Excess glutamate in the cerebrospinal fluid in bacterial meningitis.

Abstract:

:We investigated possible neurotoxic components in the cerebrospinal fluid (CSF) of patients with bacterial meningitis. On murine cerebellar neuronal cell cultures, CSF exerted a dose-dependent toxic effect, which was attenuated by the NMDA receptor antagonist MK-801. Glutamate concentrations in the CSF of patients with bacterial meningitis were measured by an enzymatic assay and found to be significantly elevated (p < 0.001) as compared to viral meningitis and non-inflammatory neurological diseases. The concentration of glutamate in the CSF of patients with bacterial meningitis varied considerably and correlated with the severity of the disease as scored by the Glasgow Coma Scale. Cells in the CSF, mainly comprising polymorphonuclear granulocytes, did not release any glutamate into the culture medium, whereas blood monocytes produced remarkable amounts. These findings implicate an important role of monocytic inflammatory cells in bacterial meningitis by the release of glutamate, which may contribute to neuronal cell death.

journal_name

J Neurol Sci

authors

Spranger M,Krempien S,Schwab S,Maiwald M,Bruno K,Hacke W

doi

10.1016/s0022-510x(96)00197-9

subject

Has Abstract

pub_date

1996-11-01 00:00:00

pages

126-31

issue

1-2

eissn

0022-510X

issn

1878-5883

pii

S0022-510X(96)00197-9

journal_volume

143

pub_type

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