Abstract
Myocarditis is an inflammatory disorder of the myocardium that is associated with cardiac dysfunction. Many viruses have been implicated as causes of myocarditis, most commonly adenoviruses and enteroviruses, such as the coxsackieviruses. Viral myocarditis has been recognized as a cause of congestive heart failure (HF).
Endocarditis is an infection of the endocardium that may involve cardiac valves and adjacent structures and may be caused by wide spectrum of bacteria and fungi. In this chapter, we focus on the host cell-signaling systems which are involved in the different phases of viral and/or bacterial infection, including viral entry into the cell and the development of innate immunity and in a number of signaling molecules (both host and pathogen originated) that are involved in different aspects of pathogenesis of myocarditis/infective endocarditis. Also signaling pathways participating in the activation of adaptive immunity toward the viral/bacteria pathogen is presented.
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Bergelson JM, Cunningham JA, Droguett G, et al. Isolation of a common receptor for Coxsackie B viruses and adenoviruses 2 and 5. Science. 1997;275:1320–3.
Martino T, Petric M, Weingartl H, et al. The coxsackie-adenovirus receptor (CAR) is used by reference strains and clinical isolates representing all 6 serotypes of coxsackievirus group B, and by swine vesicular disease virus. Virology. 2000;271:99–108.
Wickham TJ, Mathias P, Cheresh DA, Nemerow GR. Integrins αvβ3 and αvβ5 promote adenovirus internalization but not virus attachment. Cell. 1993;73:309–19.
Martino TA, Petric M, Brown M, et al. Cardiovirulent coxsackieviruses and the decay-accelerating factor (CD55) receptor. Virology. 1998;244:302–14.
Asher DR, Cerny AM, Weiler SR, et al. Coxsackievirus and adenovirus receptor is essential for cardiomyocyte development. Genesis. 2005;42:77–85.
Chen JW, Zhou B, Yu QC, et al. Cardiomyocyte-specific deletion of the coxsackievirus and adenovirus receptor results in hyperplasia of the embryonic left ventricle and abnormalities of sinuatrial valves. Circ Res. 2006;98:923–30.
Dorner AA, Wegmann F, Butz S, et al. Coxsackievirus-adenovirus receptor (CAR) is essential for early embryonic cardiac development. J Cell Sci. 2005;118:3509–21.
Fechner H, Noutsias M, Tschoepe C, et al. Induction of coxsackievirus-adenovirus-receptor expression during myocardial tissue formation and remodeling: identification of a cell-to-cell contact-dependent regulatory mechanism. Circulation. 2003;107:876–82.
Ito M, Kodama M, Masuko M, et al. Expression of coxsackievirus and adenovirus receptor in hearts of rats with experimental autoimmune myocarditis. Circ Res. 2000;86:275–80.
Noutsias M, Fechner H, de Jonge H, Wang X, Dekkers D, Houtsmuller AB, et al. Human coxsackie-adenovirus receptor is colocalized with integrins αvβ3 and αvβ5 on the cardiomyocyte sarcolemma and upregulated in dilated cardiomyopathy: implications for cardiotropic viral infections. Circulation. 2001;104:275–80.
Sasse A, Wallich M, Ding Z, Goedecke A, Schrader J. Coxsackie-and-adenovirus receptor mRNA expression in human heart failure. J Gene Med. 2003;5:876–82.
Sumbilla C, Ma H, Seth M, Inesi G. Dependence of exogenous SERCA gene expression on coxsackie adenovirus receptor levels in neonatal and adult cardiac myocytes. Arch Biochem Biophys. 2003;415:178–83.
Fairweather D, Frisancho-Kiss S, Rose NR. Viruses as adjuvants for autoimmunity: evidence from Coxsackievirus-induced myocarditis. Rev Med Virol. 2005;15:17–27.
Boyd JH, Mathur S, Wang Y, Bateman RM, Walley KR. Toll-like receptor stimulation in cardiomyoctes decreases contractility and initiates an NF-κB dependent inflammatory response. Cardiovasc Res. 2006;72:384–93.
Hardarson HS, Baker JS, Yang Z, et al. Toll-like receptor 3 is an essential component of the innate stress response in virus-induced cardiac injury. Am J Physiol Heart Circ Physiol. 2007;292:H251–8.
Fairweather D, Yusung S, Frisancho S, et al. IL-12 receptor β1 and Toll-like receptor 4 increase IL-1β- and IL-18-associated myocarditis and coxsackievirus replication. J Immunol. 2003;170:4731–7.
