Skip to main content

Roles of T Cells in Coxsackievirus B-Induced Disease

  • Chapter
The Coxsackie B Viruses

Part of the book series: Current Topics in Microbiology and Immunology ((CT MICROBIOLOGY,volume 223))

Abstract

Enteroviral infection, for example by coxsackieviruses, is thought to be the initiating event of human myocarditis. This is supported by epidemiological studies showing an increased incidence of viral myocarditis following endemics of coxsackie B virus (CVB) infections (Helin et al. 1968). However, the assumed pathogenetic role of enteroviral infection in the pathogenesis of viral myocarditis was established only in the last decade, by the demonstration of enteroviral RNA in the myocardium of patients with myocarditis and dilated cardiomyopathy using molecular biological methods (Bowles et al. 1986). The percentage of patients with myocarditis having enteroviral sequences in the myocardium differs widely between different studies, possibly due to different probes used for hybridization, differences in the primers selected for amplification or unspecific contamination with viral RNA especially in the polymerase chain reaction, thus giving false positive results. In general and in studies testing more than 100 patients for the presence of enteroviral RNA in the myocardium, about 30%–40% of the patients were positive.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

eBook
USD 16.99
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD 109.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

Preview

Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.

References

  • Allison JP, Havran WL (1991) The immunobiology of T cells with invariant y8 antigen receptors. Ann Rev Immunol 9:679–705

    Article  CAS  Google Scholar 

  • Bankert RB, Umemoto T, Sugiyama Y, Chen FA, Repasky E, Yokota S (1989) Human lung tumors, patients’peripheral blood lymphocytes and tumor infiltrating lymphocytes propagated in SCID mice. Curr Top Micobiol Immunol 152:201–210

    CAS  Google Scholar 

  • Barnett LA, Fujinami RS (1992) Molecular mimicry: a mechanism for autoimmune injury. FASEB J 6:840–844

    PubMed  CAS  Google Scholar 

  • Bjorkmann PJ, Saper MA, Samraouni B, Bennett WS, Stominger JL, Wiley DC (1987). Structure of the human class I histocompatibility antigen HLA-A2. Nature 329:506–512

    Article  Google Scholar 

  • Bosna GC, Custer RP, Bosma MJ (1983) A severe combined immunodeficiency mutation in the mouse. Nature 301:527–530

    Article  Google Scholar 

  • Bowles NE, Richardson PJ, Olsen EGJ, Archard LC (1986) Detection of coxsackie-B-virus-specific RNA sequences in myocardial biopsy samples from patients with myocarditis and dilated cardiomyopathy. Lancet 1:1120–1123

    Article  PubMed  CAS  Google Scholar 

  • Chow LH, Beisel KW, McManus BM (1992) Enterviral infection of mice with severe combined immunodeficiency: evidence for direct viral pathogenesis of myocardial injury. Lab Invest 66:24–31

    PubMed  CAS  Google Scholar 

  • Cook DN, Beck MA, Coffman TM, Kirby SL, Sheridan JF, Pragnell IB, Smithies O (1995) Requirement of MIP-1 alpha for an inflammatory response to viral infection. Science 269:1583–1585

    Article  PubMed  CAS  Google Scholar 

  • Cunningham MW (1993) Bacterial antigen mimicry. Bona CA Siminovitch K Theophiloupoulos AN , The pathology of autoimmunity. Academic, New York, pp 245–263

    Google Scholar 

  • Cunningham MW, Antone SM, Gulizia JM, McManus BM, Fischetti VA, Gauntt CJ (1992) Cytotoxic and viral neutralizing antibodies crosscact with streptococcal M protein, enteroviruses, and human cardiac myosin. Proc Natl Acad Sci USA 8:1320–1324

    Article  Google Scholar 

  • DeScheerder IK, DeBuyzere M, Delanghe J, Maas A, Clement DL, Wieme R (1991) Humoral immune response against contractile proteins (actin and myosin) during cardiovascular disease. Eur Heart J 12 (Suppl D) 8 8–94

