Cited by 428Bacterial Infections and VaccinesBarrier Structure and Function StudiesBurkholderia infections and melioidosis

Pathogens Penetrating the Central Nervous System: Infection Pathways and the Cellular and Molecular Mechanisms of Invasion

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Dando, Samantha J., Mackay-Sim, Alan, Norton, Robert, Currie, Bart J., St. John, James A., Ekberg, Jenny A. K., Batzloff, Michael, Ulett, Glen C. +1 more·2014·Clinical Microbiology Reviews

Abstract

SUMMARY: The brain is well protected against microbial invasion by cellular barriers, such as the blood-brain barrier (BBB) and the blood-cerebrospinal fluid barrier (BCSFB). In addition, cells within the central nervous system (CNS) are capable of producing an immune response against invading pathogens. Nonetheless, a range of pathogenic microbes make their way to the CNS, and the resulting infections can cause significant morbidity and mortality. Bacteria, amoebae, fungi, and viruses are capable of CNS invasion, with the latter using axonal transport as a common route of infection. In this review, we compare the mechanisms by which bacterial pathogens reach the CNS and infect the brain. In particular, we focus on recent data regarding mechanisms of bacterial translocation from the nasal mucosa to the brain, which represents a little explored pathway of bacterial invasion but has been proposed as being particularly important in explaining how infection with Burkholderia pseudomallei can result in melioidosis encephalomyelitis.

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  • One key mechanism is thought to be the ability of certain pathogens to infect and survive in OECs, TgSCs and astrocytes, as well as in microglia.

    “Whilst it is largely unknown why certain infectious agents can infect the CNS via cranial nerves, one key mechanism is thought to be the ability of these pathogens to infect and survive in OECs, TgSCs and astrocytes, as well as in microglia (the main phagocytes inside CNS tissue)20,27,28,34,35.”

    From Chlamydia pneumoniae can infect the central nervous system via the olfactory and trigeminal nerves and contributes to Alzheimer’s disease risk (2022) · cites this paper as [20]

    In “Pathogens That Enter the Brain Through the Nose: Bacteria” (p. 18), the review proposes that bacteria may travel along olfactory or trigeminal nerves within surrounding olfactory ensheathing cells or Schwann cells. Its Concluding Remarks (p. 22) say whether bacteria travel within the glia remains unanswered. The cited passages do not establish pathogen survival in those cells or identify infection and survival in astrocytes and microglia as part of this mechanism. (LLM, conf=0.85)

    Experimental — accuracy not yet measured
  • The nerves that extend between the nasal cavity and the brain, the olfactory and trigeminal nerves, have been shown to be a path for CNS infection by some infectious agents.

    “The nerves that extend between the nasal cavity and the brain, the olfactory and trigeminal nerves, have been shown to be a path for CNS infection by some infectious agents reviewed in20.”
  • Certain other bacteria have been shown to very rapidly (within days) reach the CNS via the olfactory and/or trigeminal nerves.

    “Certain other bacteria, however, have been shown to very rapidly (within days) reach the CNS via the olfactory and/or trigeminal nerves reviewed in20.”

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Authors
Dando, S. J., Mackay-Sim, A., Norton, R., Currie, B. J., St. John, J. A., Ekberg, J. A. K., Batzloff, M., Ulett, G. C., & Beacham, I. R.
Affiliations
  • Griffith University (AU)
  • Eskitis Institute for Drug Discovery, Griffith University, Brisbane, Queensland, Australia
  • Townsville Hospital (AU)
  • Menzies School of Health Research (AU)
Venue
Clinical Microbiology Reviews
Published
2014-10
Volume
27
Issue
4
Pages
691-726
ISSN
  • 0893-8512 (ISSN-L)
  • 1098-6618
OpenAlex
W2070759951
Cited by
428
References
12
Citations by year
2026: 29 · 2025: 50 · 2024: 43 · 2023: 45 · 2022: 52 · 2021: 57 · 2020: 51 · 2019: 31 · 2018: 20 · 2017: 17 · 2016: 19 · 2015: 13
FWCI
2.23
Type
journal article
Language
en
Open access
Locations
  • Clinical Microbiology Reviews (publishedVersion)
  • PubMed Central (publishedVersion)
  • PubMed (publishedVersion)
  • Monash University Research Portal (Monash University) (submittedVersion, other-oa)
  • Griffith Research Online (submittedVersion)
Topics
  • Life Sciences › Immunology and Microbiology › Microbiology › Bacterial Infections and Vaccines
  • Life Sciences › Neuroscience › Neurology › Barrier Structure and Function Studies
  • Health Sciences › Medicine › Epidemiology › Burkholderia infections and melioidosis
Keywords
central nervous system infection, bacterial translocation, blood-brain barrier, blood-CSF barrier, Burkholderia pseudomallei, nasal mucosa, axonal transport, neuroinvasion, pathogenic bacteria
MeSH terms
Animals, Blood-Brain Barrier, Central Nervous System Infections, Humans, Immunologic Surveillance, Nasal Cavity, Olfactory Nerve, Trigeminal Nerve

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