PMID- 30117097 OWN - NLM STAT- MEDLINE DCOM- 20181105 LR - 20181114 IS - 1573-6830 (Electronic) IS - 0272-4340 (Linking) VI - 38 IP - 7 DP - 2018 Oct TI - Mechanisms of Blood Brain Barrier Disruption by Different Types of Bacteria, and Bacterial-Host Interactions Facilitate the Bacterial Pathogen Invading the Brain. PG - 1349-1368 LID - 10.1007/s10571-018-0609-2 [doi] AB - This review aims to elucidate the different mechanisms of blood brain barrier (BBB) disruption that may occur due to invasion by different types of bacteria, as well as to show the bacteria-host interactions that assist the bacterial pathogen in invading the brain. For example, platelet-activating factor receptor (PAFR) is responsible for brain invasion during the adhesion of pneumococci to brain endothelial cells, which might lead to brain invasion. Additionally, the major adhesin of the pneumococcal pilus-1, RrgA is able to bind the BBB endothelial receptors: polymeric immunoglobulin receptor (pIgR) and platelet endothelial cell adhesion molecule (PECAM-1), thus leading to invasion of the brain. Moreover, Streptococcus pneumoniae choline binding protein A (CbpA) targets the common carboxy-terminal domain of the laminin receptor (LR) establishing initial contact with brain endothelium that might result in BBB invasion. Furthermore, BBB disruption may occur by S. pneumoniae penetration through increasing in pro-inflammatory markers and endothelial permeability. In contrast, adhesion, invasion, and translocation through or between endothelial cells can be done by S. pneumoniae without any disruption to the vascular endothelium, upon BBB penetration. Internalins (InlA and InlB) of Listeria monocytogenes interact with its cellular receptors E-cadherin and mesenchymal-epithelial transition (MET) to facilitate invading the brain. L. monocytogenes species activate NF-kappaB in endothelial cells, encouraging the expression of P- and E-selectin, intercellular adhesion molecule 1 (ICAM-1), and Vascular cell adhesion protein 1 (VCAM-1), as well as IL-6 and IL-8 and monocyte chemoattractant protein-1 (MCP-1), all these markers assist in BBB disruption. Bacillus anthracis species interrupt both adherens junctions (AJs) and tight junctions (TJs), leading to BBB disruption. Brain microvascular endothelial cells (BMECs) permeability and BBB disruption are induced via interendothelial junction proteins reduction as well as up-regulation of IL-1alpha, IL-1beta, IL-6, TNF-alpha, MCP-1, macrophage inflammatory proteins-1 alpha (MIP1alpha) markers in Staphylococcus aureus species. Streptococcus agalactiae or Group B Streptococcus toxins (GBS) enhance IL-8 and ICAM-1 as well as nitric oxide (NO) production from endothelial cells via the expression of inducible nitric oxide synthase (iNOS) enhancement, resulting in BBB disruption. While Gram-negative bacteria, Haemophilus influenza OmpP2 is able to target the common carboxy-terminal domain of LR to start initial interaction with brain endothelium, then invade the brain. H. influenza type b (HiB), can induce BBB permeability through TJ disruption. LR and PAFR binding sites have been recognized as common routes of CNS entrance by Neisseria meningitidis. N. meningitidis species also initiate binding to BMECs and induces AJs deformation, as well as inducing specific cleavage of the TJ component occludin through the release of host MMP-8. Escherichia coli bind to BMECs through LR, resulting in IL-6 and IL-8 release and iNOS production, as well as resulting in disassembly of TJs between endothelial cells, facilitating BBB disruption. Therefore, obtaining knowledge of BBB disruption by different types of bacterial species will provide a picture of how the bacteria enter the central nervous system (CNS) which might support the discovery of therapeutic strategies for each bacteria to control and manage infection. FAU - Al-Obaidi, Mazen M Jamil AU - Al-Obaidi MMJ AD - Department of Biomedical Science, Faculty of Medicine and Health Sciences, Universiti Putra Malaysia, 43400 UPM, Serdang, Selangor, Malaysia. mazen_m@upm.edu.my. FAU - Desa, Mohd Nasir Mohd AU - Desa MNM AUID- ORCID: 0000-0003-0200-4796 AD - Department of Biomedical Science, Faculty of Medicine and Health Sciences, Universiti Putra Malaysia, 43400 UPM, Serdang, Selangor, Malaysia. mnasir@upm.edu.my. AD - Halal Products Research Institute, Universiti Putra Malaysia, Serdang, Selangor, Malaysia. mnasir@upm.edu.my. LA - eng GR - 5524924/fundamental research grant scheme/ GR - 5526406/long term research grant scheme/ PT - Journal Article PT - Review DEP - 20180816 PL - United States TA - Cell Mol Neurobiol JT - Cellular and molecular neurobiology JID - 8200709 SB - IM MH - Animals MH - Bacteria/growth & development/*metabolism/pathogenicity MH - Blood-Brain Barrier/*metabolism/*microbiology MH - Brain/*metabolism/*microbiology MH - Capillary Permeability/*physiology MH - Endothelium, Vascular/metabolism/microbiology MH - Host-Parasite Interactions/physiology MH - Humans OTO - NOTNLM OT - Bacterial infection OT - Blood brain barrier OT - Meningitis OT - Therapeutic strategies EDAT- 2018/08/18 06:00 MHDA- 2018/11/06 06:00 CRDT- 2018/08/18 06:00 PHST- 2018/03/20 00:00 [received] PHST- 2018/08/06 00:00 [accepted] PHST- 2018/08/18 06:00 [pubmed] PHST- 2018/11/06 06:00 [medline] PHST- 2018/08/18 06:00 [entrez] AID - 10.1007/s10571-018-0609-2 [pii] AID - 10.1007/s10571-018-0609-2 [doi] PST - ppublish SO - Cell Mol Neurobiol. 2018 Oct;38(7):1349-1368. doi: 10.1007/s10571-018-0609-2. Epub 2018 Aug 16.