Podewski EK, Hilfiker-Kleiner D, Hilfiker A, et al. Alterations in Janus kinase (JAK)-signal transducers and activators of transcription (STAT) signaling in patients with end-stage dilated cardiomyopathy. Circulation. 2003;107:798–802.
Ruppert V, Meyer T, Pankuweit S, Jonsdottir T, Maisch B. Activation of STAT1 transcription factor precedes up-regulation of coxsackievirus-adenovirus receptor during viral myocarditis. Cardiovasc Pathol. 2008;17:81–92.
Yajima T, Yasukawa H, Jeon ES, et al. Innate defense mechanism against virus infection within the cardiac myocyte requiring gp130-STAT3 signaling. Circulation. 2006;114:2364–73.
Fischer P, Hilfiker-Kleiner D. Survival pathways in hypertrophy and heart failure: the gp130-STAT3 axis. Basic Res Cardiol. 2007;102:393–411.
Liu P, Sole MJ. What is the relevance of apoptosis to the myocardium? Can J Cardiol. 1999;15:8B–10.
Nakamura H, Yamamoto T, Yamamura T, et al. Repetitive coxsackievirus infection induces cardiac dilatation in post-myocarditic mice. Jpn Circ J. 1999;63:794–802.
Darnell Jr JE. STATs and gene regulation. Science. 1997;277:1630–5.
Gitlin L, Barchet W, Gilfillan S, et al. Essential role of mda-5 in type I IFN responses to polyriboinosinic:polyribocytidylic acid and encephalomyocarditis picornavirus. Proc Natl Acad Sci USA. 2006;103:8459–64.
Hiscott J, Lin R, Nakhaei P, Paz S. MasterCARD: a priceless link to innate immunity. Trends Mol Med. 2006;12:53–6.
Chau DH, Yuan J, Zhang H, et al. Coxsackievirus B3 proteases 2A and 3C induce apoptotic cell death through mitochondrial injury and cleavage of eIF4GI but not DAP5/p97/NAT1. Apoptosis. 2007;12:513–24.
Badorff C, Lee GH, Lamphear BJ, et al. Enteroviral protease 2A cleaves dystrophin: evidence of cytoskeletal disruption in an acquired cardiomyopathy. Nat Med. 1999;5:320–6.
Lamphear BJ, Yan R, Yang F, et al. Mapping the cleavage site in protein synthesis initiation factor eIF-4 gamma of the 2A proteases from human Coxsackievirus and rhinovirus. J Biol Chem. 1993;268:19200–3.
Herskowitz A, Ahmed-Ansari A, Neumann DA, et al. Induction of major histocompatibility complex antigens within the myocardium of patients with active myocarditis: a nonhistologic marker of myocarditis. J Am Coll Cardiol. 1990;15:624–32.
Opavsky MA, Penninger J, Aitken K, et al. Susceptibility to myocarditis is dependent on the response of αβ T lymphocytes to coxsackieviral infection. Circ Res. 1999;85:551–8.
Schulze K, Becker B, Schultheiss HP. Antibodies to the ADP/ATP carrier, an autoantigen in myocarditis and dilated cardiomyopathy, penetrate into myocardial cells and disturb energy metabolism in vivo. Circ Res. 1989;64:179–92.
Schwimmbeck PL, Badorff C, Schultheiss HP, et al. Transfer of human myocarditis into severe combined immunodeficiency mice. Circ Res. 1994;75:156–64.
Rose NR, Beisel KW, Herskowitz A, et al. Cardiac myosin and autoimmune myocarditis. Ciba Found Symp. 1987;129:3–24.
Fu LX, Magnusson Y, Bergh CH, et al. Localization of a functional autoimmune epitope on the muscarinic acetylcholine receptor-2 in patients with idiopathic dilated cardiomyopathy. J Clin Invest. 1993;91:1964–8.
Maisch B, Wedeking U, Kochsiek K. Quantitative assessment of antilaminin antibodies in myocarditis and perimyocarditis. Eur Heart J. 1987;8(Suppl J):233–5.
Klein R, Maisch B, Kochsiek K, Berg PA. Demonstration of organ specific antibodies against heart mitochondria (anti-M7) in sera from patients with some forms of heart diseases. Clin Exp Immunol. 1984;58:283–92.
