Abstract
In the present study, we investigated the potential pathogenesis of coxsackievirus B3 (CVB3)-induced viral myocarditis and the promising protective effect of silencing RNA (small interfering RNA, siRNA). One hundred and twenty mice were included in the study, and 30 mice were intraperitoneally inoculated with CVB3 to establish an acute viral myocarditis model. The survival rate was observed for the CVB3-infected mouse model (MOD), and myocardial injury was examined by HE (hematoxylin and eosin) staining assay. Real-time PCR (RT-PCR) and Western blot assay were selected to detect the toll-like receptor 4 (TLR4) expression in myocardial tissues. The TLR4 gene was silenced for the MOD mice, and the effects of this treatment were observed. The results indicate that the expression of TLR4 mRNA and the protein significantly and persistently increased during the progression of CVB3-induced myocarditis. The activities of cardiac enzymes including CK, LDH, AST, and CK-MB were also enhanced in CVB3-induced myocardial tissues. Interestingly, when the TLR4 gene was silenced, the CVB3-induced TLR4 production was significantly decreased and the severity of myocarditis was significantly lessened. In conclusion, CVB3 may induce viral myocarditis by upregulating toll-like receptor 4 expression. The viral myocarditis can be ameliorated by silencing the TLR4 gene in the CVB3 viral myocarditis model, which may be a feasible therapeutic method for treatment of viral myocarditis.
Similar content being viewed by others
Abbreviations
- AST:
-
aspartate transaminase
- CK:
-
creatine kinase
- CK-MB:
-
creatine kinase isoenzyme
- CVB3:
-
coxsackievirus B3
- HE:
-
hematoxylin and eosin
- LDH:
-
lactate dehydrogenase
- RT-PCR:
-
real-time PCR
- siRNA:
-
small interfering RNA
- TCID50 :
-
50% tissue culture infectious dose
- TLR4:
-
toll-like receptor 4
- TLR4/NF-κB:
-
toll-like receptor 4/nuclear factor κB signal pathway
References
Reddy, J., Massilamany, C., Buskiewicz, I., and Huber, S. A. (2013) Autoimmunity in viral myocarditis, Curr. Opin. Rheumatol., 25, 502–508.
Hendry, R. G., Bilawchuk, L. M., and Marchant, D. J. (2014) Targeting matrix metalloproteinase activity and expression for the treatment of viral myocarditis, J. Cardiovasc. Transl. Res., 7, 212–225.
Esfandiarei, M., and McManus, B. M. (2008) Molecular biology and pathogenesis of viral myocarditis, Ann. Rev. Pathol., 3, 127–155.
Fuse, K., Chan, G., Liu, Y., Gudgeon, P., Husain, M., Chen, M., Yeh, W. C., Akira, S., and Liu, P. P. (2005) Myeloid differentiation factor-88 plays a crucial role in the pathogenesis of coxsackievirus B3-induced myocarditis and influences the type I interferon production, Circulation, 112, 2276–2285.
Calabrese, F., and Thiene, G. (2003) Myocarditis and inflammatory cardiomyopathy: microbiological and molecular biological aspects, Cardiovasc. Res., 60, 11–25.
Fiorotto, R., Scirpo, R., Trauner, M., Fabris, L., Hoque, R., and Spirli, C. (2011) Loss of CFTR affects biliary epithelium innate immunity and causes TLR4-NF-κB mediated inflammatory response in mice, Gastroenterology, 141, 1498–1508.
Suganami, T., Tanimoto-Koyama, K., Nishida, J., Itoh, M., Yuan, X., and Mizuzrai, S. (2007) Role of the Toll-like receptor 4/NF-κB pathway in saturated fatty acid-induced inflammatory changes in the interaction between adipocytes and macrophages, Arterioscler. Thromb. Vasc. Biol., 27, 84–91.
Frisancho-Kiss, S., Nyland, J. F., Davis, S. E., Frisancho, J. A., Barrett, M. A., Rose, N. R., and Fairweather, D. (2006) Sex differences in coxsackievirus B3-induced myocarditis: IL-12R-β1 signaling and IFN-γ increase inflammatory in males independent from STAT4, Brain Res., 1126, 139–147
Frisancho-Kiss, S., Davis, S. E., Nyland, J. F., Frisancho, J. A., Cihakova, D., Barrett, M. A., and Fairweather, D. (2007) Cutting edge: cross-regulation by TLR4 and T cell Ig mucin-3 determines sex differences in inflammatory heart disease, J. Immunol., 178, 6710–6714.
