Coxsackievirus-induced myocarditis in mice: A model of autoimmune disease for studying immunotoxicity
Open accessAbstract
Excellent animal models are available for virus-induced and autoimmune heart disease that are remarkably similar to human disease. Developing good animal models for heart disease is crucial because cardiovascular disease is now the leading cause of death in the United States and is estimated to be the leading cause of death in the world by the year 2020. A significant proportion of heart disease in Western populations is associated with inflammation. Myocarditis, or inflammation of the heart muscle, is the major cause of sudden death in young adults. Although most individuals recover from acute myocarditis, genetically susceptible individuals may go on to develop chronic myocarditis and dilated cardiomyopathy (DCM) resulting in congestive heart failure. In this article, we describe a model of autoimmune myocarditis and DCM induced by inoculation with heart-passaged coxsackievirus B3 (CVB3). Intraperitoneal inoculation of susceptible mice with CVB3 induces acute cardiac inflammation from days 7 to 14 postinfection (pi) that progresses to chronic myocarditis and DCM from day 28 to at least 56 pi. The model of CVB3-induced myocarditis presented here allows dissection of the contribution of viral infection and xenobiotics on immune dysregulation and inflammation in the heart. An improved understanding of the interaction between environmental exposures and the development of heart disease represents a clear challenge for immunotoxicologists.
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Male mice develop more consistent and severe EAM than females, exhibiting stronger pro-inflammatory macrophage responses, greater cardiac infiltration, and more pronounced fibrotic remodelling.
“This was a deliberate experimental decision, as male mice develop more consistent and severe EAM than females, exhibiting stronger pro-inflammatory macrophage responses, greater cardiac infiltration, and more pronounced fibrotic remodelling, which are features that are well-documented in both autoimmune and viral myocarditis models and align with the higher incidence and severity of myocarditis”
From Cardiac Macrophages Exhibit Dynamic Heterogeneity and Functional Specialization During Experimental Autoimmune Myocarditis. (2026) · cites this paper as [34]
The Introduction reports that young male BALB/c mice develop significantly greater acute and chronic myocarditis than females after CVB3 infection. It describes macrophage-rich infiltration and later fibrosis in that viral model, but does not establish greater consistency or stronger pro-inflammatory macrophage responses, cardiac infiltration, or fibrotic remodelling in males than females. It also does not make the sex comparison for adjuvant-induced EAM specifically. (LLM, conf=0.88)
Experimental — accuracy not yet measuredMice can develop autoimmune inflammation in the heart even after viral clearance in a coxsackievirus B3-induced myocarditis model.
“mice can develop autoimmune inflammation in the heart even after viral clearance”
From Autoimmune Myocarditis, Old Dogs and New Tricks. (2024) · cites this paper as [20]
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“…pro-inflammatory macrophage responses, greater cardiac infiltration, and more pronounced fibrotic remodelling, which are features that are well-documented in both autoimmune and viral myocarditis models and align with the higher incidence and severity of myocarditis observed in men [32–34].”
- Authors
- Fairweather, D., & Rose, N. R.
- Affiliations
- Johns Hopkins University (US)
- Corresponding author
- Rose, Noel R.
- ORCID
- Fairweather, DeLisa
- Venue
- Methods
- Publisher
- Elsevier BV
- Published
- 2007-01
- Volume
- 41
- Issue
- 1
- Pages
- 118-122
- ISSN
- 1046-2023 (ISSN-L)
- PMC
- PMC1764911
- OpenAlex
- W1980444116
- Cited by
- 208
- References
- 5
- Citations by year
- 2026: 12 · 2025: 12 · 2024: 13 · 2023: 14 · 2022: 11 · 2021: 10 · 2020: 15 · 2019: 9 · 2018: 6 · 2017: 13 · 2016: 7 · 2015: 5 · 2014: 10 · 2013: 10 · 2012: 20
- FWCI
- 6.19
- Type
- journal article
- Language
- en
- Open access
- green
- www.ncbi.nlm.nih.gov
- Locations
- Methods (publishedVersion)
- PubMed (publishedVersion)
- PubMed Central (acceptedVersion)
- Funders
- National Institutes of Health
- National Heart, Lung, and Blood Institute (HL 67290, R01HL077611, R01HL067290, HL 70729, R01HL070729)
- National Institute of Allergy and Infectious Diseases (AI 51835, R21AI051835)
- National Institute of Environmental Health Sciences (ES03819, P30ES003819)
- Topics
- Health Sciences › Medicine › Cardiology and Cardiovascular Medicine › Viral Infections and Immunology Research
- Health Sciences › Medicine › Cardiology and Cardiovascular Medicine › Cardiac Fibrosis and Remodeling
- Life Sciences › Immunology and Microbiology › Immunology › Immunotoxicology and immune responses
- Keywords
- coxsackievirus B3, myocarditis, dilated cardiomyopathy, autoimmune heart disease, immunotoxicity, animal models, viral infection, cardiac inflammation, immune dysregulation, xenobiotics, environmental exposure
- MeSH terms
- Animals, Autoimmune Diseases, Chlorocebus aethiops, Coxsackievirus Infections, Disease Models, Animal, Flow Cytometry, Injections, Intraperitoneal, Mice, Inbred BALB C, Myocarditis, Vero Cells, Xenobiotics, Enterovirus B, Human, Mice
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