Schultheiss HP, Bolte HD. Immunological analysis of auto-antibodies against the adenine nucleotide translocator in dilated cardiomyopathy. J Mol Cell Cardiol. 1985;17:603–17.
Magnusson Y, Wallukat G, Waagstein F, Hjalmarson A, Hoebeke J. Autoimmunity in idiopathic dilated cardiomyopathy: characterization of antibodies against the β1-adrenoceptor with positive chronotropic effect. Circulation. 1994;89:2760–7.
Perez Leirós C, Goren N, Sterin-Borda L, Borda ES. Myocardial dysfunction in an experimental model of autoimmune myocarditis: role of IFN-γ. Neuroimmunomodulation. 1997;4:91–7.
Matsumori A, Yamada T, Suzuki H, Matoba Y, Sasayama S. Increased circulating cytokines in patients with myocarditis and cardiomyopathy. Br Heart J. 1994;72:561–6.
Marsland BJ, Nembrini C, Grün K, et al. TLR ligands act directly upon T cells to restore proliferation in the absence of protein kinase C-q signaling and promote autoimmune myocarditis. J Immunol. 2007;178:3466–73.
Davies JM. Molecular mimicry: can epitope mimicry induce autoimmune disease? Immunol Cell Biol. 1997;75:113–26.
Fairweather D, Lawson CM, Chapman AJ, et al. Wild isolates of murine cytomegalovirus induce myocarditis and antibodies that cross-react with virus and cardiac myosin. Immunology. 1998;94:263–70.
Liu P, Aitken K, Kong YY, et al. The tyrosine kinase p56lck is essential in coxsackievirus B3-mediated heart disease. Nat Med. 2000;6:429–34.
Ni J, Bowles NE, Kim YH, et al. Viral infection of the myocardium in endocardial fibroelastosis. Molecular evidence for the role of mumps virus as an etiologic agent. Circulation. 1997;95:133–9.
Kuhl U, Pauschinger M, Seeberg B, Lassner D, Noutsias M, Poller W, et al. Viral persistence in the myocardium is associated with progressive cardiac dysfunction. Circulation. 2005;112:1965–70.
Bowles NE, Ni J, Kearney DL, et al. Detection of viruses in myocardial tissues by polymerase chain reaction. Evidence of adenovirus as a common cause of myocarditis in children and adults. J Am Coll Cardiol. 2003;42:466–72.
Kuhl U, Pauschinger M, Bock T, et al. Parvovirus B19 infection mimicking acute myocardial infarction. Circulation. 2003;108:945–50.
Bultmann BD, Klingel K, Sotlar K, et al. Fatal parvovirus B19-associated myocarditis clinically mimicking ischemic heart disease: an endothelial cell-mediated disease. Hum Pathol. 2003;34:92–5.
Klingel K, Sauter M, Bock CT, Szalay G, Schnorr JJ, Kandolf R. Molecular pathology of inflammatory cardiomyopathy. Med Microbiol Immunol (Berl). 2004;193:101–7.
O’Malley A, Barry-Kinsella C, Hughes C, et al. Parvovirus infects cardiac myocytes in hydrops fetalis. Pediatr Dev Pathol. 2003;6:414–20.
Zareba KM, Miller TL, Lipshultz SE. Cardiovascular disease and toxicities related to HIV infection and its therapies. Expert Opin Drug Saf. 2005;4:1017–25.
Barbaro G. Reviewing the cardiovascular complications of HIV infection after the introduction of highly active antiretroviral therapy. Curr Drug Targets Cardiovasc Haematol Disord. 2005;5:337–43.
Kan H, Xie Z, Finkel MS. HIV gp120 enhances NO production by cardiac myocytes through p38 MAP kinase-mediated NF-κB activation. Am J Physiol Heart Circ Physiol. 2000;279:H3138–43.
Fiala M, Popik W, Qiao JH, et al. HIV-1 induces cardiomyopathy by cardiomyocyte invasion and gp120, Tat, and cytokine apoptotic signaling. Cardiovasc Toxicol. 2004;4:97–107.
Calabrese F, Thiene G. Myocarditis and inflammatory cardiomyopathy: microbiological and molecular biological aspects. Cardiovasc Res. 2003;60:11–25.
Hardman JM, Earle KM. Myocarditis in 200 fatal meningococcal infections. Arch Pathol. 1969;87:318–25.
Nagi KS, Joshi R, Thakur RK. Cardiac manifestations of Lyme disease: a review. Can J Cardiol. 1996;12:503–6.
