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      1. Author :
        Echchannaoui, H.; Frei, K.; Schnell, C.; Leib, S. L.; Zimmerli, W.; Landmann, R.
      2. Title :
      3. Type :
        Journal Article
      4. Year :
      5. Publication :
        Journal of Infectious Diseases
      6. Products :
      7. Volume :
      8. Issue :
      9. Page Numbers :
      10. Research Area :
      11. Keywords :
        Animals, Ceftriaxone/therapeutic use, Cephalosporins/therapeutic use, Disease Models, Animal, Disease Susceptibility, Drosophila Proteins, Inflammation/genetics/immunology/microbiology/pathology, Listeria Infections/genetics/immunology, Listeria monocytogenes/genetics/immunology, Membrane Glycoproteins/ deficiency/genetics, Meningitis, Bacterial/ genetics/ immunology/microbiology/pathology, Mice, Mice, Inbred C57BL, Mice, Knockout, Pneumococcal Infections/genetics/immunology/microbiology/pathology, Receptors, Cell Surface/ deficiency/genetics, Streptococcus pneumoniae/ immunology, Time Factors, Toll-Like Receptor 2, Toll-Like Receptors IVIS, Xenogen, Xen10
      12. Abstract :
        Toll-like receptor-2 (TLR2) mediates host responses to gram-positive bacterial wall components. TLR2 function was investigated in a murine Streptococcus pneumoniae meningitis model in wild-type (wt) and TLR2-deficient (TLR2(-/-)) mice. TLR2(-/-) mice showed earlier time of death than wt mice (P<.02). Plasma interleukin-6 levels and bacterial numbers in blood and peripheral organs were similar for both strains. With ceftriaxone therapy, none of the wt but 27% of the TLR2(-/-) mice died (P<.04). Beyond 3 hours after infection, TLR2(-/-) mice had higher bacterial loads in brain than did wt mice, as assessed with luciferase-tagged S. pneumoniae by means of a Xenogen-CCD (charge-coupled device) camera. After 24 h, tumor necrosis factor activity was higher in cerebrospinal fluid of TLR2(-/-) than wt mice (P<.05) and was related to increased blood-brain barrier permeability (Evans blue staining, P<.02). In conclusion, the lack of TLR2 was associated with earlier death from meningitis, which was not due to sepsis but to reduced brain bacterial clearing, followed by increased intrathecal inflammation.
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