Abstract

Mast cells reside on and near the cerebral vasculature, the predominant site of pneumococcal entry into the central nervous system (CNS). Although mast cells have been reported to be crucial in protecting from systemic bacterial infections, their role in bacterial infections of the CNS remained elusive. Here, we assessed the role of mast cells in pneumococcal infection in vitro and in vivo. In introductory experiments using mouse bone marrow-derived mast cells (BMMC), we found that (i) BMMC degranulate and release selected cytokines upon exposure to Streptococcus pneumoniae, (ii) the response of BMMC varies between different pneumococcal serotypes and (iii) is dependent on pneumolysin. Intriguingly though, apart from a slight enhancement of cerebrospinal fluid (CSF) pleocytosis, neither two different mast cell-deficient Kit mutant mouse strains (WBB6F1-KitW/Wv and C57BL/6 KitW-sh/W-sh mice) nor pharmacologic mast cell stabilization with cromoglycate had any significant impact on the disease phenotype of experimental pneumococcal meningitis. The incomplete reversal of the enhanced CSF pleocytosis by local mast cell engraftment suggests that this phenomenon is caused by other c-Kit mutation-related mechanisms than mast cell deficiency. In conclusion, our study suggests that mast cells can be activated by S. pneumoniae in vitro. However, mast cells do not play a significant role as sentinels of pneumococcal CSF invasion and initiators of innate immunity in vivo.

Highlights

  • Bacterial meningitis is among the top 10 causes of infection-related deaths worldwide, and many survivors suffer from permanent neurologic and otologic sequelae [1, 2]

  • Our data propose that mouse bone marrow-derived mast cells (BMMC) respond to S. pneumoniae infection with the release of selected host factors, and the BMMC response varies between serotypes and is largely dependent on the presence of PLY

  • We extend this finding and show that (i) mouse BMMC degranulate and release IL-6, CCL2, CCL3, and CCL4 upon exposure to the same infectious agent, (ii) the response of BMMC varies between different pneumococcal serotypes and (iii) is dependent on PLY, but independent on toll-like receptors (TLR) activation

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Summary

Introduction

Bacterial meningitis is among the top 10 causes of infection-related deaths worldwide, and many survivors suffer from permanent neurologic and otologic sequelae [1, 2]. Rapid recruitment of neutrophils to sites of infection is required for an effective host defense against invading pathogens [3] Their many defense mechanisms that destroy or digest pathogens can be deleterious to host tissue. Evidence has accumulated that neutrophils are major effectors of tissue damage in pneumococcal meningitis [4,5,6]. Since they are virtually absent in normal CSF, other immunocompetent cells might function as sentinels of bacterial CSF invasion and initiators of the host immune response

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