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Pneumococcal pneumolysin and H2O2 mediate brain cell apoptosis during meningitis
Johann S. Braun, … , Elaine I. Tuomanen, Joerg R. Weber
Johann S. Braun, … , Elaine I. Tuomanen, Joerg R. Weber
Published January 1, 2002
Citation Information: J Clin Invest. 2002;109(1):19-27. https://doi.org/10.1172/JCI12035.
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Pneumococcal pneumolysin and H2O2 mediate brain cell apoptosis during meningitis

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Abstract

Pneumococcus is the most common and aggressive cause of bacterial meningitis and induces a novel apoptosis-inducing factor–dependent (AIF–dependent) form of brain cell apoptosis. Loss of production of two pneumococcal toxins, pneumolysin and H2O2, eliminated mitochondrial damage and apoptosis. Purified pneumolysin or H2O2 induced microglial and neuronal apoptosis in vitro. Both toxins induced increases of intracellular Ca2+ and triggered the release of AIF from mitochondria. Chelating Ca2+ effectively blocked AIF release and cell death. In experimental pneumococcal meningitis, pneumolysin colocalized with apoptotic neurons of the hippocampus, and infection with pneumococci unable to produce pneumolysin and H2O2 significantly reduced damage. Two bacterial toxins, pneumolysin and, to a lesser extent, H2O2, induce apoptosis by translocation of AIF, suggesting new neuroprotective strategies for pneumococcal meningitis.

Authors

Johann S. Braun, Jack E. Sublett, Dorette Freyer, Tim J. Mitchell, John L. Cleveland, Elaine I. Tuomanen, Joerg R. Weber

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Pneumolysin and H2O2 are each sufficient to induce apoptosis in microgli...
Pneumolysin and H2O2 are each sufficient to induce apoptosis in microglia and neurons. (a) Microglia cells were incubated for 8 hours with purified pneumolysin (0.1 μg/ml) or H2O2 (0.2 mM) and stained with AO and EB. Either treatment resulted in shrinkage and condensation typical of apoptosis induced by wild-type pneumococci. The apoptosis-inducing activity of pneumolysin correlates with its cytolytic (Lys) but not its complement-activating (Compl) function. Microglial cells were incubated with wild-type or mutant pneumolysin (0.1 μg/ml) for 12 hours and stained with AO and EB. A point mutant in the domain required for cytolytic activity of pneumolysin (W433F) failed to induce apoptosis, whereas a point mutant in the domain required for complement activation (D385N) retained full apoptosis-inducing capacity. Bars = 10 μm. (b) Quantification of the effects of wild-type or mutant pneumolysin on primary rat hippocampal neurons. Results shown (means + SD) are representative for three independent experiments performed in triplicate. (c) Neurotoxicity (primary rat hippocampal neurons) of various concentrations of H2O2.

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ISSN: 0021-9738 (print), 1558-8238 (online)

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