    Google Scholar 

  • Doherty PC, Allan W, Eichelberger M, Carding SR (1992) Roles of a(3 and y8 T cell subsets in viral immunity. Ann Rev Immunol 10:123–152

    Article  CAS  Google Scholar 

  • Duchusal MA, McConahey PJ, Robinson CA, Dixon FJ (1990) Transfer of human lupus erythmatodes in severe combined immunodeficient (SCID) mice. J Exp Med 172:985–988

    Article  Google Scholar 

  • Estrin M, Herzum M, Buie C, Huber SA (1987) Immunosuppressives in murine myocarditis. Eur Heart J 8:259–264

    Google Scholar 

  • Fitch FW, McKisic MD, Lancki DW, Gajewski TF (1993) Differential regulation of murine T lymphocyte subsets. Ann Rev Immunol 11:29–48

    Article  CAS  Google Scholar 

  • Fujinami RS, Oldstone MBA, Wroblewska Z, Frankel ME, Koprowski H (1983) Molecular mimicry in virus infection: crossreaction of measles virus phosphoprotein or of herpes simplex virus protein with human intermediate filaments. Proc Natl Acad Sci USA 80:2346–2350

    Article  PubMed  CAS  Google Scholar 

  • Gauntt C, Higdon A, Bowers D, Maull E, Wood J, Crawley R (1993) What lessons can be learned from animal model studies in viral heart disease? Scand J Infect Dis 88:49–65

    CAS  Google Scholar 

  • Gauntt CJ, Arizpe HM, Higdon AL, Wood HJ, Bowers DF, Rozek MM, Crawley R (1995) Molecular mimicry, anti-coxsackievirus B3 neutralizing monoclonal antibodies and myocarditis. J Immunol 154:2983–2995

    PubMed  CAS  Google Scholar 

  • Haarmann CM, Schwimmbeck PL, Mertens T, Schultheiss HP, Strauer B (1994) Identification of sero type-specific and nonserotype-specific B-cell epitopes of coxsackie B viruses using synthetic peptides. Virology 200:381–389

    Article  PubMed  CAS  Google Scholar 

  • Haas W, Pereira P, Tonegawa S (1993) Gamma/delta cells. Ann Rev Immunol 11:637–686

    Article  CAS  Google Scholar 

  • Helin M, Savola J, Lapinleimu K (1968) Cardiac manifestations during a coxsackie B5 epidemic. British Med J 3:97–99

    Article  CAS  Google Scholar 

  • Henke A, Huber S, Stelzner A, Whitton JL (1995) The role of CD8+ T lymphocytes in coxsackievirus B3-induced myocarditis. J Virol 69:6720–6728

    PubMed  CAS  Google Scholar 

  • Herzum M, Huber SA, Weller R, Grebe R, Maisch B (1991) Treatment of experimental murine coxsackie B3 myocarditis. Eur Heart J 12(Suppl D)200–202

    PubMed  Google Scholar 

  • Huber SA (1992) Heat-shock protein induction in adriamycin and picornavirus-infected cardiocytes. Lab Invest 67:218–224

    PubMed  CAS  Google Scholar 

  • Huber SA, Cunningham MA (1996) Streptococcal M protein peptide with similarity to myosin induces CD4+ T cell dependent myocarditis in MRL/++ mice and induces partial tolerance against coxsackieviral myocarditis. J Immunol 156:3528–3534

    PubMed  CAS  Google Scholar 

  • Huber SA, Lodge PA (1984) Coxsackievirus B3 myocarditis: identification of different pathogenic mechanissms in DBA/2 and Balb/c mice. Am J Pathol 122:284–291

    Google Scholar 

  • Huber SA, Mortensen A, Moulton G (1996a) Modulation of cytokine expression by CD4+ T cells during coxsackievirus B3 infections of Balb/c mice initiated by cells expressing the y8 + T cell receptor. J Virol 70:3039–3044

    PubMed  CAS  Google Scholar 

  • Huber SA, Hamrell BB, Knowlton KU (1996) Lessons from animal models of viral myocarditis. In: Schultheiss HPSchwimmbeck P(eds)The role of immune mechanisms in cardiovascular disease. Springer, Berlin, Heidelberg, New York:3 5–43

