Contractile depression and expression of proinflammatory cytokines and iNOS in viral myocarditis

G L Freeman1, J T Colston, M Zabalgoitia

  • 1Division of Cardiology, University of Texas Health Science Center at San Antonio, USA.

Insights

Coxsackievirus B3 (CVB3) infection causes inflammation and reduced heart function in mice. More susceptible mice exhibit prolonged inflammation and cardiac dysfunction due to elevated cytokines and inducible nitric oxide synthase (iNOS).

Area of Science:

  • Virology
  • Immunology
  • Cardiology

Background:

  • Coxsackievirus B3 (CVB3) is a significant cause of viral myocarditis.
  • Different mouse strains exhibit varying susceptibility to viral infections.
  • Understanding host-pathogen interactions is crucial for developing therapeutic strategies.

Purpose of the Study:

  • To compare the differential responses of CD-1 and C3H.HeJ (C3H) mice to CVB3 infection.
  • To investigate the role of inflammatory markers and inducible nitric oxide synthase (iNOS) in CVB3-induced myocarditis.
  • To correlate cardiac function with inflammatory responses in susceptible and resistant mouse models.

Main Methods:

  • Two mouse strains (CD-1 and C3H) were inoculated with CVB3.
  • Histopathological analysis of cardiac lesions was performed at 7, 14, and 21 days post-infection.
  • Cardiac function was assessed by measuring fractional shortening.
  • Gene expression analysis of interleukin-6 (IL-6), tumor necrosis factor-alpha (TNF-α), interleukin-1 beta (IL-1β), and iNOS was conducted.

Main Results:

  • CD-1 mice showed transient inflammation and recovery, while C3H mice exhibited persistent inflammatory infiltrates.
  • Fractional shortening was reduced in both strains at 7 and 14 days, with recovery in CD-1 mice but persistent depression in C3H mice.
  • Pro-inflammatory cytokines (IL-6, TNF-α, IL-1β) and iNOS expression were significantly elevated in C3H mice compared to CD-1 mice, particularly at later time points.

Conclusions:

  • CVB3 infection induces pro-inflammatory cytokine and iNOS expression, leading to reduced cardiac contractility in mice.
  • Susceptibility to CVB3-induced myocarditis is strain-dependent, with C3H mice demonstrating a more severe and persistent inflammatory and cardiac response.
  • Elevated iNOS and cytokine levels are associated with more pronounced and prolonged cardiac dysfunction in susceptible hosts.

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