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Interleukin-6–Deficient Mice Resist Development of Autoimmune Myocarditis Associated With Impaired Upregulation of Complement C3
Abstract
Background— Interleukin (IL)-6 regulates various aspects of the immune response. In the context of heart diseases, it has been recognized as a prognostic factor for dilated cardiomyopathy, which often results from myocarditis. Methods and Results— Using IL-6–deficient mice, we studied the role of IL-6 in a model of autoimmune myocarditis resulting from immunization with a peptide derived from cardiac α-myosin. Prevalence and severity of myocarditis were markedly reduced in the absence of IL-6. CD4 + T cells from immunized IL-6–deficient mice proliferated poorly on restimulation with specific antigen in vitro and did not mediate disease on adoptive transfer into IL-6–competent RAG-2–deficient mice, which otherwise lack B cells and T cells. Production of complement C3, a crucial factor for the development of myocarditis, was strongly upregulated in IL-6 +/+ but not in IL-6–deficient mice after immunization. Conclusions— Our results demonstrate that IL-6 is required for the expansion of autoimmune CD4 + T cells and the pathogenesis of autoimmune myocarditis, possibly by upregulation of complement C3.
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“Mice with experimental autoimmune myocarditis (EAM) or autoimmune CVB3 myocarditis also upregulate complement components during the innate immune response and acute myocarditis including C3, CD11b (also known as CR [complement receptor] 3), C3aR, and C5aR. 155-157”
From COVID-19, Myocarditis and Pericarditis (2023) · cites this paper as [156]
In the citing paper
“Another key pathway upregulated in patients, EAM, autoimmune CVB3 myocarditis, and CVB3only models is the TLR4, caspase-1, and NLRP3 pathways that increase IL-1 β and IL-18 levels in the heart. 124,146,152,156,161-164”
From COVID-19, Myocarditis and Pericarditis (2023) · cites this paper as [156]
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Metadata
- Authors
- Eriksson, U., Kurrer, M. O., Schmitz, N., Marsch, S. C., Fontana, A., Eugster, H.-P., & Kopf, M.
- Affiliations
- University Hospital of Basel (CH)
- From the Department of Internal Medicine (U.E., S.C.M.), University Hospital, Basel; Departments of Pathology (M.O.K.) and Clinical Immunology (A.F., H.-P.E.), University Hospital, Zurich; and Molecular Biomedicine (N.S., M.K.), Swiss Federal Institute of Technology, Zurich, Switzerland.
- Venue
- Circulation
- Published
- 2003-01-21
- Volume
- 107
- Issue
- 2
- Pages
- 320-325
- ISSN
- 0009-7322 (ISSN-L)
- 1524-4539
- OpenAlex
- W2022616509
- Cited by
- 150
- References
- 32
- Citations by year
- 2026: 6 · 2025: 5 · 2024: 3 · 2023: 4 · 2022: 3 · 2021: 5 · 2020: 9 · 2019: 4 · 2018: 6 · 2017: 3 · 2016: 9 · 2015: 9 · 2014: 6 · 2013: 11 · 2012: 13
- FWCI
- 4.96
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Circulation (publishedVersion)
- PubMed (publishedVersion)
- Funders
- Schweizerische Herzstiftung
- Helmut Horten Stiftung
- Topics
- Health Sciences › Medicine › Infectious Diseases › Viral Infections and Immunology Research
- Health Sciences › Medicine › Cardiology and Cardiovascular Medicine › Cardiac Fibrosis and Remodeling
- Health Sciences › Medicine › Ophthalmology › Ocular Diseases and Behçet’s Syndrome
- Keywords
- interleukin-6, autoimmune myocarditis, complement C3, CD4+ T cells, IL-6-deficient mice, dilated cardiomyopathy, T cell proliferation, adoptive transfer
- MeSH terms
- Animals, Autoantibodies, Autoimmune Diseases, B-Lymphocytes, Cell Division, Cells, Cultured, Complement C3, Disease Models, Animal, Disease Susceptibility, DNA-Binding Proteins, Immunization, Immunohistochemistry, Mice, Inbred BALB C, Myocarditis, Myocardium, Peptide Fragments, Tumor Necrosis Factor-alpha, CD4-Positive T-Lymphocytes, Interleukin-6, Up-Regulation, Mice, Knockout, Adoptive Transfer, Ventricular Myosins, Mice
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