Circulation, Vol 86, 522-530, Copyright © 1992 by American Heart Association
B Kyu, A Matsumori, Y Sato, I Okada, NM Chapman and S Tracy
BACKGROUND. In our model of dilated cardiomyopathy (DCM), cardiac
dilatation and hypertrophy developed after inoculation of
encephalomyocarditis virus (EMCV), but the infectious virus was isolated
only early after infection. In this study, we investigated whether viral
RNA could be detected at later times using the polymerase chain reaction
(PCR). METHODS AND RESULTS. In the in vitro study, FL (human amnion) cells
infected with EMCV were harvested for RNA extraction, and viral cDNA was
synthesized by reverse transcription with random hexamers. Using
oligonucleotide primers with homology to the 5' noncoding region of EMCV,
we enzymatically amplified a 121-base pair band, which was homologous to a
probe specific for EMCV as demonstrated by Southern blot hybridization. The
sensitivity of this PCR technique was at the level of about 10(2)-10(3)
copies of viral RNA genome. In the in vivo study, four-week-old DBA/2 mice
were inoculated with EMCV intraperitoneally (10 pfu/mouse) and killed on
days 1,2,3,5,7,10,14,18,28,60, and 90. The hearts were divided into three
parts for purification of total RNA, histopathological examination, and to
culture for infectious virus. The infectious virus was isolated from the
heart after the second day but never after the 14th day. The viral genome
was detectable by PCR on the second day, when very little mononuclear cell
infiltration around the blood vessels was histologically visible. Positive
PCR signals were observed in all hearts through day 14. Viral RNA was also
detected in four of six 28- day samples, four of six 60-day samples, and
two of seven 90-day samples when diffuse myocardial fibrosis was prominent,
but myocardial necrosis or cellular infiltration had disappeared.
CONCLUSIONS. The persistence of EMCV RNA was shown by PCR in the chronic
stage of EMCV- induced myocarditis, a time when the inflammatory reaction
had largely subsided. The PCR is a potentially useful method to test
possible viral etiologies in idiopathic heart muscle disease or DCM.
ARTICLES
Cardiac persistence of cardioviral RNA detected by polymerase chain reaction in a murine model of dilated cardiomyopathy
Department of Internal Medicine, Faculty of Medicine, Kyoto University, Japan.
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