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Immunomodulation by atorvastatin upregulates expression of gap junction proteins in coxsackievirus B3 (CVB3)-induced myocarditis

Abstract

Objective

To investigate the effect of atorvastatin on myocardial expression of gap junction proteins, connexins (Cxs), during coxsackievirus B3 (CVB3)-induced myocarditis.

Methods

Viral myocarditis was induced in mice by inoculation with CVB3. Atorvastatin (5 or 10 mg kg−1 day−1) or saline was administered by daily oral gavage from the day of induction of viral myocarditis to the day of sacrifice. Fourteen days after injection of CVB3, animals were sacrificed. Alterations in myocardial Cxs expression were examined by RT-PCR, immunoblot, and immunohistochemistry. Plasma levels of TNF-α and IFN-γ were measured by ELISA.

Results

Fourteen days after inoculation with CVB3, myocardial expression of Cx43 and Cx45 was significantly downregulated. Treatment with atorvastatin not only reduced the overproduction of TNF-α and IFN-γ, but also enhanced the expression of Cx43 and Cx45, therefore attenuating myocardial injury and improving the survival rate of viral myocarditis.

Conclusion

This study shows for the first time that myocardial expression of Cxs is downregulated during CVB3-induced myocarditis and that immunomodulation by atorvastatin could restore the impaired gap junction channels and improve the outcome of viral myocarditis.

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References

  1. Kumar NM, Gilula NB. The gap junction communication channel. Cell. 1996;84:381–8.

    Article  CAS  PubMed  Google Scholar 

  2. Desplantez T, Dupont E, Severs NJ, Weingart R. Gap junction channels and cardiac impulse propagation. J Membr Biol. 2007;218:13–28.

    Article  CAS  PubMed  Google Scholar 

  3. Coppen SR, Kodama I, Boyett MR, Dobrzynski H, Takagishi Y, Honjo H, et al. Connexin45, a major connexin of the rabbit sinoatrial node, is coexpressed with connexin43 in a restricted zone at the nodal-crista terminalis border. J Histochem Cytochem. 1999;47:907–18.

    CAS  PubMed  Google Scholar 

  4. Severs NJ, Rothery S, Dupont E, Coppen SR, Yeh HI, Ko YS, et al. Immunocytochemical analysis of connexin expression in the healthy and diseased cardiovascular system. Microsc Res Tech. 2001;52:301–22.

    Article  CAS  PubMed  Google Scholar 

  5. Severs NJ, Coppen SR, Dupont E, Yeh HI, Ko YS, Matsushita T. Gap junction alterations in human cardiac disease. Cardiovasc Res. 2004;62:368–77.

    Article  CAS  PubMed  Google Scholar 

  6. Woodruff JF. Viral myocarditis: a review. Am J Pathol. 1980;101:425–84.

    CAS  PubMed  Google Scholar 

  7. Haas GJ. Etiology, evaluation, and management of acute myocarditis. Cardiol Rev. 2001;9:88–95.

    Article  CAS  PubMed  Google Scholar 

  8. Celes MR, Torres-Dueñas D, Alves-Filho JC, Duarte DB, Cunha FQ, Rossi MA. Reduction of gap and adherens junction proteins and intercalated disc structural remodeling in the hearts of mice submitted to severe cecal ligation and puncture sepsis. Crit Care Med. 2007;35:2176–85.

    Article  CAS  PubMed  Google Scholar 

  9. Fernandez-Cobo M, Gingalewski C, Drujan D, De Maio A. Downregulation of connexin 43 gene expression in rat heart during inflammation. The role of tumor necrosis factor. Cytokine. 1999;11:216–24.

    Article  CAS  PubMed  Google Scholar 

  10. Sawaya SE, Rajawat YS, Rami TG, Szalai G, Price RL, Sivasubramanian N, et al. Downregulation of connexin 40 and increased prevalence of atrial arrhythmias in transgenic mice with cardiac-restricted overexpression of tumor necrosis factor. Am J Physiol Heart Circ Physiol. 2007;292:H1561–7.

