Abstract

BackgroundStreptococcus pneumoniae is the leading cause of bacterial meningitis. Pneumococcal meningitis is associated with the highest mortality among bacterial meningitis and it may also lead to neurological sequelae despite the use of antibiotic therapy. Experimental animal models of pneumococcal meningitis are important to study the pathogenesis of meningitis, the host immune response induced after infection, and the efficacy of novel drugs and vaccines.ResultsIn the present work, we describe in detail a simple, reproducible and efficient method to induce pneumococcal meningitis in outbred mice by using the intracranial subarachnoidal route of infection. Bacteria were injected into the subarachnoid space through a soft point located 3.5 mm rostral from the bregma. The model was tested with several doses of pneumococci of three capsular serotypes (2, 3 and 4), and mice survival was recorded. Lethal doses killing 50 % of animals infected with type 2, 3 and 4 S. pneumoniae were 3.2 × 10, 2.9 × 10 and 1.9 × 102 colony forming units, respectively. Characterisation of the disease caused by the type 4 strain showed that in moribund mice systemic dissemination of pneumococci to blood and spleen occurred. Histological analysis of the brain of animals infected with type 4 S. pneumoniae proved the induction of meningitis closely resembling the disease in humans.ConclusionsThe proposed method for inducing pneumococcal meningitis in outbred mice is easy-to-perform, fast, cost-effective, and reproducible, irrespective of the serotype of pneumococci used.

Highlights

  • Streptococcus pneumoniae is the leading cause of bacterial meningitis

  • In the present work, starting from an experimental method used to study meningitis caused by Cryptococcus neoformans [48], we developed a model of pneumococcal meningitis (PM) based on the inoculation of bacteria into the subarachnoid space of outbred mice

  • The model is simple and fast, and the technique assures the development of meningitis, as demonstrated by histological analysis, survival data, and microbiological parameters

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Summary

Methods

Pneumococcal strains, media and growth conditions Survival studies were performed with the D39, HB565 and TIGR4 strains. TIGR4 was chosen as a model strain for histological characterisation of PM and CFU counts in organs. S. pneumoniae was cultured in Tryptic Soy Broth (TSB, Difco, Detroit, MI) at 37°C with 5 % CO2. Solid media were obtained by addition of 1.5 % agar and 3 % defibrinated horse blood (Biotec s.n.c., Grosseto, Italy) to TSB. Mice Outbred 9-weeks-old female MF1 mice weighing 25–30 grams were obtained from Harlan Nossan (Correzzana, Italy). Animals were allowed to settle in the new environment for one week before performing the experiments, they were caged and given food and water ad libitum. All animal experiments were approved by the Local Ethical Committee All animal experiments were approved by the Local Ethical Committee (document no. 754/03, 12.9.03, see Additional file 1) and were conducted according to institutional guidelines

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