    Google Scholar 

  • Huber SA, Moraska A, Cunningham M (1994a) Alterations in major histocompatibiity complex association of myocarditis induced by coxsackievirus B3 (CVB3) mutants selected with monoclonal antibodies to group A steptococci. Proc Natl Acad Sci USA 91:5543–5547

    Article  PubMed  CAS  Google Scholar 

  • Huber SA, Polgar J, Schultheiss P, Schwimmbeck P (1994b) Augmentation of pathogenesis of coxsackievirus B3 infections in mice by exogenous administration of interleukin-1 and interleukin-2. J Virol 68:195–206

    PubMed  CAS  Google Scholar 

  • Huber SA, Polgar J, Moraska A, Cunningham M, Schwimmbeck P, Schultheiss HP (1993) T lymphocyte responses in CVB3-induced murine myocarditis. Scand J Infect Diseases 88:67–78

    CAS  Google Scholar 

  • Kandolf R, Klingel K, Zell R, Selinka HC, Raab U, Schneider-Brachert W, Bultmann B (1993) Molecular pathogenesis of enterovirus-induced myocarditis: virus persistence and chronic inflammation. Intervirology 35:140–151

    PubMed  CAS  Google Scholar 

  • Kishimoto C, Abelmann WH (1990) In vivo significance of T cells in the development of coxsackievirus B3 myocarditis in mice. Immature but antigen specific T cells aggravate cardiac injury. Circ Res 67:589–589

    PubMed  CAS  Google Scholar 

  • Kishimoto C, Kuroki Y, Hiraoka Y, Ochiai H, Kurokawa M, Sasayama S (1994) Cytokine and murine coxsackievirus B3 myocarditis. Interleukin-2 suppressed myocarditis in the acute stage but enhanced the condition in the subsequent stage. Circulation 89:2836–2842

    PubMed  CAS  Google Scholar 

  • Klingel K, Kandolf R (1993) The role of enterovirus replication in the development of acute and chronic heart muscle disease in different immunocompetent mouse strains. Scand J Infect Dis 88(suppl)79–85

    CAS  Google Scholar 

  • Krams SM, Dorshkind K, Gershwin ME (1989) Generation of biliary lesions after transfer of human lymphocytes into severe combined immunodeficient (SCID) mice. J Exp Med 170:1919–1930

    Article  PubMed  CAS  Google Scholar 

  • Ktihl U, Noutsias M, Seeberg B, Schultheiss HP (1996) Immunohistological evidence for a chronic intramyocardial inflammatory process in dilated cardiomyopathy. Heart 75:295–300

    Article  Google Scholar 

  • Ktihl U, Daun B, Seeberg B, Schultheiss HP, Strauer BE (1992) Dilated cardiomyopathy -a chronic myocarditis? Herz 17(2):97–106

    Google Scholar 

  • Ktihl U, Melzner B, Schafer B, Schultheiss HP, Strauer BE (1991) The Ca-channel as cardiac autoantigen. Eur Heart J 12(Suppl D)99–104

    Google Scholar 

  • Kupfer A, Singer SJ (1989) Cell biology of cytotoxic and helper T cell functions. Ann Rev Immunol 7:309–337

    Article  CAS  Google Scholar 

  • Lane JR, Neumann DA, LaFond-Walker A, Herskowitz A, Rose NR (1992) Interleukin 1 or tumor necrosis factor can promote coxsackie B3-induced myocarditis in resistant B10A mice. J Exp Med 175:1123–1129

    Article  PubMed  CAS  Google Scholar 

  • Lasarte JJ, Sarobe P, Prieto J, Borras-Cuesta F (1995) In vivo cytotoxic T-Lymphocyte induction may take place via CD8 T helper lymphocytes. Res Immunol 146:35–44

    Article  PubMed  CAS  Google Scholar 

  • Liao O, Sindhwani R, Rojkind M, Factor S, Leinwand L, Diamond B (1995) Antibody-mediated autoimmune myocarditis depends on genetically determined target organ sesitivity. J Exp Med 181:1123–1131

