Enhanced ERK-1/2 activation in mice susceptible to coxsackievirus-induced myocarditis

Mary Anne Opavsky1, Tami Martino, Marlene Rabinovitch

  • 1The Heart and Stroke/Richard Lewar Centre of Excellence, The University of Toronto, Toronto, Ontario, Canada. anne.opavsky@sickkids.ca

Insights

Group B coxsackievirus (CVB) infection triggers extracellular signal-regulated kinase 1 and 2 (ERK-1/2) activation, which is essential for viral replication in immune and heart cells. This pathway influences susceptibility to viral myocarditis.

Area of Science:

  • Virology
  • Immunology
  • Cardiology

Background:

  • Group B coxsackieviral (CVB) infection is a common cause of viral myocarditis.
  • p56(Lck) (Lck), a Src family kinase crucial for T cell activation, protects mice from CVB3 myocarditis.
  • Extracellular signal-regulated kinase 1 and 2 (ERK-1/2) signaling can modulate cellular functions downstream of Lck.

Purpose of the Study:

  • To investigate the role of ERK-1/2 in CVB3 infection within T cell lines and neonatal cardiac myocytes.
  • To determine if ERK-1/2 activation by CVB3 is dependent on Lck.
  • To assess the necessity of ERK-1/2 and Src kinases for CVB3 replication.

Main Methods:

  • Utilized Jurkat T cells (Lck-positive) and JCaM T cells (Lck-negative) to study CVB3-induced ERK-1/2 activation.
  • Employed the ERK-1/2 inhibitor UO126 and the Src inhibitor PP2 in cellular assays.
  • Examined ERK-1/2 activation in cardiac myocytes and in the myocardium of infected mice (A/J and C57BL/6 strains).

Main Results:

  • CVB3 rapidly activated ERK-1/2 in Jurkat T cells, but not in Lck-negative JCaM cells.
  • Inhibition of ERK-1/2 reduced CVB3 titers in Jurkat cells, indicating its role in viral replication.
  • CVB3-induced ERK-1/2 activation in cardiac myocytes was blocked by a Src inhibitor, and both Src and ERK-1/2 inhibition decreased viral production.
  • In vivo, ERK-1/2 activation was observed in the myocardium of CVB3-infected mice, with higher activation in susceptible A/J mice compared to resistant C57BL/6 mice.

Conclusions:

  • ERK-1/2 is activated by CVB3 downstream of Lck and other Src kinases in both immune and myocardial cells.
  • ERK-1/2 activation is necessary for efficient CVB3 replication.
  • The magnitude of ERK-1/2 activation in the heart following CVB3 infection may correlate with differential host susceptibility to viral myocarditis.

Related Concept Videos

Myocarditis I: Introduction01:21

Myocarditis I: Introduction

Myocarditis is inflammation of the myocardium, which is the muscular layer of the heart.EtiologyMyocarditis has a diverse etiology, including a wide range of infectious and non-infectious causes:Infectious CausesViral: Common viruses include Coxsackie A and B, adenovirus, parvovirus B19, enteroviruses, and influenza A.Bacterial: Examples include infections caused by Streptococcus, Staphylococcus, and Mycoplasma species.Rickettsial: Infections like Rocky Mountain spotted fever can result in...
Myocarditis II: Clinical Features and Diagnostic Tests01:27

Myocarditis II: Clinical Features and Diagnostic Tests

Myocarditis is an inflammation of the heart muscle. The symptoms vary widely, encompassing asymptomatic presentations to severe, acute manifestations.Clinical PresentationAsymptomatic cases: In some instances, myocarditis may be asymptomatic, with the infection resolving without intervention. These cases often go undetected unless discovered incidentally through diagnostic imaging or tests conducted for other reasons.General Early Symptoms: Early symptoms of myocarditis are non-specific and can...
Myocarditis III: Medical Management01:14

Myocarditis III: Medical Management

Myocarditis: Comprehensive Medical ManagementMyocarditis, the heart muscle inflammation, requires a comprehensive medical management strategy that addresses the underlying cause, provides supportive care, manages symptoms, and reduces cardiac workload.Infections and Autoimmune CausesAdminister appropriate antimicrobial therapy when an infectious agent causes myocarditis. For instance, penicillin treats infections caused by Group A Streptococcus. In cases where autoimmune processes are...