Diseases (Feb 2024)

The Role of Oxidative Stress in TB Meningitis and Therapeutic Options

  • John Dawi,
  • Aishvaryaa Shree Mohan,
  • Yura Misakyan,
  • Scarlet Affa,
  • Edgar Gonzalez,
  • Karim Hajjar,
  • David Nikoghosyan,
  • Sabrina Fardeheb,
  • Christopher Tuohino,
  • Vishwanath Venketaraman

DOI
https://doi.org/10.3390/diseases12030050
Journal volume & issue
Vol. 12, no. 3
p. 50

Abstract

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Meningitis is an inflammatory condition affecting the meninges surrounding the brain and spinal cord. Meningitis can be triggered by various factors, including infectious agents like viruses and bacteria and non-infectious contributors such as cancer or head injuries. The impact of meningitis on the central nervous system involves disruptions in the blood–brain barrier, cellular infiltrations, and structural alterations. The clinical features that differentiate between tuberculous meningitis (TBM) and non-tuberculous meningitis (NTM) are discussed in this review and aid in accurate diagnosis. The intricate interplay of reactive oxygen species, ferroptosis, and reactive nitrogen species within the central nervous system reveals a promising field of research for innovative therapeutic strategies tailored to TBM. This review highlights the alternative treatments targeting oxidative stress-induced TBM and ferroptosis, providing potential avenues for intervention in the pathogenesis of this complex condition.

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