    Article  PubMed  CAS  Google Scholar 

  • Limas CJ, Limas C (1991) Beta-adrenoreceptor antibodies and genetics in dilated cardiomyopathy: An overview and review. Eur Heart J 12(suppl D) 175–177

    PubMed  Google Scholar 

  • Loudon RP, Moraska AF, Huber SA, Schwimmbeck P, Schultheiss P (1991) An attenuated variant of coxsackievirus B3 preferentially induces immunoregulatory T cells in vivo. J Virol 65:5813–5819

    PubMed  CAS  Google Scholar 

  • Lutton CW, Gauntt CJ (1985) Ameliorating effect ofIFN-p and anti-IFN-p on coxsackievirus B3-induced myocarditis in mice. J Interferon Res 5:137–146

    Article  PubMed  CAS  Google Scholar 

  • Macht L, Kukuma N, Leader K, Sarsero D, Pegg CAS, Phillips DIW, Yates P, McLachlan SM, Elson C, Smith BR (1991) Severe combined immunodeficient (SCID) mice: A model for investigating human thyroid autoantibody synthesis. Clin Exp Immunol 84:34–12

    Article  CAS  Google Scholar 

  • Marusic-Galesic S, Walden P (1995) Increased number of CD4-CD8+ HMC class II-specific T cells in MHC class II-deficient mice. Immunology 85:442–146

    CAS  Google Scholar 

  • Maisch B, Camerini F, Schultheiss HP (1995) Immunosuppressive therapy for myocarditis. N Engl J Med 333:1713

    Article  PubMed  CAS  Google Scholar 

  • Mason JW, O’Connell JB, Herskowitz A, Rose NR, McManus BM, Billingham ME, Moon TE, The Myocarditis Treatment Trial Investigators (1995) A clinical trial of immunosuppressive therapy for myocarditis. N Engl J Med 333:269–275

    Article  PubMed  CAS  Google Scholar 

  • McMenamin C, Pimm C, McKersey M, Holt PG (1994) Regulation of IgE responses to inhaled antigen in mice by antigen-specific 8 T cells. Science 265:1869–1871

    Article  PubMed  CAS  Google Scholar 

  • Mertens T, Pika U, Eggers HJ (1983) Cross antigenicity among enteroviruses as revealed by immunoblot technique. Virology 129:431–42

    Article  PubMed  CAS  Google Scholar 

  • Miric M, Miskovic A, Brkic S, Vasiljevic J, Keserovic N, Pesic M (1994) Long-term follow-up of patients with myocarditis and idiopathic dilated cardiomyopathy after immunomodulating therapy. FEMS Immunol Med Microbiol 10:65–74

    Article  PubMed  CAS  Google Scholar 

  • Murphy WJ; Bennett M, Anver MR, Baseler M, Longo DL (1992) Human-mouse lymphoid chimeras: Host-vs.-graft and graft-vs.-host reactions. Eur J Immunol 22:1421–1427

    Article  PubMed  CAS  Google Scholar 

  • Neu N, Rose NR, Beisel KW, Herskowitz A, Gurri-Glass G, Craig SW (1987a) Cardiac myosin induces myocarditis in genetically predisposed mice. J Immunol 139:3630–3636

    PubMed  CAS  Google Scholar 

  • Neu N, Beisel KW, Traystman MD, Rose NR, Craig SW (1987) Antibodies specific for the cardiac myosin isoform are found in mice susceptible to coxsackievirus B3-induced myocartitis. J Immunol 138:2488–2492

    PubMed  CAS  Google Scholar 

  • O’Connel JB, Reap EA, Robinson JA (1986) The effects of cyclosporin on acute murine Coxsackie B3 myocarditis. Circulation 73:353–359

    Article  Google Scholar 

  • Pankuweit S, Lottspeich F, Maisch B (1995) Characterization of relevant membrane antigens by twodimensional immunoblot and n-terminal sequence analysis in patients with myocarditis. Eur Heart J 16(Suppl 0)81–84

    PubMed  CAS  Google Scholar 

  • Phillips RA, Spaner DE (1991) The SCID mouse: Mutation in a DNA repair gene creates recipients useful for studies on stem cells, lymphocyte development and graft-versus-host disease. Immunol Rev 124:63–73.

