Effect of antibiotics on L-form induction of Neisseria meningitidis.

Conditions have been developed that permit highly efficient conversion in vitro of all serogroups of Neisseria meningitidis to the L-form. During the course of the studies, optimal parameters for cultivation and propogation were determined and compared with those found in studies done by previous workers on meningococci. The plasma expander polyvinylpyrrolidone (PVP) (molecular weight, 40,000) has been incorporated into the medium as an osmotic stabilizer. A method is outlined for removing toxicity (due to impurities in PVP) reported in some earlier studies done in this laboratory. Light and scanning electron microscopy of the L-form inductants and of a stable L-form have shown characteristics distinctive among the strains observed. Finally, the effects of both cell wall and other antibiotics were studied. It was shown that cell wall antibiotics other than the commonly used potassium penicillin G could induce N. meningitidis to the L-form, using the PVP-stabilized medium base. Furthermore, the antibiotics vancomycin, colistin, nystatin, and trimethoprim, used at the concentrations found in commercially prepared Transgrow formulations, did not adversely affect meningococcal L-form induction. The system described herein will hopefully serve as an effective tool, specifically in the study of "aseptic" meningitis and possible meningococcal L-form etiology and, more generally, in evaluating the ability of bacterial L-forms to cause disease.