Department of Microbiology, Osaka University Graduate School of Dentistry, Osaka, Japan.
Department of Fixed Prosthodontics and Orofacial Function, Osaka University Graduate School of Dentistry, Osaka, Japan.
mSphere. 2024 Oct 29;9(10):e0065524. doi: 10.1128/msphere.00655-24. Epub 2024 Sep 30.
is one of the major pathogens responsible for bacterial meningitis and neurological sequelae. The present study was conducted to identify a non-hematogenous route used by to gain access to brain tissue without causing bacteremia or pneumonia, as well as bacterial and host factors involved in this process. To investigate the molecular mechanisms and dissemination pathways of pneumococcal infection in brain tissue, mice were intranasally inoculated with strain EF3030, a clinical isolate from a patient with otitis media. Pneumococci were isolated from the frontal olfactory bulb, caudal cerebrum, and cerebellum, with neither bacteremia nor pneumonia observed in the present model. Immunostaining imaging revealed the presence of organisms in olfactory nerve fibers. Knockout of the gene encoding pneumolysin (PLY) markedly compromised the ability of the bacterial organisms to disseminate into brain tissue, whereas the dissemination efficiency of the complemented strain was restored to nearly the same level as the wild type. Notably, distinct upregulation of Gli1 and Snail1, which are involved in the transcriptional repression of junctional proteins, along with downregulation of E-cadherin, was detected in nasal lavage samples from mice infected with the wild-type or complemented strain, but not in those from mice infected with the mutant. Taken together, the present findings indicate that PLY induces Gli1-Snail1-dependent dysfunction of the nasal epithelial barrier, thus allowing pneumococcal dissemination to brain tissue that occurs in a non-hematogenous manner.IMPORTANCEBacterial meningitis, considered to be caused by bacteremia, can lead to blood-brain barrier disruption and bacterial dissemination into the central nervous system. Despite the availability of intravenously administered antibiotics with cerebrospinal fluid transferability, bacterial meningitis remains associated with high rates of morbidity and mortality. Here, we utilized strain EF3030, clinically isolated from otitis media, for the construction of a murine infection model to investigate the molecular mechanisms by which nasally colonized pneumococci disseminate into brain tissue. The obtained findings indicate that pneumolysin (PLY) induces Gli1-Snail1-dependent dysfunction of the nasal epithelial barrier, which facilitates pneumococcal dissemination to brain tissue in a non-hematogenous manner. Our results support the existence of an alternative route by which can reach the central nervous system and indicate the need for the development of novel therapeutic strategies, which would be an important contribution to the clinical management of bacterial meningitis.
是导致细菌性脑膜炎和神经后遗症的主要病原体之一。本研究旨在确定 进入脑组织的非血源性途径,而不引起菌血症或肺炎,以及参与此过程的细菌和宿主因素。为了研究 感染脑组织的分子机制和传播途径,我们将 菌株 EF3030 经鼻腔接种于小鼠,该菌株是从中耳炎患者分离的临床分离株。从额嗅球、尾脑和小脑分离出肺炎球菌,本模型中未观察到菌血症或肺炎。免疫染色成像显示 存在于嗅神经纤维中。编码肺炎球菌溶血素(PLY)的 基因缺失显著降低了细菌向脑组织传播的能力,而互补菌株的传播效率恢复到与野生型几乎相同的水平。值得注意的是,在感染野生型或互补菌株的小鼠的鼻腔冲洗样本中检测到Gli1 和 Snail1 的明显上调,它们涉及细胞连接蛋白的转录抑制,而在感染 突变体的小鼠中则没有检测到。综上所述,本研究结果表明,PLY 诱导了Gli1-Snail1 依赖的鼻上皮屏障功能障碍,从而允许非血源性方式将肺炎球菌传播到脑组织。
重要性细菌性脑膜炎被认为是由菌血症引起的,可导致血脑屏障破坏和细菌向中枢神经系统扩散。尽管有可向脑脊液转移的静脉内给予的抗生素,但细菌性脑膜炎仍然与高发病率和死亡率相关。在这里,我们利用 菌株 EF3030,从中耳炎中分离出来,构建了一个小鼠感染模型,以研究鼻腔定植的肺炎球菌向脑组织传播的分子机制。研究结果表明,肺炎球菌溶血素(PLY)诱导了Gli1-Snail1 依赖的鼻上皮屏障功能障碍,从而促进了肺炎球菌非血源性向脑组织的传播。我们的研究结果支持了 进入中枢神经系统的另一种途径的存在,并表明需要开发新的治疗策略,这将是对细菌性脑膜炎临床管理的重要贡献。