Ding, Y., Qiu, L., Zhao, G., Xu, J., and Wang, S. (2010) Influence of cinnamaldehyde on viral myocarditis in mice, Am. J. Med. Sci., 340, 114–120.
Zou, N., Ao, L., Cleveland, J. C., Yang, X., Su, X., and Cai, G. Y. (2008) Critical role of extracellular heat shock cognate protein 70 in the myocardial inflammatory response and cardiac dysfunction after global ischemia-reperfusion, Am. J. Physiol. Heart Circ. Physiol., 294, 805–2813.
Kishimoto, C., Kawamata, H., Sakai, S., Shinohara, H., and Ochiai, H. (2001) Enhanced production of macrophage inflammatory protein 2 (MIP-2) by in vitro and in vivo infections with encephalomyocarditis virus and modeling of myocarditis with an antibody against MIP-2, J. Virol., 75, 1294–1300.
Wang, X., Shi, Q., Xu, K., Gao, C., Chen, C., Li, X. L., Wang, G. R., Tian, C., Han, J., and Dong, X. P. (2011) Familial CJD associated PrP mutants within transmembrane region induced Ctm-PrP retention in ER and triggered apoptosis by ER stress in SH-SY5Y cells, PLoS One, 6, e14602.
Xu, K., Wang, X., Shi, Q., Chen, C., Tian, C., Li, X. L., Zhou, R. M., Chu, Y. L., and Dong, X. P. (2011) Human prion protein mutants with deleted and inserted octarepeats undergo different pathways to trigger cell apoptosis, J. Mol. Neurosci., 43, 225–234.
Li-Sha, G., Yi-He, C., Na-Dan, Z., Teng, Z., and Yue-Chun, L. (2013) Effects of carvedilol treatment on cardiac cAMP response element binding protein expression and phosphorylation in acute coxsackievirus B3-induced myocarditis, BMC Cardiovasc. Disord., 13, 100.
Li, H., Huang, L. F., Wen, C., Yang, Z. C., and Chen, C. Y. (2013) Roles of cardiac mast cells and Toll-like receptor 4 in viral myocarditis among mice, Zhongguo Dang Dai Er Ke Za Zhi, 15, 896–902.
Richer, M. J., Fang, D., Shanina, I., and Horwitz, M. S. (2006) Regulatory T-cells protect from type 1 diabetes after induction by coxsackievirus infection in the context of transforming growth factor β, Clin. Immunol., 121, 339–349.
Roberts, B. J., Moussawi, M., and Huber, S. A. (2013) Sex differences in TLR2 and TLR4 expression and their effect on coxsackievirus-induced autoimmune myocarditis, Exp. Mol. Pathol., 94, 58–64.
Chen, J., Wang, Z., and Wu, T. (2013) Shenqi Fuzheng injection improves CVB3-induced myocarditis via inhibiting TRAF6 expression, Cell Mol. Biol. (Noisy-le-grand), 59, OL1826–OL1834.
Lawrence, T. (2009) The nuclear factor NF-κB pathway in inflammation, Cold Spring Harb. Perspect. Biol., 1, 1–13.
Kabanov, D. S., and Prokhorenko, I. R. (2013) Involvement of Toll-like receptor 4 and Fc receptors gamma in human neutrophil priming by endotoxins from Escherichia coli, Biochemistry (Moscow), 78, 185–193.
Rlls, A., Shechter, R., London, A., Ziv, Y., Ronen, A., Levy, R., and Schwartz, M. (2007) Toll-like receptors modulate adult hippocampal neurogenesis, Nat. Cell Biol., 9, 1081–1088.
Tukhvatulin, A. I., Logunov, D. Y., Shcherbinin, D. N., Shmarov, M. M., Naroditsky, B. S., Gudkov, A. V., and Gintsburg, A. L. (2010) Toll-like receptors and their adapter molecules, Biochemistry (Moscow), 75, 1098–1114.
Ding, Y., Qiu, L., Zhao, G., Xu, J., and Wang, S. (2010) Influence of cinnamaldehyde on viral myocarditis in mice, Am. J. Med. Sci., 340, 114–120.
Author information
Authors and Affiliations
Corresponding author
Additional information
Published in Russian in Biokhimiya, 2015, Vol. 80, No. 4, pp. 534–543.
Rights and permissions
About this article
Cite this article
Zhao, Z., Cai, TZ., Lu, Y. et al. Coxsackievirus B3 induces viral myocarditis by upregulating toll-like receptor 4 expression. Biochemistry Moscow 80, 455–462 (2015). https://doi.org/10.1134/S0006297915040094
Received:
Revised:
Published:
Issue Date:
DOI: https://doi.org/10.1134/S0006297915040094