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The host immune response is associated with brain injury. Chemokine (<jats:styled-content style=\"fixed-case\">C<\/jats:styled-content>\u2010<jats:styled-content style=\"fixed-case\">X<\/jats:styled-content>\u2010<jats:styled-content style=\"fixed-case\">C<\/jats:styled-content> motif) (<jats:styled-content style=\"fixed-case\">CXC<\/jats:styled-content>) chemokines are neutrophil chemoattractants. This study focused on the beneficial effects of intracerebroventricular administration of reparixin, an inhibitor of chemokine (C\u2010X\u2010C motif) receptor (<jats:styled-content style=\"fixed-case\">CXCR<\/jats:styled-content>)1\/2, to rats at 2\u2009h following experimental <jats:styled-content style=\"fixed-case\"><jats:italic>K<\/jats:italic><\/jats:styled-content><jats:italic>lebsiella pneumoniae<\/jats:italic> meningoencephalitis.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>We used a previously established meningoencephalitis animal model in which <jats:styled-content style=\"fixed-case\">S<\/jats:styled-content>prague\u2010<jats:styled-content style=\"fixed-case\">D<\/jats:styled-content>awley rats were infected by <jats:styled-content style=\"fixed-case\"><jats:italic>K<\/jats:italic><\/jats:styled-content><jats:italic>.\u2009pneumoniae<\/jats:italic>. Sham and infected animals were treated with vehicle or reparixin and sacrificed at various time points. Leukocyte infiltration into cerebrospinal fluid (<jats:styled-content style=\"fixed-case\">CSF<\/jats:styled-content>) and brain as well as gene and protein expression of chemokines and receptors, and neuronal apoptosis were examined. Primary cultures of neuron\/glia were infected with <jats:styled-content style=\"fixed-case\"><jats:italic>K<\/jats:italic><\/jats:styled-content><jats:italic>.\u2009pneumoniae<\/jats:italic> as an <jats:italic>in vitro<\/jats:italic> model of meningoencephalitis.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Levels of chemokine (C\u2010X\u2010C motif) ligand (<jats:styled-content style=\"fixed-case\">CXCL<\/jats:styled-content>)2 in <jats:styled-content style=\"fixed-case\">CSF<\/jats:styled-content> time\u2010dependently increased markedly as early as 2\u2009h, and peaked at 8\u2009h following infection and were much higher than those in serum collected simultaneously. Reparixin significantly reduced leukocyte infiltration into <jats:styled-content style=\"fixed-case\">CSF<\/jats:styled-content> and brain tissues, clinical illness, and brain cell apoptosis at 24\u2009h. Reparixin reduced the elevated <jats:styled-content style=\"fixed-case\">CSF<\/jats:styled-content> concentrations of chemokines [<jats:styled-content style=\"fixed-case\">CXCL<\/jats:styled-content>1, <jats:styled-content style=\"fixed-case\">CXCL<\/jats:styled-content>2, chemokine (<jats:styled-content style=\"fixed-case\">C<\/jats:styled-content>\u2010<jats:styled-content style=\"fixed-case\">C<\/jats:styled-content> motif) ligand (<jats:styled-content style=\"fixed-case\">CCL<\/jats:styled-content>)2 and <jats:styled-content style=\"fixed-case\">CCL<\/jats:styled-content>5] and proinflammatory cytokines. Reparixin also reduced the expression of <jats:styled-content style=\"fixed-case\">mRNA<\/jats:styled-content> of various chemokines, chemokine receptors and proinflammatory cytokines in infected brain tissues. Using primary cultures that are devoid of leukocytes, we further observed that reparixin attenuated the neuronal, but not microglial cell death after infection.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>Reparixin not only reduces amplified inflammation, but also provides direct neuroprotective effects in <jats:styled-content style=\"fixed-case\"><jats:italic>K<\/jats:italic><\/jats:styled-content><jats:italic>.\u2009pneumoniae<\/jats:italic> meningoencephalitis.<\/jats:p><\/jats:sec>","DOI":"10.1111\/nan.12261","type":"journal-article","created":{"date-parts":[[2015,8,6]],"date-time":"2015-08-06T02:46:24Z","timestamp":1438829184000},"page":"326-343","source":"Crossref","is-referenced-by-count":2,"title":["Reparixin attenuates neuronal injury in experimental <scp><i>K<\/i><\/scp><i>lebsiella pneumoniae<\/i> meningoencephalitis through dual effects on neuroprotection and neuroinflammation"],"prefix":"10.1111","volume":"42","author":[{"given":"Chien\u2010Tsai","family":"Chiu","sequence":"first","affiliation":[{"name":"Department of Neurological Surgery Tri\u2010service General Hospital, National Defense Medical Center  Taipei Taiwan"},{"name":"Department of Neurosurgery En Chu Kong Hospital  New Taipei City Taiwan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Li\u2010Li","family":"Wen","sequence":"additional","affiliation":[{"name":"Clinical Laboratory En Chu Kong Hospital  New Taipei City Taiwan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Hsin\u2010Ping","family":"Pao","sequence":"additional","affiliation":[{"name":"Graduate Institute of Medical Sciences and Department of Physiology College of Medicine Taipei Medical University  Taipei Taiwan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ling\u2010Yu","family":"Yang","sequence":"additional","affiliation":[{"name":"Graduate Institute of Medical 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