deficient in P-selectin and doubly deficient in P- and E-selectins.
  • Quantified cerebrospinal fluid leukocyte influx and blood-brain barrier permeability.

Main Results:

  • P-selectin deficiency partially inhibited leukocyte influx and blood-brain barrier permeability.
  • Mice lacking both P- and E-selectins showed near-complete inhibition of these meningitis parameters.
  • Significant cerebrospinal fluid leukocyte accumulation (14,000 cells/microl) and BBB permeability were observed in control mice.

Conclusions:

  • P- and E-selectins play a cooperative role in meningeal inflammation during meningitis.
  • Combined blockade of P- and E-selectins, alongside antibiotics, may offer a promising therapeutic strategy for bacterial meningitis.

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