Cell wall-mediated neuronal damage in early sepsis

Carlos J. Orihuela; Sophie Fillon; S. Hope Smith-Sielicki; Karim C. El Kasmi; Geli Gao; Konstantinos Soulis; Avinash Patil; Peter J. Murray; Elaine I. Tuomanen

doi:10.1128/IAI.00022-06

Cell wall-mediated neuronal damage in early sepsis

Carlos J. Orihuela, Sophie Fillon, S. Hope Smith-Sielicki, Karim C. El Kasmi, Geli Gao, Konstantinos Soulis, Avinash Patil, Peter J. Murray, Elaine I. Tuomanen

Microbiology, Immunology & Molecular Genetics

Research output: Contribution to journal › Article

33 Scopus citations

Abstract

Neuronal dysfunction can occur in the course of sepsis without meningitis. Sepsis-associated neuronal damage (SAND) was observed in the hippocampus within hours in experimental pneumococcal bacteremia. Intravascular challenge with purified bacterial cell wall recapitulated SAND. SAND persisted in PAFr ^-/- mice but was partially mitigated in mice lacking cell wall recognition proteins TLR2 and Nod2 and in mice overexpressing interleukin-10 (IL-10) in macrophages. Thus, cell wall drives SAND through IL-10-repressible inflammatory events. Treatment with CDP-choline ameliorated SAND, suggesting that it may be an effective adjunctive therapy to increase survival and reduce organ damage in sepsis.

Original language	English (US)
Pages (from-to)	3783-3789
Number of pages	7
Journal	Infection and Immunity
Volume	74
Issue number	7
DOIs	https://doi.org/10.1128/IAI.00022-06
State	Published - Jul 1 2006

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ASJC Scopus subject areas

Parasitology
Microbiology
Immunology
Infectious Diseases

Cite this

Orihuela, C. J., Fillon, S., Smith-Sielicki, S. H., El Kasmi, K. C., Gao, G., Soulis, K., Patil, A., Murray, P. J., & Tuomanen, E. I. (2006). Cell wall-mediated neuronal damage in early sepsis. Infection and Immunity, 74(7), 3783-3789. https://doi.org/10.1128/IAI.00022-06

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AU - Gao, Geli

AU - Soulis, Konstantinos

AU - Patil, Avinash

AU - Murray, Peter J.

AU - Tuomanen, Elaine I.

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10.1128/IAI.00022-06