Escherichia coli K1 meningitis occurs following penetration of the blood-brain barrier, but the underlying mechanisms involved in E. coli penetration of the blood-brain barrier remain incompletely understood. We have previously shown that host cytosolic phospholipase A 2 ␣ (cPLA 2 ␣) contributes to E. coli invasion of human brain microvascular endothelial cells (HBMEC), which constitute the blood-brain barrier, but the underlying mechanisms remain unclear. cPLA 2 ␣ selectively liberates arachidonic acid from membrane phospholipids. Here, we provide the first direct evidence that host 5-lipoxygenase and lipoxygenase products of arachidonic acid, cysteinyl leukotrienes (LTs), contribute to E. coli K1 invasion of HBMEC and penetration into the brain, and their contributions involve protein kinase C alpha (PKC␣). These findings demonstrate that arachidonic acid metabolism regulates E. coli penetration of the blood-brain barrier, and studies are needed to further elucidate the mechanisms involved with metabolic products of arachidonic acid for their contribution to E. coli invasion of the blood-brain barrier.The mortality and morbidity associated with neonatal Gramnegative bacillary meningitis have remained significant despite advances in antimicrobial chemotherapy and supportive care. Inadequate knowledge of the pathogenesis has contributed to this mortality and morbidity (18)(19)(20). Escherichia coli K1 is the most common Gram-negative organism that causes neonatal meningitis. Most cases of neonatal E. coli K1 meningitis develop as a result of hematogenous spread, but the underlying mechanisms involved in E. coli penetration of the blood-brain barrier remain incompletely understood (18)(19)(20).Several lines of evidence from experimental animal models as well as human cases of E. coli K1 meningitis indicate that E. coli penetrates into the brain initially in the cerebral vasculature (3, 21). We have developed the in vitro model of the blood-brain barrier by isolation and cultivation of human brain microvascular endothelial cells (HBMEC) (22,34,37). Upon cultivation on collagen-coated Transwell inserts, these HBMEC exhibit morphological and functional properties of tight junction formation and a polarized monolayer. These are shown by our demonstrations of tight junction proteins (such as ZO-1), adherens junction proteins (such as -catenin), and their spatial separation, limited permeability to inulin (molecular mass, 4,000 Da), and development of high transendothelial electrical resistance (22, 34, 37). We have also developed the animal models of experimental hematogenous meningitis, which mimic the pathogenesis of E. coli meningitis in humans, e.g., hematogenous infection of the meninges (10,11,17,21,40,41).Using these in vitro and in vivo models, we have shown that E. coli invasion of HBMEC is a prerequisite for penetration into the brain and requires specific microbial determinants (10, 11, 17-20, 40, 41). This was shown in animal models of experimental hematogenous E. coli meningitis; mutants of E. coli K1 d...