2004
DOI: 10.1128/cmr.17.2.323-347.2004
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Invasion of the Central Nervous System by Intracellular Bacteria

Abstract: Infection of the central nervous system (CNS) is a severe and frequently fatal event during the course of many diseases caused by microbes with predominantly intracellular life cycles. Examples of these include the facultative intracellular bacteria Listeria monocytogenes, Mycobacterium tuberculosis, and Brucella and Salmonella spp. and obligate intracellular microbes of the Rickettsiaceae family and Tropheryma whipplei. Unfortunately, the mechanisms used by intracellular bacterial pathogens to enter the CNS a… Show more

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Cited by 218 publications
(215 citation statements)
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References 393 publications
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“…However, more recently Ly-6C lo monocytes were observed to patrol blood vessels continuously by crawling on the endothelial lining, allowing them to rapidly extravasate during inflammation, and now they are proposed to coordinate further recruitment of inflammatory cells [30]. Thus, the role of Ly-6C lo monocytes during inflammation should not be discounted, though there is ample evidence that these monocytes figure quantitatively less significantly in inflammation than their Ly-6C hi monocyte counterparts [17][18][19]25,26,[32][33][34][35]. Beyond these studies, where much remains to be resolved, another body of work raises the possibility that Ly-6C lo monocytes may have a key role in presenting antigen for the purposes of driving T-independent antibody production by B cells, as we now discuss.…”
Section: Monocyte Subsetsmentioning
confidence: 99%
“…However, more recently Ly-6C lo monocytes were observed to patrol blood vessels continuously by crawling on the endothelial lining, allowing them to rapidly extravasate during inflammation, and now they are proposed to coordinate further recruitment of inflammatory cells [30]. Thus, the role of Ly-6C lo monocytes during inflammation should not be discounted, though there is ample evidence that these monocytes figure quantitatively less significantly in inflammation than their Ly-6C hi monocyte counterparts [17][18][19]25,26,[32][33][34][35]. Beyond these studies, where much remains to be resolved, another body of work raises the possibility that Ly-6C lo monocytes may have a key role in presenting antigen for the purposes of driving T-independent antibody production by B cells, as we now discuss.…”
Section: Monocyte Subsetsmentioning
confidence: 99%
“…This mechanism of direct binding of OmpA to Fc␥RIa NG sites is quite contrary to the mechanisms used by several other bacteria, which utilize a "Trojan horse" mechanism to enter the central nervous system (30). S. aureus avoids macrophage recognition by binding to IgG via protein A, whereas other microbes manipulate macrophage activity by secreting effector proteins (1,4).…”
Section: Discussionmentioning
confidence: 52%
“…In a report of Drevets DA shows in 5.7%-13.5% of patients suffers from Meningismus or meningitis [11]. Mahajan etal retrospectively analyzed data of scrub typhus positive cases for CNS involvement from 2004-2006 from India.…”
Section: Scrub Typhus and Cns Involvementmentioning
confidence: 99%
“…Several reports of Rickettsial diseases in India are well documented stating the disease outbreak periodically. A main diagnostic criterion includes presence of eschar at site of tick bite along with patients travel history in the endemic region [11].…”
Section: Epidemiological Scenario In Indiamentioning
confidence: 99%