Bacterial cytolysin during meningitis disrupts the regulation of glutamate in the brain, leading to synaptic damage

PLoS Pathog. 2013;9(6):e1003380. doi: 10.1371/journal.ppat.1003380. Epub 2013 Jun 13.

Abstract

Streptococcus pneumoniae (pneumococcal) meningitis is a common bacterial infection of the brain. The cholesterol-dependent cytolysin pneumolysin represents a key factor, determining the neuropathogenic potential of the pneumococci. Here, we demonstrate selective synaptic loss within the superficial layers of the frontal neocortex of post-mortem brain samples from individuals with pneumococcal meningitis. A similar effect was observed in mice with pneumococcal meningitis only when the bacteria expressed the pore-forming cholesterol-dependent cytolysin pneumolysin. Exposure of acute mouse brain slices to only pore-competent pneumolysin at disease-relevant, non-lytic concentrations caused permanent dendritic swelling, dendritic spine elimination and synaptic loss. The NMDA glutamate receptor antagonists MK801 and D-AP5 reduced this pathology. Pneumolysin increased glutamate levels within the mouse brain slices. In mouse astrocytes, pneumolysin initiated the release of glutamate in a calcium-dependent manner. We propose that pneumolysin plays a significant synapto- and dendritotoxic role in pneumococcal meningitis by initiating glutamate release from astrocytes, leading to subsequent glutamate-dependent synaptic damage. We outline for the first time the occurrence of synaptic pathology in pneumococcal meningitis and demonstrate that a bacterial cytolysin can dysregulate the control of glutamate in the brain, inducing excitotoxic damage.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adult
  • Aged
  • Aged, 80 and over
  • Animals
  • Astrocytes / metabolism
  • Astrocytes / microbiology
  • Astrocytes / pathology
  • Bacterial Proteins / genetics
  • Bacterial Proteins / metabolism
  • Dendrites / metabolism
  • Dendrites / microbiology
  • Dendrites / pathology
  • Dizocilpine Maleate / pharmacology
  • Frontal Lobe / metabolism*
  • Frontal Lobe / microbiology
  • Frontal Lobe / pathology
  • Glutamic Acid / metabolism*
  • Humans
  • Meningitis, Pneumococcal / genetics
  • Meningitis, Pneumococcal / metabolism*
  • Meningitis, Pneumococcal / microbiology
  • Meningitis, Pneumococcal / pathology
  • Mice
  • Middle Aged
  • Receptors, N-Methyl-D-Aspartate / antagonists & inhibitors
  • Receptors, N-Methyl-D-Aspartate / metabolism*
  • Streptococcus pneumoniae / genetics
  • Streptococcus pneumoniae / metabolism*
  • Streptococcus pneumoniae / pathogenicity
  • Streptolysins / genetics
  • Streptolysins / metabolism*
  • Synapses / metabolism*
  • Synapses / microbiology
  • Synapses / pathology

Substances

  • Bacterial Proteins
  • Receptors, N-Methyl-D-Aspartate
  • Streptolysins
  • plY protein, Streptococcus pneumoniae
  • Glutamic Acid
  • Dizocilpine Maleate