PMID- 24503119 OWN - NLM STAT- MEDLINE DCOM- 20141203 LR - 20140305 IS - 1872-7549 (Electronic) IS - 0166-4328 (Linking) VI - 263 DP - 2014 Apr 15 TI - Interleukin-18 deficiency and its long-term behavioural and cognitive impacts in a murine model of pneumococcal meningitis. PG - 176-89 LID - S0166-4328(14)00049-7 [pii] LID - 10.1016/j.bbr.2014.01.035 [doi] AB - Pneumococcal meningitis often results in death or neurological sequelae, but the underlying pathogenetic mechanisms remain poorly understood. In C57BL/6J mice subjected to intracerebroventricular (icv) challenge with Streptococcus pneumoniae, the chemokine CCL2 and cytokines interferon-gamma, interleukin (IL)-1beta, IL-6 and tumour necrosis factor were prominently expressed in the brain during the acute phase of the disease. The upregulation of these immune mediators was markedly diminished in IL-18-deficient mice. Uninfected IL-18(-/-) mice exhibited decreases in anxiety phenotype and licking behaviour, and an increase in behavioural habituation, in an automated monitoring system (the IntelliCage). Without antibiotic intervention, a majority of IL-18(+/+) mice developed irreversible disease after icv S. pneumoniae but this was significantly improved by deleting IL-18 gene function. IL-18(+/+) mice cured of pneumococcal meningitis with four doses of ceftriaxone, initiated at 20 h post-inoculation, showed enduring sequelae. These included abnormal behavioural phenotypes featuring diurnal hypoactivity and nocturnal hyperactivity, light phobia and disrupted cognitive function. While the hyperactive phenotype was absent in the corresponding IL-18(-/-) survivors, cognitive impairments and behavioural deficits were still present. Overall, the results suggest that the high levels of cytokines and/or chemokines released after pneumococcal challenge provoked a series of pathological events, ultimately causing acute death. Furthermore, since only a subset of behavioural phenotypes were ameliorated in the pneumococcus-infected IL-18(-/-) mice, the pathological pathways causing mortality may be, at least in part, distinct from those leading to long-term neurological sequelae. CI - Copyright (c) 2014 Elsevier B.V. All rights reserved. FAU - Too, L K AU - Too LK AD - Molecular Immunopathology Unit, Bosch Institute and School of Medical Sciences, University of Sydney, Sydney, NSW 2006, Australia. FAU - Mitchell, A J AU - Mitchell AJ AD - The Centenary Institute, Newtown, NSW 2042, Australia. FAU - Yau, B AU - Yau B AD - Molecular Immunopathology Unit, Bosch Institute and School of Medical Sciences, University of Sydney, Sydney, NSW 2006, Australia. FAU - Ball, H J AU - Ball HJ AD - Molecular Immunopathology Unit, Bosch Institute and School of Medical Sciences, University of Sydney, Sydney, NSW 2006, Australia. FAU - McGregor, I S AU - McGregor IS AD - School of Psychology, University of Sydney, Sydney, NSW 2006, Australia. FAU - Hunt, N H AU - Hunt NH AD - Molecular Immunopathology Unit, Bosch Institute and School of Medical Sciences, University of Sydney, Sydney, NSW 2006, Australia. Electronic address: Nicholas.hunt@sydney.edu.au. LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20140203 PL - Netherlands TA - Behav Brain Res JT - Behavioural brain research JID - 8004872 RN - 0 (Anti-Bacterial Agents) RN - 0 (Chemokines) RN - 0 (Cytokines) RN - 0 (Interleukin-18) RN - 75J73V1629 (Ceftriaxone) SB - IM MH - Animals MH - Anti-Bacterial Agents/therapeutic use MH - Anxiety/etiology/*physiopathology MH - Ceftriaxone/therapeutic use MH - Chemokines/cerebrospinal fluid MH - Circadian Rhythm/physiology MH - Cognition Disorders/etiology/*physiopathology MH - Cytokines/cerebrospinal fluid MH - Disease Models, Animal MH - Disease Progression MH - Drinking Behavior/physiology MH - Exploratory Behavior/*physiology MH - Female MH - Habituation, Psychophysiologic/physiology MH - Interleukin-18/genetics/*metabolism MH - Meningitis, Pneumococcal/complications/drug therapy/immunology/*physiopathology MH - Mice MH - Mice, Inbred C57BL MH - Mice, Knockout MH - Motor Activity/physiology MH - Photic Stimulation OTO - NOTNLM OT - Cytokine OT - IntelliCage OT - Interleukin-18 OT - Neurological sequelae OT - Pneumococcal meningitis EDAT- 2014/02/08 06:00 MHDA- 2014/12/15 06:00 CRDT- 2014/02/08 06:00 PHST- 2013/11/08 00:00 [received] PHST- 2014/01/21 00:00 [revised] PHST- 2014/01/24 00:00 [accepted] PHST- 2014/02/08 06:00 [entrez] PHST- 2014/02/08 06:00 [pubmed] PHST- 2014/12/15 06:00 [medline] AID - S0166-4328(14)00049-7 [pii] AID - 10.1016/j.bbr.2014.01.035 [doi] PST - ppublish SO - Behav Brain Res. 2014 Apr 15;263:176-89. doi: 10.1016/j.bbr.2014.01.035. Epub 2014 Feb 3.