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J Am Coll Cardiol, 2002; 39:1399-1403
© 2002 by the American College of Cardiology Foundation
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EXPERIMENTAL STUDY

Role of Fas/FasL pathway in the activation of infiltrating cells in murine acute myocarditis caused by Coxsackievirus B3

Yoshinori Seko, MD*{dagger}{ddagger},*, Nobuhiko Kayagaki, PhD{dagger}, Ken-ichiro Seino, MD{dagger}, Hideo Yagita, PhD{ddagger}, Ko Okumura, PhD{dagger} and Ryozo Nagai, MD*

* Department of Cardiovascular Medicine, Graduate School of Medicine, University of Tokyo, Tokyo, Japan
{dagger} Department of Immunology, School of Medicine, Juntendo University, Tokyo, Japan
{ddagger} Institute for Adult Diseases, Asahi Life Foundation, Tokyo, Japan

Manuscript received August 17, 2001; revised manuscript received January 14, 2002, accepted January 22, 2002.

* Reprint requests and correspondence: Dr. Yoshinori Seko, Department of Cardiovascular Medicine, Graduate School of Medicine, University of Tokyo, 7-3-1 Hongo, Bunkyo-ku, Tokyo 113-8655, Japan.
sekoyosh-tky{at}umin.ac.jp

OBJECTIVES: This study was designed to investigate the roles of Fas/FasL pathway in myocardial damage in murine acute myocarditis caused by Coxsackie virus B3 (CVB3).

BACKGROUND: Cardiac myocyte apoptosis rarely occurs in murine acute myocarditis caused by CVB3. Fas/FasL belong to the tumor necrosis factor receptor/ligand superfamily of costimulatory molecules and are known to play a critical role in the induction of apoptosis, as well as in the cytotoxicty mediated by T-cells and natural killer cells.

METHODS: We first analyzed the expression of Fas on cardiac myoctyes in vivo and in vitro. Second, we examined the development of myocardial damage, in C3H/He mice treated with an anti-FasL monoclonal antibody (mAb), and in C3H/He-lpr/lpr mice and C3H/He-gld/gld mice infected with CVB3. Third, to investigate the effects of anti-FasL mAb treatment on the activation of the infiltrating cells, we examined the expression of interferon (IFN)-gamma and interleukin (IL)-2 as activation markers in the heart of mice by semiquantitative polymerase chain reaction.

RESULTS: Fas was markedly induced on cardiac myocytes with acute myocarditis. Myocardial inflammation was decreased in mice treated with anti-Fas L mAb, C3H/He-lpr/lpr mice and C3H/He-gld/gld mice. Anti-FasL mAb-treatment also decreased the expression of IFN-gamma, IL-2, inducible nitric oxide synthase and CVB3 genomes in myocardial tissue.

CONCLUSIONS: Our findings strongly suggested that the Fas/FasL pathway played a critical role in the development of massive myocardial necrosis through activation of infiltrating cells, and raise the possibility of immunotherapy by blocking the Fas/FasL pathway to prevent myocardial damage and improve the prognosis of patients with viral myocarditis.

Abbreviations and Acronyms
  CTL
  cytotoxic T lymphocyte
  CVB3
  Coxsackie virus B3
  DNA
  deoxyribonucleic acid
  GAPDH
  glyceraldehyde-3-phospate dehydrogenase
  IFN
  interferon
  IgG
  immunoglobulin G
  IL
  interleukin
  iNOS
  inducible nitric oxide synthase
  mAb
  monoclonal antibody
  NK cell
  natural killer cell
  PCR
  polymerase chain reaction
  RNA
  ribonucleic acid
  Th
  T helper cell
  TSA
  tyramide signal amplification




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