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European Heart Journal Advance Access originally published online on March 9, 2005
European Heart Journal 2005 26(7):728-739; doi:10.1093/eurheartj/ehi168
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© The European Society of Cardiology 2005. All rights reserved. For Permissions, please e-mail: journals.permissions{at}oupjournals.org

Elevated expression of PDGF-C in coxsackievirus B3-induced chronic myocarditis

Katja Grün1, Boyka Markova2, Frank-D. Böhmer2, Alexander Berndt3, Hartwig Kosmehl4 and Carola Leipner1,*

1Institute of Virology and Antiviral Therapy, Klinikum, Friedrich Schiller University Jena, Hans-Knöll-Strasse 2, D-07745 Jena, Germany
2Institute of Molecular Cell Biology, Klinikum, Friedrich Schiller University Jena, Drackendorfer Strasse 1, D-07747 Jena, Germany
3Institute of Pathology, Klinikum, Friedrich Schiller University Jena, Ziegelmühlenweg 1, D-07743 Jena, Germany
4HELIOS Klinikum Erfurt GmbH, Institute of Pathology, Nordhäuser Strasse 74, D-099089 Erfurt, Germany

Received 5 February 2004; revised 14 December 2004; accepted 13 January 2005; online publish-ahead-of-print 9 March 2005.

* Corresponding author. Tel: +49 3641 657358; fax: +49 3641 657202. E-mail address: carola.leipner{at}uni-jena.de

See page 642 for the editorial comment on this article (doi:10.1093/eurheartj/ehi201)

Aims Coxsackievirus B3 (CVB3) is a frequent cause of human chronic myocarditis and subsequent fibrosis, leading to dilated cardiomyopathy. The molecular processes underlying the development of fibrosis are poorly understood. Enhanced levels of platelet-derived growth factors (PDGFs), especially PDGF-C, have recently been linked with the development of different forms of fibrosis. Therefore, the expression of PDGF was analysed in hearts of CVB3-infected major histocompatability complex class II knockout mice. The latter were recently established as mouse model mimicking the chronic inflammation and fibrosis characteristic for this disease.

Methods and results Expression of PDGF was analysed by reverse transcription–polymerase chain reaction, in situ hybridization, and immunohistochemistry. Hearts of C57BL/6 mice served as controls because infection of these animals leads to acute cardiac inflammation, but the hearts heal without signs of chronic inflammation. In uninfected hearts, basal expression of PDGF, notably PDGF-C, was detectable throughout the heart. The chronic inflammatory process was associated with elevated and sustained expression of all tested PDGF isoforms. Immunostaining and in situ hybridization analysis localized enhanced PDGF levels to areas with highest virus load and inflammatory infiltrations, adjacent to fibrotic areas.

Conclusion PDGF may participate in fibrosis development in CVB3-induced myocarditis. Therefore, PDGF signalling may be considered a target for therapeutic interference.

Key Words: Chronic myocarditis • Coxsackievirus B3 (CVB3) • Platelet derived growth factor (PDGF) isoforms • PDGF-C • Major histocompatibility complex (MHC) class II knockout mouse


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