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Meningeal γδ T cells facilitate bacterial entry into the brain in neonatal meningitis and trigger long-term behavioural sequelae

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Preprint_Elva Bonifácio Andrade.pdf3.51 MBAdobe PDF Ver/Abrir

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Neonatal bacterial meningitis is a life-threatening condition and a leading cause of neurodevelopmental impairment among survivors. Despite its prevalence, the role of meningeal immunity on disease pathology during early life remains largely unexplored. Using a clinically relevant mouse model of neonatal group B streptococcal meningitis and single-cell RNA sequencing, we observed that IL-17A (IL-17)-producing γδ T cells (γδ17 T cells) accumulate in the meninges during the acute phase of infection and persist throughout the lifespan. Importantly, mice deficient in γδ T cells or in IL-17 show a significantly lower bacterial colonisation in the brain parenchyma, and IL-17 neutralisation in the cerebrospinal fluid leads to a similar phenotype. Reduced blood-brain barrier permeability in the absence of γδ T cells results in decreased bacterial invasion and diminished microglia activation. Wild-type but not γδ T cell-deficient mice surviving infection exhibit increased hyperactivity and open space anxiety during early adulthood, a behavioural profile that may reflect attention deficit and hyperactivity (ADHD)-like tendencies. Altogether, these findings establish a pathogenic role for meningeal γδ17 T cells in early life, uncovering a key mechanism that drives long-term sequelae in GBS neonatal meningitis.

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Group B Streptococcus Meninges Neonatal meningitis γδ T cells IL-17 ADHD

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Lorga, I., Soares, J., Bravo, J., Mesquita, P., Ribeiro, N., Rodrigues, J., Hassan, A., Mesquita, M., Cavadas, B., Georgiev, H., Magalhães, A., Summavielle, T., Vilanova, M., Ribot, J. C., & Andrade, E. B. (2025). Meningeal γδ T cells facilitate bacterial entry into the brain in neonatal meningitis and trigger long-term behavioural sequelae (p. 2025.11.07.686929). bioRxiv. https://doi.org/10.1101/2025.11.07.686929

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