    Article  PubMed  CAS  Google Scholar 

  • Pummerer CL, Luze K, Grasl G, Bachmair K, Offtier F, Burell SK, Lenz DM, Zamborella TJ, Penninger JM, and Neu N (1996) Identification of cardiac myosin peptides capable of inducing autoimmune myocarditis in Balb/c mice. J Clin Invest 97:2057–2062

    Article  PubMed  CAS  Google Scholar 

  • Qasim FJ, Mathieson PW, Thiru S, Oliveira DB (1995) Cyclosporin A exacerbates mercuric chlorideinduced vasculitis in the brown Norway rat. Lab Invest 72:183–190

    PubMed  CAS  Google Scholar 

  • Rowe M, Young LS, Crocker J, Stokes H, Henderson S, Rickinson AB (1991) Epstein-Barr virus (EBV)-associated lymphoproliferative disease in the SCID mouse model: Implications for the pathogenesis of EBV-positive lymphomas in man. J Exp Med 173:147–158

    Article  PubMed  CAS  Google Scholar 

  • Rose NR, Neumann DA, Herskowitz A (1992) Coxsackievirus myocarditis. Adv Intern Med 37:411–429

    PubMed  CAS  Google Scholar 

  • Salmon M, Pilling D, Borthwick NJ, Viner N, Janossy G, Bacon PA Akbur AN (1994) The progressive differentiation of primed T cells is associated with an increasing susceptibility to apoptosis. Eur J Immunol 24:892–899

    Article  PubMed  CAS  Google Scholar 

  • Sato S, Tsutsumi R, Burke A, Carson G, Porro V, Seko Y, Okumura K, Kawana R, Virmani $ (1994) Persistence of replicating coxsackievirus B3 in the athymic murine heart is associated with development of myocarditic lesions. J Gen Virol 75:2911–2924

    Article  CAS  Google Scholar 

  • Scharton TM, Scott P (1993) Natural killer cells are a source of interferon gamma that drives differentiation of CD4+ T cell subsets and induces early resistance to Leishmania major in mice. J Exp Med 178:567–577

    Article  PubMed  CAS  Google Scholar 

  • Schultheiss HP (1989) The significance of autoantibodies against the ADP/ATP carrier for the pathogenesis of myocarditis and dilated cardiomyopathy - clinical and experimental data. Springer Semin Immunopathol 11:15–30

    Article  PubMed  CAS  Google Scholar 

  • Schultheiss HP, Bolte HD, Schwimmbeck P, Klingenberg M (1983) The antigenic characteristics and the significance of the adenine nucleotide translocator (ANT) as a major autoantigen for antimitochondrial antibodies in myocarditis and congestive cardiomyopathy. J Mol Cell Cardiol 15:85–93

    Google Scholar 

  • Schulze K, Becker BF, Schultheiss HP (1989) 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 64:179–192

    PubMed  CAS  Google Scholar 

  • Schulze K, Becker BF, Schauer R, Schultheiss HP (1990) Antibodies to ADP-ATP carrier -an autoantigen in myocarditis and dilated cardiomyopathy - impair cardiac function. Circ 81:959–969

    Article  CAS  Google Scholar 

  • Schwimmbeck PL, Badorff C, Schultheiss HP, Strauer BE (1994) Transfer of human myocarditis into severe combined immundeficiency mice. Circ Res 75:156–164

    PubMed  CAS  Google Scholar 

  • Schwimmbeck PL, Schultheiss HP, Strauer BE (1991) Demonstration of antigen-specific lymphocytes cultured from myocardial tissue of patients with viral heart disease. Circ 84(Suppl II)II–440 Abstract

    Google Scholar 

  • Seko Y, Yagita H, Okumura K, Yazaki Y (1994) T cell receptor V beta gene expression in infiltrating cells in murine hearts with acute myocarditis caused by coxsackievirus B3. Circulation 89:170–175

