Neutrophil extracellular traps in the central nervous system hinder bacterial clearance during pneumococcal meningitis.


Journal

Nature communications
ISSN: 2041-1723
Titre abrégé: Nat Commun
Pays: England
ID NLM: 101528555

Informations de publication

Date de publication:
10 04 2019
Historique:
received: 21 03 2018
accepted: 12 02 2019
entrez: 12 4 2019
pubmed: 12 4 2019
medline: 30 4 2019
Statut: epublish

Résumé

Neutrophils are crucial mediators of host defense that are recruited to the central nervous system (CNS) in large numbers during acute bacterial meningitis caused by Streptococcus pneumoniae. Neutrophils release neutrophil extracellular traps (NETs) during infections to trap and kill bacteria. Intact NETs are fibrous structures composed of decondensed DNA and neutrophil-derived antimicrobial proteins. Here we show NETs in the cerebrospinal fluid (CSF) of patients with pneumococcal meningitis, and their absence in other forms of meningitis with neutrophil influx into the CSF caused by viruses, Borrelia and subarachnoid hemorrhage. In a rat model of meningitis, a clinical strain of pneumococci induced NET formation in the CSF. Disrupting NETs using DNase I significantly reduces bacterial load, demonstrating that NETs contribute to pneumococcal meningitis pathogenesis in vivo. We conclude that NETs in the CNS reduce bacterial clearance and degrading NETs using DNase I may have significant therapeutic implications.

Identifiants

pubmed: 30971685
doi: 10.1038/s41467-019-09040-0
pii: 10.1038/s41467-019-09040-0
pmc: PMC6458182
doi:

Substances chimiques

Recombinant Proteins 0
DNASE1 protein, human EC 3.1.21.1
Deoxyribonuclease I EC 3.1.21.1

Types de publication

Journal Article Research Support, Non-U.S. Gov't

Langues

eng

Sous-ensembles de citation

IM

Pagination

1667

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Auteurs

Tirthankar Mohanty (T)

Division of Infection Medicine, Department of Clinical Sciences, Lund University, 22184, Lund, Sweden. tirthankar.mohanty@med.lu.se.

Jane Fisher (J)

Division of Infection Medicine, Department of Clinical Sciences, Lund University, 22184, Lund, Sweden.

Anahita Bakochi (A)

Division of Infection Medicine, Department of Clinical Sciences, Lund University, 22184, Lund, Sweden.

Ariane Neumann (A)

Division of Infection Medicine, Department of Clinical Sciences, Lund University, 22184, Lund, Sweden.

José Francisco Pereira Cardoso (JFP)

Division of Infection Medicine, Department of Clinical Sciences, Lund University, 22184, Lund, Sweden.

Christofer A Q Karlsson (CAQ)

Division of Infection Medicine, Department of Clinical Sciences, Lund University, 22184, Lund, Sweden.

Chiara Pavan (C)

Center for Translational Neuromedicine, Blegdamsvej 3B, Copenhagen University, 2200, Copenhagen, Denmark.

Iben Lundgaard (I)

Department of Experimental Medicine Science, Lund University, Solvegatan 19, 22184, Lund, Sweden.
Wallenberg Center for Molecular Medicine, Lund University, Solvegatan 19, 22184, Lund, Sweden.

Bo Nilson (B)

Division of Medical Microbiology, Department of Laboratory Medicine, Lund University, 22184, Lund, Sweden.
Clinical Microbiology, Labmedicin, Region Skåne, 22184, Lund, Sweden.

Peter Reinstrup (P)

Division of Anesthesia and Intensive Care, Department of Clinical Sciences, Lund University, 22184, Lund, Sweden.

Johan Bonnevier (J)

Division of Anesthesia and Intensive Care, Department of Clinical Sciences, Lund University, 22184, Lund, Sweden.

David Cederberg (D)

Department of Neurosurgery, Lund University Hospital, 22185, Lund, Sweden.

Johan Malmström (J)

Division of Infection Medicine, Department of Clinical Sciences, Lund University, 22184, Lund, Sweden.

Peter Bentzer (P)

Division of Anesthesia and Intensive Care, Department of Clinical Sciences, Lund University, 22184, Lund, Sweden.
Department of Anesthesia and Intensive Care, Helsingborg Hospital, 25187, Helsingborg, Sweden.

Adam Linder (A)

Division of Infection Medicine, Department of Clinical Sciences, Lund University, 22184, Lund, Sweden.

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Classifications MeSH