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Updated: Apr 28, 2026

Flow Cytometry-Based Quantification and Analysis of Myocardial B-Cells
Published on: August 17, 2022
Coxsackievirus B3 regulates T-cell infiltration into the heart by lymphocyte function-associated antigen-1 activation
Seung-Hyun Shim1, Dae-Sun Kim1, Whajung Cho1
1Department of Biotechnology, Catholic University of Korea, 43-1 Yeokgok 2-dong, Wonmi-gu, Bucheon, Gyeonggi-do, 420-743, Republic of Korea.
Insights
Coxsackievirus B3 (CVB3) infection activates T-cells via the VP2 protein, leading to myocarditis. Targeting the VP2-cAMP-Rap1-LFA-1 pathway may treat viral heart inflammation.
Area of Science:
- Virology
- Immunology
- Cardiology
Background:
- Coxsackievirus B3 (CVB3) infection is a known cause of myocarditis and dilated cardiomyopathy.
- CVB3-induced T-cell infiltration into cardiac tissue contributes to inflammation and cardiomyocyte injury.
- The precise molecular mechanisms driving T-cell infiltration in CVB3 infection are not fully understood.
Purpose of the Study:
- To elucidate the mechanism of T-cell infiltration during CVB3 infection.
- To identify the specific viral components responsible for T-cell activation and subsequent cardiac pathology.
- To explore potential therapeutic targets for CVB3-induced myocarditis.
Main Methods:
- Comparison of T-cell activation by wild-type (H3 WT) and attenuated (YYFF) CVB3 strains in vivo and in vitro.
- Assessment of T-cell activation through changes in lymphocyte function-associated antigen-1 (LFA-1) distribution.
- Investigation of the cAMP/Rap1 signaling pathway involvement in LFA-1 activation.
- Utilizing recombinant lentiviruses expressing CVB3 viral proteins (VP2) to determine their role in LFA-1 activation.
Main Results:
- CVB3 infection was confirmed to infect and activate T-cells, both in vivo and in vitro.
- Activated T-cells, identified by LFA-1 expression, were present in the hearts of CVB3-infected mice.
- LFA-1 activation on T-cells was mediated by the cAMP/Rap1 signaling pathway.
- Recombinant lentiviruses expressing CVB3 VP2 protein induced LFA-1 activation via increased cAMP, while the YYFF strain's VP2 did not.
- CVB3 infection elevates cAMP levels, activating Rap1 in T-cells, with VP2 being a critical factor.
Conclusions:
- CVB3 infection activates T-cells through a VP2-dependent mechanism involving the cAMP/Rap1-LFA-1 signaling axis.
- The viral protein VP2 plays a crucial role in mediating T-cell activation and infiltration during CVB3 infection.
- The identified VP2-cAMP-Rap1-LFA-1 pathway represents a promising therapeutic target for managing CVB3-induced myocarditis.
Abstract:
Coxsackievirus B3 (CVB3) infection can trigger myocarditis and can ultimately lead to dilated cardiomyopathy. It is known that CVB3-induced T-cell infiltration into cardiac tissues is one of the pathological factors causing cardiomyocyte injury by inflammation. However, the underlying mechanism for this remains unclear. We investigated the mechanism of T-cell infiltration by two types of CVB3: the H3 WT strain and the YYFF attenuated strain. T-cell activation was confirmed by changes in the distribution of lymphocyte function-associated antigen-1 (LFA-1). Finally, we identified which viral gene was responsible for LFA-1 activation. CVB3 could infect and activate T-cells in vivo and in vitro, and activated T-cells were detected in CVB3-infected mouse hearts. LFA-1 expressed on the surface of these T-cells had been activated through the cAMP/Rap1 pathway. Recombinant lentiviruses expressing VP2 of CVB3 could also induce LFA-1 activation via an increase in cAMP, whilst VP2 of YYFF did not. These results indicated that CVB3 infection increased cAMP levels and then activated Rap1 in T-cells. In particular, VP2, among the CVB3 proteins, might be critical for this activation. This VP2-cAMP-Rap1-LFA-1 axis could be a potential therapeutic target for treating CVB3-induced myocarditis.
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