Abstract
Coxsackievirus B3 (CVB3) is a major cause of acute and chronic forms of myocarditis. Previously, direct viral injury and post-infectious autoimmune response were suspected as main pathogenetic mechanisms. However, induction of pro-inflammatory cytokines may be crucial for pathogenesis in spite of host protein shut off caused by CVB3 replication. We investigated the global expression profile of pro-inflammatory genes induced by acute and persistent (carrier state) CVB3 infection in human fibroblast cell cultures with DNA microarrays, quantitative RT-PCR and ELISA. Rapid induction of a typical spectrum of about 30 inflammation-related genes (e.g., PTGS2, CCL2, IL-1β, IL-6, IL-8, CSF2, MMP-1, MMP-3, and MMP-15) suggested an essential, autocrine role of IL-1. This hypothesis was confirmed by over-expression of IL-1RI, which resulted in a cytokine response upon CVB3 infection in HEK 293 cells otherwise refractory to CVB3-caused gene expression. Blocking IL-1 receptor type I (IL-1RI)-signaling during CVB3 infection with an IL-1 receptor antagonist (IL-1ra) as well as knockdown of IL-1RI using siRNA abrogated cytokine response in human fibroblasts. Both IL-1α and IL-1β are relevant for the induction of inflammation-related genes during CVB3 infection as shown by neutralization experiments. Paracrine effects of IL-1 on the subset of non-infected cells in carrier state infected fibroblast cultures enhanced induction of inflammation-related genes. Conclusions: A broad spectrum of inflammatory cytokines was induced by CVB3 replication via a pathway that requires IL-1 signaling. Our results suggest that IL-1ra may be used as a therapeutic agent to limit inflammation and tissue destruction in myocarditis.
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Abbreviations
- BIRC:
-
Baculoviral IAP repeat-containing
- CAR:
-
Coxsackie-adenovirus receptor
- CSF1:
-
Macrophage colony-stimulating factor
- CSF2:
-
Granulocyte macrophage colony-stimulating factor
- CVB3:
-
Coxsackievirus B3
- DCM:
-
Dilated cardiomyopathy
- E6, E7:
-
Early gene 6 and 7 (oncogenes)
- FGF:
-
Fibroblast growth factor
- GCH:
-
GTP cyclohydrolase
- HMF:
-
Human myocardial fibroblasts
- HPV16:
-
Human papillomavirus type 16
- IL:
-
Interleukin
- IL-1ra:
-
Interleukin-1 receptor antagonist
- IL-1RI:
-
Interleukin-1 receptor type I
- MIP:
-
Macrophage inflammatory protein
- MMP:
-
Matrix metalloprotease
- moi:
-
Multiplicity of infection
- mRNA:
-
Messenger RNA
- MWCO:
-
Molecular weight cut-off
- NOS2A:
-
Nitric oxide synthase, inducible
- PLAU:
-
Plasminogen activator, urokinase
- PLAUR:
-
Plasminogen activator, urokinase receptor
- PTGS2:
-
Prostaglandin-endoperoxide synthase 2
- siRNA:
-
Short interfering RNA
- SOD2:
-
Manganese superoxide dismutase
- ssRNA:
-
Single-stranded RNA
- TCID50 :
-
Tissue culture infectious dose 50 % (a measure of infectious virus units)
- TLR:
-
Toll-like receptor
- TREM:
-
Triggering receptor expressed on myeloid cells
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Acknowledgments
We thank Amgen (Thousand Oaks, CA) for kindly providing the recombinant IL-1ra and HEK 293/IL-1RI cells, Detlef Neumann (Hannover, Germany) for providing recombinant human IL-1β, Michaela Schmidtke (Jena, Germany) for providing the CVB3 PD strain and Stefan Bauer (Marburg, Germany) for providing HEK 293/TLR7 and HEK 293/TLR8 cells. We thank Lars Steinbrück (Hannover, Germany) and Diana Rothe (Berlin, Germany) for technical support. F. Rehren was funded by the Ministry for Science and Culture of Lower Saxony through a Georg-Christoph-Lichtenberg Scholarship theme.
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Rehren, F., Ritter, B., Dittrich-Breiholz, O. et al. Induction of a broad spectrum of inflammation-related genes by Coxsackievirus B3 requires Interleukin-1 signaling. Med Microbiol Immunol 202, 11–23 (2013). https://doi.org/10.1007/s00430-012-0245-2
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DOI: https://doi.org/10.1007/s00430-012-0245-2