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* Department of Pediatrics, Vrije Universiteit Medical Center, Amsterdam, The Netherlands; Departments of
Experimental Internal Medicine and
Pathology, Academic Medical Center, University of Amsterdam, Amsterdam, The Netherlands
The fatality rate associated with Streptococcus pneumoniae meningitis remains high despite adequate antibiotic treatment. IL-1 is an important proinflammatory cytokine, which is up-regulated in brain tissue after the induction of meningitis. To determine the role of IL-1 in pneumococcal meningitis we induced meningitis by intranasal inoculation with 8 x 104 CFU of S. pneumoniae and 180 U of hyaluronidase in IL-1R type I gene-deficient (IL-1R-/-) mice and wild-type mice. Meningitis resulted in elevated IL-1
and IL-1
mRNA and protein levels in the brain. The absence of an intact IL-1 signal was associated with a higher susceptibility to develop meningitis. Furthermore, the lack of IL-1 impaired bacterial clearance, as reflected by an increased number of CFU in cerebrospinal fluid of IL-1R-/- mice. The characteristic pleocytosis of meningitis was not significantly altered in IL-1R-/- mice, but meningitis was associated with lower brain levels of cytokines. The mortality was significantly higher and earlier in the course of the disease in IL-1R-/- mice. These results demonstrate that endogenous IL-1 is required for an adequate host defense in pneumococcal meningitis.
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