“…In contrast, Lyme disease agent Borrelia burgdorferi (Szczepanski et al, 1990) and syphilis bacterium Treponema pallidum (Haake and Lovett, 1994;Thomas et al, 1988) appear to cross the endothelial barrier by travelling between the endothelial cells. Bacterial products and the CNS invasion BBB permeability can be modulated by bacterial components such as LPS (Patrick et al, 1992;Temesvari et al, 1993;Wispelwey et al, 1988), cell wall (Burroughs et al, 1992), and proteins (Spellerberg et al, 1995;Wispelwey et al, 1989). In a bacterial meningitis model, inoculation of animals with live H. In¯uenzae or bacterial LPS caused functional and ultrastructural changes of the BBB (Wispelwey et al, 1988(Wispelwey et al, , 1989.…”