    Google Scholar 

  • Smith SC, Allen PM (1991) Myosin-induced acute myocarditis is a T cell-mediated disease. J Immuno l147:2141–2147

    CAS  Google Scholar 

  • Suda T, Okazaki T, Naito Y, Yokota T, Arai N, Ozaki S, Nakao K, Nagata S (1995) Expression of the Fas ligand in cells of the T cell linage. J Immunol 154:3806–3813

    PubMed  CAS  Google Scholar 

  • Tighe H, Silverman GJ, Kozin F, Tucker R, Gulizia R, Peebles C, Lotz M, Rhodes G, Machold K, Mosier DE, Carson DA (1990) Autoantibody production by severe combined immunodeficient mice reconstituted with synovial cells from rheumatoid arthritis patients. Eur J Immunol 20:1843–1848

    Article  PubMed  CAS  Google Scholar 

  • Traystman MD, Beisel KW (1991) Genetic control of coxsackievirus B3-induced heart-specific autoantibodies associated with chronic myokarditis. Clin Exp Immunol 86:291–298

    Article  PubMed  CAS  Google Scholar 

  • Traystman, MD, Chow LH, McManus BM, Herskowitz A, Nesbitt MN, Beisel KW (1991) Susceptibility to coxsackievirus B3-induced chronic myocarditis maps near the murine Tar alpha and Myhc alpha loci on chromonsome 14. Am J Pathol 138:721–726

    PubMed  CAS  Google Scholar 

  • Wang SC, Mrel PA, Wang Q, Jordan ML, Simmons RL, Tweardy DJ (1993) A dual mechanism of immunosuppression by FK-506. Differential suppression of IL-4 and IL-10 levels in T helper 2 cells. Transplant 56:978–985

    Article  CAS  Google Scholar 

  • Why HJF, Meany TB, Richardson PJ, Olsen EGJ, Bowles NE, Cunnigham L, Freeke CA, Archard LC (1994) Clinical and prognostic significance of detection of enteroviral RNA in the myocardium of patients with myocarditis or dilated cardiomyopathy. Circulation 89:2582–2589

    PubMed  CAS  Google Scholar 

  • Wolfgram LJ, Beisel KW, Herskowitz A, Rose NR (1986) Variations in the susceptibility to coxsackievirus B3-induced myocarditis among different strains of mice. J Immunol 136:1846–1852

    PubMed  CAS  Google Scholar 

  • Woodruff JF, Woodruff JJ (1974) Involvement of T lymphocytes in the pathogenesis of coxsackievirus B3 heart disease. J Immunol 113:1726–1734

    PubMed  CAS  Google Scholar 

  • Yamamoto M, Fujihashi K, Beagley KW, McGhee JR, Kujono H (1993) Cytokine synthesis by intestinal intraepithelial lymphocytes. Both y/5 T cell receptor positive and a/p T cell receptor positive T cells in the G1 phase of cell cycle produce IFNy and IL-5. J Immunol 150:106–114

    PubMed  CAS  Google Scholar 

  • Zhang M, Lin Y, Iyer DV, Gong J, Abrams JS, Barnes PF (1995) T cell cytokine responses in human infection with Myocbacterium tuberculosis. Infect Immun 63:3231–3234

    PubMed  CAS  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Editor information

Editors and Affiliations

Rights and permissions

Reprints and permissions

Copyright information

© 1997 Springer-Verlag Berlin Heidelberg

About this chapter

Cite this chapter

Schwimmbeck, P.L., Huber, S.A., Schultheiss, HP. (1997). Roles of T Cells in Coxsackievirus B-Induced Disease. In: Tracy, S., Chapman, N.M., Mahy, B.W.J. (eds) The Coxsackie B Viruses. Current Topics in Microbiology and Immunology, vol 223. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-60687-8_13

Download citation

  • DOI: https://doi.org/10.1007/978-3-642-60687-8_13

  • Publisher Name: Springer, Berlin, Heidelberg

  • Print ISBN: 978-3-642-64507-5

  • Online ISBN: 978-3-642-60687-8

  • eBook Packages: Springer Book Archive

Publish with us

Policies and ethics