Janus effects of ADAR1 on CVB3-induced viral myocarditis at different infection stages

Ning Dong1, Chunsheng Dong1, Sidong Xiong1

  • 1Jiangsu Key Laboratory of Infection and Immunity, Institutes of Biology and Medical Sciences, Soochow University, Suzhou 215123, China.

Insights

Adenosine deaminase acting on RNA 1 (ADAR1) plays a dual role in Coxsackievirus B3 (CVB3)-induced viral myocarditis (VMC). Modulating ADAR1 impacts viral replication and inflammation, offering potential therapeutic strategies for VMC.

Area of Science:

  • Virology
  • Immunology
  • Molecular Biology

Background:

  • Coxsackievirus B3 (CVB3) infection is a primary cause of viral myocarditis (VMC), marked by myocardial inflammation.
  • Adenosine deaminase acting on RNA 1 (ADAR1), an interferon-inducible enzyme, exhibits varied roles in viral infections, acting as either antiviral or pro-viral depending on the virus.

Purpose of the Study:

  • To investigate the role of ADAR1 in the pathogenesis of CVB3-induced viral myocarditis (VMC).

Main Methods:

  • An acute VMC mouse model was established via CVB3 infection.
  • ADAR1 expression was modulated in vivo using polyethyleneimine-mediated plasmid delivery for up-regulation and down-regulation.

Main Results:

  • ADAR1 expression increased following CVB3 infection.
  • Early-stage ADAR1 down-regulation ameliorated VMC by reducing viral replication and increasing IFN-β.
  • Middle-late stage ADAR1 down-regulation aggravated VMC, suggesting a role in regulating PKR and NF-κB signaling pathways.

Conclusions:

  • ADAR1 exhibits stage-dependent, double-edged effects in CVB3-induced VMC.
  • Findings provide novel insights for therapeutic interventions targeting VMC.
Abstract

Related Concept Videos

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...
299
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...
535
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...
402
Cardiomyopathy II: Dilated Cardiomyopathy01:30

Cardiomyopathy II: Dilated Cardiomyopathy

Dilated cardiomyopathy, or DCM, is a progressive myocardial disorder characterized by ventricular chamber dilation and contractile dysfunction.EtiologyVarious factors can cause DCM, including hypertension and heavy alcohol intake, which contribute to the weakening and enlargement of the heart muscle. Viral infections, such as Coxsackievirus B, adenoviruses, and influenza, can lead to DCM by causing inflammation and damage to heart tissue. Certain chemotherapeutic agents, including daunorubicin,...
716