(Circulation. 1997;95:655-661.)
© 1997 American Heart Association, Inc.
Articles |
the Amgen Institute, Ontario Cancer Institute, and Departments of Medical Biophysics and Immunology, University of Toronto, Canada; the Institute for Medical Microbiology and Hygiene, Technical University, Munich, Germany (K.P.); and the Department of Pediatrics, University of Innsbruck, Austria (C.P., N.N.).
Correspondence to Josef Penninger, Amgen Institute/Ontario Cancer Institute, Departments of Medical Biophysics and Immunology, University of Toronto, 620 University Ave, Toronto, Ontario, M5G 2C1 Canada. E-mail jpenning@amgen.com.
Background Tumor necrosis factor-
(TNF-
) is involved in the pathogenesis of myocarditis and can bind to either tumor necrosis factor receptor (TNF-R) p55 or TNF-Rp75. However, it is not known which TNF-R mediates the specific functions of TNF in disease. To determine the role of the TNF/TNF-R system in chronic heart disease, we used a murine model of cardiac myosininduced myocarditis that closely resembles the chronic stages of virus-induced myocarditis in humans.
Methods and Results Mice lacking TNF-Rp55 expression after targeted disruption of the TNF-Rp55 gene were backcrossed into a genetic background susceptible to the induction of myocarditis with cardiac myosin. Here, we demonstrate that TNF-Rp55 genedeficient mice did not develop any inflammatory infiltration into the heart after autoantigen injection, whereas control littermates showed autoimmune myocarditis at high prevalence and severity. Despite the absence of autoimmune heart disease, TNF-Rp55-/- mice produced cardiac myosinspecific IgG autoantibodies, indicating that activation of autoaggressive T and B lymphocytes had occurred. However, heart interstitial cells failed to express major histocompatibility complex (MHC) class II molecules in TNF-Rp55-/- animals, and adoptive transfer of autoreactive T cells resulted in heart disease only in TNF-Rp55+/+ but not in TNF-Rp55-/- littermates.
Conclusions Cardiac myosininduced myocarditis is dependent on autoaggressive T cells and on autoantigen presentation in association with MHC class II molecules within the heart. Thus, lack of TNF-Rp55 expression could interfere with either lymphocyte activation or target organ susceptibility. The data presented here show that the TNF-Rp55 is a key regulator for the induction of autoimmune heart disease by its controlling target organ susceptibility.
Key Words: myocarditis molecular biology signal transduction genetics
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