Meningitic Escherichia coli K1 Penetration and Neutrophil Transmigration Across the Blood–Brain Barrier are Modulated by Alpha7 Nicotinic Receptor
2011

Role of Alpha7 Nicotinic Receptor in Meningitis Pathogenesis

Sample size: 6 publication 10 minutes Evidence: high

Author Information

Author(s): Chi Feng, Wang Lin, Zheng Xueye, Wu Chun-Hua, Jong Ambrose, Sheard Michael A., Shi Wei, Huang Sheng-He

Primary Institution: Department of Pediatrics, Saban Research Institute, University of Southern California, Childrens Hospital Los Angeles, Los Angeles, California, United States of America

Hypothesis

Does the alpha7 nicotinic acetylcholine receptor (nAChR) contribute to the regulation of bacterial meningitis?

Conclusion

The alpha7 nAChR plays a detrimental role in host defense against meningitic infection by modulating pathogen invasion and inflammatory responses.

Supporting Evidence

  • α7 nAChR deficiency reduced E. coli invasion and PMN transmigration across the blood-brain barrier.
  • Nicotine enhanced E. coli K1 invasion in a dose-dependent manner.
  • Proinflammatory cytokines were significantly reduced in the cerebrospinal fluids of α7-/- mice with E. coli meningitis.
  • α7 nAChR is the major calcium channel for nicotine- and E. coli K1-induced intracellular calcium concentrations.
  • α7 nAChR blockade reduced neuronal injury in the hippocampus during meningitis.
  • Tobacco smoke exposure increased susceptibility to E. coli meningitis in neonatal mice.
  • α7 nAChR-mediated calcium signaling is crucial for the inflammatory response to bacterial infection.
  • Blocking α7 nAChR improved outcomes in models of bacterial meningitis.

Takeaway

This study found that a specific receptor in the brain, called alpha7 nAChR, makes it easier for bacteria to invade and cause meningitis, especially when nicotine is present.

Methodology

The study used both in vitro and in vivo models, including α7-deficient mouse brain microvascular endothelial cells and animal models, to assess the role of alpha7 nAChR in bacterial invasion and inflammation.

Potential Biases

Potential bias in the interpretation of results due to the specific focus on alpha7 nAChR without considering other pathways.

Limitations

The study primarily focused on neonatal mice, which may not fully represent adult responses.

Participant Demographics

Neonatal mice were used in the study.

Statistical Information

P-Value

p<0.01

Statistical Significance

p<0.05

Digital Object Identifier (DOI)

10.1371/journal.pone.0025016

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