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The Journal of Immunology, 2003, 170: 4724-4730.
Copyright © 2003 by The American Association of Immunologists

IL-1 Receptor Type 1 Gene-Deficient Mice Demonstrate an Impaired Host Defense Against Pneumococcal Meningitis

Petra J. G. Zwijnenburg1,*,{dagger}, Tom van der Poll{dagger}, Sandrine Florquin{ddagger}, John J. Roord* and A. Marceline van Furth*,{dagger}

* Department of Pediatrics, Vrije Universiteit Medical Center, Amsterdam, The Netherlands; Departments of {dagger} Experimental Internal Medicine and {ddagger} 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{alpha} and IL-1{beta} 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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