Neopterin May Enhance TNF-a-mediated Mononuclear Cell Death in the Cerebrospinal Fluid of Patients with Bacterial Meningitis

It has been reported that levels of neopterin are elevated in the cerebrospinal fluid (CSF) of patients with bacterial meningitis, and that neopterin enhances cell death induced by H2O2 in mouse monocytes and macrophages. In the present study, we examined the relationship between the disappearance o...

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Main Authors: Kawakami Yasuhiko, Tsukimoto Mitsutoshi, Kuwabara Kentaro, Fujita Takehisa, Fujino Osamu, Kojima Shuji, Fukunaga Yoshitaka
Format: Article
Language:English
Published: De Gruyter 2011-02-01
Series:Pteridines
Subjects:
Online Access:https://doi.org/10.1515/pteridines.2011.22.1.91
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author Kawakami Yasuhiko
Tsukimoto Mitsutoshi
Kuwabara Kentaro
Fujita Takehisa
Fujino Osamu
Kojima Shuji
Fukunaga Yoshitaka
author_facet Kawakami Yasuhiko
Tsukimoto Mitsutoshi
Kuwabara Kentaro
Fujita Takehisa
Fujino Osamu
Kojima Shuji
Fukunaga Yoshitaka
author_sort Kawakami Yasuhiko
collection DOAJ
description It has been reported that levels of neopterin are elevated in the cerebrospinal fluid (CSF) of patients with bacterial meningitis, and that neopterin enhances cell death induced by H2O2 in mouse monocytes and macrophages. In the present study, we examined the relationship between the disappearance of inflammatory cells in the CSF of patients with bacterial meningitis and the effects of neopterin on cell death. We hypothesized that the rapid cell death of mononuclear leukocytes (MNs) and survival of polymorphonuclear leukocytes (PMNs) brought about by high levels of tumor necrosis factor-a TNF-a may be related to the pathophysiology of PMN predominance in the CSF of patients with bacterial meningitis. Peripheral blood leukocytes separated into two fractions (MNs and PMNs) were suspended in CSF samples from patients with bacterial meningitis, and the cell death rate was determined with MTT assay. The higher the CSF TNF-a level, the higher the MN mortality rate tended to be. In contrast, PMNs were able to survive high levels of TNF-a in the CSF. For control purposes, MNs and PMNs were also suspended in various conditioned media. The same association between TNF-a levels and MN mortality was observed, as was the survival of PMNs. The addition of neopterin enhanced the cytocidal effect of TNF. The present study suggests that neopterin is related to PMN predominance in the CSF of patients with bacterial meningitis via the effect of TNF-a on cell death.
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spelling doaj.art-ded030bb7b7240bf86b42943cb1f27b92022-12-21T21:28:28ZengDe GruyterPteridines0933-48072195-47202011-02-01221919610.1515/pteridines.2011.22.1.91Neopterin May Enhance TNF-a-mediated Mononuclear Cell Death in the Cerebrospinal Fluid of Patients with Bacterial MeningitisKawakami Yasuhiko0Tsukimoto Mitsutoshi1Kuwabara Kentaro2Fujita Takehisa3Fujino Osamu4Kojima Shuji5Fukunaga Yoshitaka6Department of Pediatrics, Nippon Medical School Tama Nagayama Hospital, 1-7-1 Nagayama, Tama-city, Tokyo 216-8512, Japan, Tel.: +81-42-371-2111; fax: +81-42-372- 7377Department of Radiation Biology, Faculty of Pharmaceutical Sciences, Tokyo University of Science, Tokyo, JapanDepartment of Pediatrics, Nippon Medical School, JapanDepartment of Pediatrics, Nippon Medical School, JapanDepartment of Pediatrics, Nippon Medical School, JapanDepartment of Radiation Biology, Faculty of Pharmaceutical Sciences, Tokyo University of Science, Tokyo, JapanDepartment of Pediatrics, Nippon Medical School, JapanIt has been reported that levels of neopterin are elevated in the cerebrospinal fluid (CSF) of patients with bacterial meningitis, and that neopterin enhances cell death induced by H2O2 in mouse monocytes and macrophages. In the present study, we examined the relationship between the disappearance of inflammatory cells in the CSF of patients with bacterial meningitis and the effects of neopterin on cell death. We hypothesized that the rapid cell death of mononuclear leukocytes (MNs) and survival of polymorphonuclear leukocytes (PMNs) brought about by high levels of tumor necrosis factor-a TNF-a may be related to the pathophysiology of PMN predominance in the CSF of patients with bacterial meningitis. Peripheral blood leukocytes separated into two fractions (MNs and PMNs) were suspended in CSF samples from patients with bacterial meningitis, and the cell death rate was determined with MTT assay. The higher the CSF TNF-a level, the higher the MN mortality rate tended to be. In contrast, PMNs were able to survive high levels of TNF-a in the CSF. For control purposes, MNs and PMNs were also suspended in various conditioned media. The same association between TNF-a levels and MN mortality was observed, as was the survival of PMNs. The addition of neopterin enhanced the cytocidal effect of TNF. The present study suggests that neopterin is related to PMN predominance in the CSF of patients with bacterial meningitis via the effect of TNF-a on cell death.https://doi.org/10.1515/pteridines.2011.22.1.91neopterintumor necrosis factor-alphabacterial meningitispolymorphonuclear leukocytesmononuclear leukocytescerebrospinal fluidcell death
spellingShingle Kawakami Yasuhiko
Tsukimoto Mitsutoshi
Kuwabara Kentaro
Fujita Takehisa
Fujino Osamu
Kojima Shuji
Fukunaga Yoshitaka
Neopterin May Enhance TNF-a-mediated Mononuclear Cell Death in the Cerebrospinal Fluid of Patients with Bacterial Meningitis
Pteridines
neopterin
tumor necrosis factor-alpha
bacterial meningitis
polymorphonuclear leukocytes
mononuclear leukocytes
cerebrospinal fluid
cell death
title Neopterin May Enhance TNF-a-mediated Mononuclear Cell Death in the Cerebrospinal Fluid of Patients with Bacterial Meningitis
title_full Neopterin May Enhance TNF-a-mediated Mononuclear Cell Death in the Cerebrospinal Fluid of Patients with Bacterial Meningitis
title_fullStr Neopterin May Enhance TNF-a-mediated Mononuclear Cell Death in the Cerebrospinal Fluid of Patients with Bacterial Meningitis
title_full_unstemmed Neopterin May Enhance TNF-a-mediated Mononuclear Cell Death in the Cerebrospinal Fluid of Patients with Bacterial Meningitis
title_short Neopterin May Enhance TNF-a-mediated Mononuclear Cell Death in the Cerebrospinal Fluid of Patients with Bacterial Meningitis
title_sort neopterin may enhance tnf a mediated mononuclear cell death in the cerebrospinal fluid of patients with bacterial meningitis
topic neopterin
tumor necrosis factor-alpha
bacterial meningitis
polymorphonuclear leukocytes
mononuclear leukocytes
cerebrospinal fluid
cell death
url https://doi.org/10.1515/pteridines.2011.22.1.91
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