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Published on: March 19, 2018
Beta-trace protein concentration in cerebrospinal fluid is decreased in patients with bacterial meningitis
1Department of Neurology, University of Göttingen, Germany. htumani@med.uni-goettingen.de
Abstract:
Although meninges represent a major site of biosynthesis, beta-trace protein (beta-trace) has not been studied in the cerebrospinal fluid (CSF) of meningitis patients. We measured beta-trace in lumbar CSF of normal controls (n = 27) and in patients with various neurological diseases (n = 92) by an immunonephelometric assay. The mean concentration of beta-trace in CSF of control patients was 16.6+/-3.6 mg/l. In bacterial meningitis (n = 41), CSF beta-trace was significantly decreased (8.7+/-3.9 mg/l; P< 0.001), whereas in spinal canal stenosis it was elevated (29.2+/-10.3 mg/l; P= 0.002). In viral meningoencephalitis (n = 12), beta-trace CSF concentrations were normal. Beta-trace concentrations remained below the normal range even after curing of bacterial meningitis, and normalisation of CSF leucocytes and blood-CSF barrier function. Beta-trace may be a useful tool for studying the pathophysiology of bacterial meningitis.
Insights
Beta-trace protein (beta-trace) levels in cerebrospinal fluid (CSF) are significantly decreased in bacterial meningitis patients. This finding suggests beta-trace may help understand bacterial meningitis pathophysiology.
Area of Science:
- Neurology
- Biochemistry
- Infectious Diseases
Background:
- The meninges are a primary site for beta-trace protein (beta-trace) biosynthesis.
- Beta-trace protein's role in cerebrospinal fluid (CSF) during meningitis remains understudied.
Purpose of the Study:
- To investigate beta-trace concentrations in the CSF of patients with bacterial meningitis and other neurological conditions.
- To evaluate the potential of beta-trace as a biomarker in meningitis.
Main Methods:
- Quantitative measurement of beta-trace in lumbar CSF using an immunonephelometric assay.
- Comparison of beta-trace levels in normal controls, bacterial meningitis, viral meningoencephalitis, and spinal canal stenosis patient groups.
Main Results:
- CSF beta-trace levels were significantly decreased in bacterial meningitis (8.7+/-3.9 mg/l) compared to controls (16.6+/-3.6 mg/l).
- Elevated CSF beta-trace was observed in spinal canal stenosis (29.2+/-10.3 mg/l), while viral meningoencephalitis showed normal levels.
- Decreased beta-trace persisted even after bacterial meningitis resolution and normalization of CSF parameters.
Conclusions:
- Beta-trace protein levels are significantly reduced in the CSF during bacterial meningitis.
- Beta-trace may serve as a valuable indicator for studying the pathophysiology of bacterial meningitis.
- Further research is warranted to explore the clinical utility of beta-trace in neurological disorders.
Related Concept Videos
Bacterial Meningitis
Viral Meningitis
Bacterial Meningitis I: Introduction
Bacterial Meningitis II: Pathophysiology