    Article  CAS  PubMed  Google Scholar 

  11. Woodruff JF, Woodruff JJ. Involvement of T lymphocytes in the pathogenesis of coxsackie virus B3 heart disease. J Immunol. 1974;113:1723–6.

    Google Scholar 

  12. Fuse K, Chan G, Liu Y, Gudgeon P, Husain M, Chen M, et al. Myeloid differentiation factor-88 plays a crucial role in the pathogenesis of coxsackievirus B3-induced myocarditis and influences type I interferon production. Circulation. 2005;112:2276–85.

    Article  CAS  PubMed  Google Scholar 

  13. Kishimoto C, Kuribayashi K, Masuda T, Tomioka N, Kawai C. Immunologic behavior of lymphocytes in experimental viral myocarditis: significance of T lymphocytes in the severity of myocarditis and silent myocarditis in BALB/c-nu/nu mice. Circulation. 1985;71:1247–54.

    CAS  PubMed  Google Scholar 

  14. Kwak B, Mulhaupt F, Myit S, Mach F. Statins as a newly recognized type of immunomodulator. Nat Med. 2000;6:1399–402.

    Article  CAS  PubMed  Google Scholar 

  15. Weitz-Schmidt G, Welzenbach K, Brinkmann V, Kamata T, Kallen J, Bruns C, et al. Statins selectively inhibit leukocyte function antigen-1 by binding to a novel regulatory integrin site. Nat Med. 2001;7:687–92.

    Article  CAS  PubMed  Google Scholar 

  16. Tribulová N, Knezl V, Okruhlicová L, Slezák J. Myocardial gap junctions: targets for novel approaches in the prevention of life-threatening cardiac arrhythmias. Physiol Res. 2008;57(Suppl 2):S1–13.

    PubMed  Google Scholar 

  17. Simon AM, Goodenough DA. Diverse functions of vertebrate gap junctions. Trends Cell Biol. 1998;8:477–83.

    Article  CAS  PubMed  Google Scholar 

  18. Kirchhoff S, Nelles E, Hagendorff A, Kruger O, Traub O, Willecke K. Reduced cardiac conduction velocity and predisposition to arrhythmias in connexin 40-deficient mice. Curr Biol. 1998;8:299–302.

    Article  CAS  PubMed  Google Scholar 

  19. Hagendorff A, Schumacher B, Kirchhoff S, Luderitz B, Willecke K. Conduction disturbances and increased atrial vulnerability in connexin40-deficient mice analyzed by transesophageal stimulation. Circulation. 1999;99:1508–15.

    CAS  PubMed  Google Scholar 

  20. Hu VW, Xie HQ. Interleukin-1α suppresses gap junction mediated intercellular communication in human endothelial cells. Exp Cell Res. 1994;213:218–23.

    Article  CAS  PubMed  Google Scholar 

  21. van Rijen HV, van Kempen MJ, Postma S, Jongsma HJ. Tumour necrosis factor-α alters the expression of connexin 43, connexin 40, and connexin 37 in human umbilical vein endothelial cells. Cytokine. 1998;10:258–64.

    Article  PubMed  Google Scholar 

  22. Mensink A, de Haan LH, Lakemond CM, Koelman CA, Koeman JH. Inhibition of gap junctional intercellular communication between primary human smooth muscle cells by tumor necrosis factor-α. Carcinogenesis. 1995;16:2063–7.

    Article  CAS  PubMed  Google Scholar 

  23. Chandross KJ. Nerve injury and inflammatory cytokines modulate gap junctions in the peripheral nervous system. Glia. 1998;24:21–31.

    Article  CAS  PubMed  Google Scholar 

  24. Bolanos JP, Medina JM. Induction of nitric oxide synthase inhibits gap junction permeability in cultured rat astrocytes. J Neurochem. 1996;66:2091–9.

