Cited by 175Viral Infections and Immunology ResearchCardiac Fibrosis and RemodelingT-cell and B-cell Immunology

Experimental Autoimmune Myocarditis in A/J mice Is an Interleukin-4-Dependent Disease with a Th2 Phenotype

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Afanasyeva, Marina, Wang, Yan, Kaya, Ziya, Park, Sung, Zilliox, Michael J., Schofield, Brian H., Hill, Susan L., Rose, Noel R.·2001·The American Journal of Pathology

Abstract

Myocarditis in humans is often associated with an autoimmune process in which cardiac myosin (CM) is a major autoantigen. Experimental autoimmune myocarditis (EAM) is induced in mice by immunization with CM. We found that EAM in A/J mice exhibits a Th2-like phenotype demonstrated by the histological picture of the heart lesions (eosinophils and giant cells) and by the humoral response (association of IgG1 response with disease and up-regulation of total IgE). Blocking interleukin (IL)-4 with anti-IL-4 monoclonal antibody (mAb) reduced the severity of EAM. This reduction in severity was associated with a shift from a Th2-like to a Th1-like phenotype represented by a reduction in CM-specific IgG1; an increase in CM-specific IgG2a; an abrogation of total IgE response; a decrease in IL-4, IL-5, and IL-13; as well as a dramatic increase in interferon (IFN)-gamma production in vitro. Based on the latter finding, we hypothesized that IFN-gamma limits disease. Indeed, IFN-gamma blockade with a mAb exacerbated disease. The ameliorating effect of IL-4 blockade was abrogated by co-administration of anti-IFN-gamma mAb. Thus, EAM represents a model of an organ-specific autoimmune disease associated with a Th2 phenotype, in which IL-4 promotes the disease and IFN-gamma limits it. Suppression of IFN-gamma represents at least one of the mechanisms by which IL-4 promotes EAM.

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  • A/J, BALB/c, and DBA/2 mice immunized with cardiac myosin show giant cell formation in the heart.

    “giant cell formation was also observed in the hearts of A/J, BALB/c, and DBA/2 mice when immunized with cardiac myosin”

    From Autoimmune Myocarditis, Old Dogs and New Tricks. (2024) · cites this paper as [59]

    The Cellular Composition of the Heart Infiltrate section and Figure 1 caption report giant cells in the hearts of A/J mice immunized with cardiac myosin. The paper describes eosinophil-rich heart lesions in BALB/c mice after cardiac-myosin immunization, but does not clearly report giant cells in that strain; the passages found do not address DBA/2 mice. (LLM, conf=0.88)

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Authors
Afanasyeva, M., Wang, Y., Kaya, Z., Park, S., Zilliox, M. J., Schofield, B. H., Hill, S. L., & Rose, N. R.
Affiliations
  • Johns Hopkins University (US)
  • Johns Hopkins Medicine (US)
Corresponding author
Rose, Noel R.
Venue
The American Journal of Pathology
Publisher
Elsevier BV
Published
2001-07
Volume
159
Issue
1
Pages
193-203
ISSN
0002-9440 (ISSN-L)
OpenAlex
W2160440202
Cited by
175
References
2
Citations by year
2026: 1 · 2025: 4 · 2024: 8 · 2023: 7 · 2022: 6 · 2021: 4 · 2020: 5 · 2019: 2 · 2018: 2 · 2017: 7 · 2016: 6 · 2015: 7 · 2014: 7 · 2013: 6 · 2012: 9
FWCI
9.31
Type
journal article
Language
en
Open access
Locations
  • American Journal Of Pathology (publishedVersion)
  • PubMed Central (publishedVersion)
  • PubMed (publishedVersion)
Funders
  • Deutsche Herzstiftung
  • National Institutes of Health (1r21hl065100-01, ES03819, ES07141)
  • National Heart, Lung, and Blood Institute (HL-33878, R01HL033878, HL65100)
  • National Cancer Institute
  • National Institute of Environmental Health Sciences (ES 07141, ES03819, P30ES003819, T32ES007141)
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 › T-cell and B-cell Immunology
Keywords
experimental autoimmune myocarditis, IL-4, Th2 phenotype, Th1/Th2 shift, interferon-gamma, A/J mice, IgE, IgG1, eosinophils, anti-IL-4 monoclonal antibody, anti-IFN-gamma monoclonal antibody, organ-specific autoimmunity, cytokine inhibition
MeSH terms
Animals, Antibodies, Monoclonal, Autoantibodies, Autoimmune Diseases, Cells, Cultured, Immunoglobulin E, Immunoglobulin G, Interferon-gamma, Mice, Inbred Strains, Myocarditis, Myocardium, Myosins, Phenotype, Severity of Illness Index, Spleen, Interleukin-4, Cytokines, Th2 Cells, Mice

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