Maternal bacterial infections trigger abnormal proliferation of neurons in fetal brain
"The finding was unexpected because in children and adults
pneumococcal infections can lead to meningitis and the death of
neurons," said the study's corresponding author Elaine Tuomanen, M.D.,
chair of the St. Jude Department of Infectious Diseases. "This study in a
mouse model of the bacterial infection found that prenatally the
opposite is true. The evidence suggests maternal infections cause a
signaling event that leads to the proliferation and reorganization of neurons in the developing brain that is defective in some way, maybe due to overcrowding."
Researchers showed for the first time that pieces of the bacterial cell wall crossed the placenta
and traveled to the fetal brain, triggering proliferation of immature
neurons. Evidence suggested the proliferation was sparked by a
previously unrecognized pathway that involves the innate immune system
and a protein that regulates gene expression.
The proliferation resulted in a 50 percent increase in neurons in a
region of the developing brain that becomes the cortex, which is
responsible for thought, action and other higher functions.
Investigators also reported that mice exposed to bacterial cell wall
early in fetal development later performed below average on measures of
memory and cognitive functioning. Researchers also found evidence that
treatment of maternal infection by the antibiotic ampicillin, which
destroys bacteria and sends pieces of the cell wall into the
bloodstream, led to a similar neuronal increase.
Tuomanen said the results raise questions about which class of
antibiotics should be used to treat bacterial infections during
pregnancy. "This study suggests widely used antibiotics like ampicillin
that cause bacteria to burst and release cell wall may lead to changes
in the developing brain," she said. "Such changes did not occur in mice
treated with antibiotics like clindamycin that kill without releasing
cell wall.