    CAS  PubMed  Article  Google Scholar 

  25. Temme A, Traub O, Willecke K. Downregulation of connexin32 protein and gap-junctional intercellular communication by cytokine mediated acute-phase response in immortalized mouse hepatocytes. Cell Tissue Res. 1998;294:345–50.

    Article  CAS  PubMed  Google Scholar 

  26. Fernandez-Cobo M, Gingalewski C, De Maio A. Expression of the connexin 43 gene is increased in the kidneys and the lungs of rats injected with bacterial lipopolysaccharide. Shock. 1998;10:97–102.

    Article  CAS  PubMed  Google Scholar 

  27. Fernandez-Cobo M, Stewart D, Drujan D, De Maio A. Promoter activity of the rat connexin 43 gene in NRK cells. J Cell Biochem. 2001;81:514–22.

    Article  CAS  PubMed  Google Scholar 

  28. Gingalewski C, Wang K, Clemens MG, De Maio A. Posttranslational regulation of connexin32 expression in liver during acute inflammation. J Cell Physiol. 1996;166:461–7.

    Article  CAS  PubMed  Google Scholar 

  29. De Maio A, Gingalewski C, Theodorakis NG, Clemens MG. Interruption of hepatic gap junctional communication in the rat during inflammation induced by bacterial lipopolysaccharide. Shock. 2000;14:53–9.

    Article  PubMed  Google Scholar 

  30. Theodorakis NG, De Maio A. Cx32 mRNA in rat liver: effects of inflammation on poly(A) tail distribution and mRNA degradation. Am J Physiol. 1999;276:R1249–57.

    CAS  PubMed  Google Scholar 

  31. Derouette JP, Roth I, Foglia B, Scerri I, Dudez T, Kwak BR, et al. Gap junctional communication in tissue inflammation and repair. Biochim Biophys Acta. 2005;1711:197–207.

    Article  PubMed  CAS  Google Scholar 

  32. Azuma RW, Suzuki J, Ogawa M, Futamatsu H, Koga N, Onai Y, et al. HMG-CoA reductase inhibitor attenuates experimental autoimmune myocarditis through inhibition of T cell activation. Cardiovasc Res. 2004;64:412–20.

    Article  CAS  PubMed  Google Scholar 

  33. Liu W, Li WM, Gao C, Sun NL. Effects of atorvastatin on the Th1/Th2 polarization of ongoing experimental autoimmune myocarditis in Lewis rats. J Autoimmun. 2005;25:258–63.

    Article  PubMed  CAS  Google Scholar 

  34. Li WM, Liu W, Gao C, Zhou BG. Immunoregulatory effects of atorvastatin on experimental autoimmune myocarditis in Lewis rats. Immunol Cell Biol. 2006;84:274–80.

    Article  CAS  PubMed  Google Scholar 

  35. Wu JL, Matsui S, Zong ZP, Nishikawa K, Sun BG, Katsuda S, et al. Amelioration of myocarditis by statin through inhibiting cross-talk between antigen presenting cells and lymphocytes in rats. J Mol Cell Cardiol. 2008;44:1023–31.

    Article  CAS  PubMed  Google Scholar 

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Acknowledgments

This work was supported by the Science and Technology Commission of Shanghai Municipality (grant no. 024119058).

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Correspondence to Shiyao Wu.

Additional information

A. Zhang and H. Zhang contributed equally to the work.

Responsible Editor: M. Katori.

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Zhang, A., Zhang, H. & Wu, S. Immunomodulation by atorvastatin upregulates expression of gap junction proteins in coxsackievirus B3 (CVB3)-induced myocarditis. Inflamm. Res. 59, 255–262 (2010). https://doi.org/10.1007/s00011-009-0093-8

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  • DOI: https://doi.org/10.1007/s00011-009-0093-8

Keywords

  • Viral myocarditis
  • Connexin
  • Inflammation
  • Atorvastatin