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(Circulation. 1995;91:1116-1122.)
© 1995 American Heart Association, Inc.

Articles

Effects of 15-Deoxyspergualin on Experimental Autoimmune Giant Cell Myocarditis of the Rat

Makoto Kodama, MD; Shaosong Zhang, MD; Haruo Hanawa, MD; Makihiko Saeki, MD; Takayuki Inomata, MD; Keisuke Suzuki, MD; Sen Koyama, MD; Akira Shibata, MD

From the First Department of Internal Medicine (M.K., H.H., M.S., T.I., K.S., A.S.), Niigata (Japan) University School of Medicine; the Department of Medical Technology (M.K.), The College of Biomedical Technology, Niigata University, Niigata, Japan; the Division of Cardiology (S.K.), Tachikawa General Hospital, Nagaoka, Japan; and the Department of Medicine (S.Z.), University of Wisconsin Medical School, Milwaukee, Wis.

Background The benefits of immunosuppressive therapy for human myocarditis are controversial. The effects of a new immunosuppressant agent, 15-deoxyspergualin (DSG), on rats with experimental autoimmune myocarditis (EAM), an animal model of human giant cell myocarditis, were examined.

Methods and Results Lewis rats were immunized with cardiac myosin in Freund's complete adjuvant on day 0. In the first experiment, the effective doses of DSG required to prevent EAM were investigated. Rats were placed into one of five groups: the control group (A) was administered saline from days 1 to 10; group B, 0.3 mg/kg per day of DSG; group C, 1.0 mg/kg per day of DSG; group D, 3.0 mg/kg per day of DSG, and group E, 10.0 mg/kg per day of DSG. Rats were killed on day 28. The heart weight/body weight ratios of the rats of groups D and E were significantly lower than that of the control group. Macroscopic and microscopic scores for myocarditis decreased in groups D and E. In the next experiment, the effects of delayed administration of DSG in preventing autoimmune myocarditis were studied. Two groups of rats received 3.0 and 10.0 mg/kg per day of DSG from days 6 to 15, respectively. Two other groups of rats received the same doses of DSG from days 11 to 20. No preventive effect of delayed DSG treatment was observed. The effects of long-term, delayed initiation therapy then were evaluated. Rats were administered 10.0 mg/kg per day of DSG from days 6 to 25. The heart weight/body weight ratio and macroscopic and microscopic scores of the rats so treated significantly decreased compared with the controls.

Conclusions It was demonstrated that DSG can prevent the development of cardiac myosin–induced autoimmune myocarditis.

Key Words: myocarditis • cells • immune system

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