Cell wall-mediated neuronal damage in early sepsis.

Abstract:

:Neuronal dysfunction can occur in the course of sepsis without meningitis. Sepsis-associated neuronal damage (SAND) was observed in the hippocampus within hours in experimental pneumococcal bacteremia. Intravascular challenge with purified bacterial cell wall recapitulated SAND. SAND persisted in PAFr(-/-) mice but was partially mitigated in mice lacking cell wall recognition proteins TLR2 and Nod2 and in mice overexpressing interleukin-10 (IL-10) in macrophages. Thus, cell wall drives SAND through IL-10-repressible inflammatory events. Treatment with CDP-choline ameliorated SAND, suggesting that it may be an effective adjunctive therapy to increase survival and reduce organ damage in sepsis.

journal_name

Infect Immun

journal_title

Infection and immunity

authors

Orihuela CJ,Fillon S,Smith-Sielicki SH,El Kasmi KC,Gao G,Soulis K,Patil A,Murray PJ,Tuomanen EI

doi

10.1128/IAI.00022-06

subject

Has Abstract

pub_date

2006-07-01 00:00:00

pages

3783-9

issue

7

eissn

0019-9567

issn

1098-5522

pii

74/7/3783

journal_volume

74

pub_type

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