Defosse DL, Duray PH, Johnson RC. The NIH-3 immunodeficient mouse is a model for Lyme borreliosis myositis and carditis. Am J Pathol. 1992;141:3–10.
Marin-Garcia J, Mirvis DM. Myocardial disease in Rocky Mountain spotted fever: clinical, functional, and pathologic findings. Pediatr Cardiol. 1984;5:149–54.
Marin-Garcia J, Gooch 3rd WM, Coury DL. Cardiac manifestations of Rocky Mountain spotted fever. Pediatrics. 1981;67:358–61.
Burian J, Buser P, Eriksson U. Myocarditis: the immunologist’s view on pathogenesis and treatment. Swiss Med Wkly. 2005;135:359–64.
Uzoigwe C. Campylobacter infections of the pericardium and myocardium. Clin Microbiol Infect. 2005;11:253–5.
Saikku P. Chlamydia pneumoniae and cardiovascular diseases. Clin Microbiol Infect. 1996;1 Suppl 1:S19–22.
Paz A, Potasman I. Mycoplasma-associated carditis. Case reports and review. Cardiology. 2002;97:83–8.
Galvin JE, Hemric ME, Kosanke SD, Factor SM, Quinn A, Cunningham MW. Induction of myocarditis and valvulitis in Lewis rats by different epitopes of cardiac myosin and its implications in rheumatic carditis. Am J Pathol. 2002;160:297–306.
Raveche ES, Steven E, Schutzer SE, Fernandes H. Evidence of Borrelia autoimmunity-induced component of lyme carditis and arthritis. J Clin Microbiol. 2005;43:850–6.
McKisic MD, Redmond WL, Barthold SW. Cutting edge: T cell-mediated pathology in murine Lyme borreliosis. J Immunol. 2000;164:6096–9.
Pinto AY, Valente SA, Valente Vda C. Emerging acute Chagas disease in Amazonian Brazil: case reports with serious cardiac involvement. Braz J Infect Dis. 2004;8:454–60.
Fuenmayor C, Higuchi ML, Carrasco H, et al. Acute Chagas’ disease: immunohistochemical characteristics of T cell infiltrate and its relationship with T. cruzi parasitic antigens. Acta Cardiol. 2005;60:33–7.
Marino AP, da Silva A, dos Santos P, et al. Regulated on activation, normal T cell expressed and secreted (RANTES) antagonist (Met-RANTES) controls the early phase of Trypanosoma cruzi-elicited myocarditis. Circulation. 2004;110:1443–9.
Minhas T, Ludlam HA, Wilks M, Tabaqchali S. Detection by PCR and analysis of the distribution of a fibronectin-binding protein gene (fbn) among staphylococcal isolates. J Med Microbiol. 1995;42:96–101.
Weidenmaier C, Peschel A, Kempf VA, et al. DltABCD- and MprF-Mediated cell envelope modifications of Staphylococcus aureus confer resistance to platelet microbicidal proteins and contribute to virulence in a rabbit endocarditis model. Infect Immun. 2005;73:8033–8.
Moreillon P, Que YA, Bayer AS. Pathogenesis of streptococcal and staphylococcal endocarditis. Infect Dis Clin North Am. 2002;16:297–318.
Erickson PR, Herzberg MC. Altered expression of the platelet aggregation-associated protein from Streptococcus sanguis after growth in the presence of collagen. Infect Immun. 1995;63:1084–8.
Tak T, Shukla SK. Molecular diagnosis of infective endocarditis: a helpful addition to the Duke criteria. Clin Med Res. 2004;2:206–8.
Jett BD, Huycke MM, Gilmore MS. Virulence of enterococci. Clin Microbiol Rev. 1994;7:462–78.
Dziewanowska K, Carson AR, Patti JM, Deobald CF, Bayles KW, Bohach GA. Staphylococcal fibronectin binding protein interacts with heat shock protein 60 and integrins: role in internalization by epithelial cells. Infect Immun. 2000;68:6321–8.
Johnson AP. The pathogenicity of enterococci. J Antimicrob Chemother. 1994;33:1083–9.
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Marín-García, J. (2011). Signaling in Endomyocarditis. In: Signaling in the Heart. Springer, Boston, MA. https://doi.org/10.1007/978-1-4419-9461-5_12
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DOI: https://doi.org/10.1007/978-1-4419-9461-5_12
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