CENTRAL-NERVOUS-SYSTEM TNF-ALPHA-MESSENGER-RNA EXPRESSION DURING RABBIT EXPERIMENTAL PNEUMOCOCCAL MENINGITIS

In pneumococcal meningitis inflammatory mediators such as tumor necros is factor alpha (TNF alpha) are produced in large quantities and play a major role in pathogenesis. It is not known exactly which cells prod uce these mediators during infection. We investigated the localisation of TNF alpha-mRNA in the central nervous system (CNS) by in situ hybr idisation during experimental Streptococcus pneumoniae meningitis. TNF -positive cells were detected only in inflammatory infiltrates within the meninges. Cells within the brain parenchyma and the choroid plexus were completely negative. After monocyte depletion, no TNF alpha-mRNA positive cells were detected in the CNS. These findings suggest that TNF alpha in pneumococcal meningitis is produced in the CNS mainly by blood-derived, infiltrating monocytes. (C) 1997 Elsevier Science Irela nd Ltd.