IL-33 Independently Induces Eosinophilic Pericarditis and Cardiac Dilation: ST2 Improves Cardiac Function
Open accessAbstract
Background—: IL-33 through its receptor ST2 protects the heart from myocardial infarct and hypertrophy in animal models but, paradoxically, increases autoimmune disease. In this study, we examined the effect of IL-33 or ST2 administration on autoimmune heart disease. Methods and Results—: We used pressure-volume relationships and isoproterenol challenge to assess the effect of recombinant (r) IL-33 or rST2 (eg, soluble ST2) administration on the development of autoimmune coxsackievirus B3 myocarditis and dilated cardiomyopathy in male BALB/c mice. The rIL-33 treatment significantly increased acute perimyocarditis ( P =0.006) and eosinophilia ( P =1.3×10 −5 ), impaired cardiac function (maximum ventricular power, P =0.0002), and increased ventricular dilation (end-diastolic volume, P =0.01). The rST2 treatment prevented eosinophilia and improved heart function compared with rIL-33 treatment (ejection fraction, P =0.009). Neither treatment altered viral replication. The rIL-33 treatment increased IL-4, IL-33, IL-1β, and IL-6 levels in the heart during acute myocarditis. To determine whether IL-33 altered cardiac function on its own, we administered rIL-33 to undiseased mice and found that rIL-33 induced eosinophilic pericarditis and adversely affected heart function. We used cytokine knockout mice to determine that this effect was due to IL-33-mediated signaling but not to IL-1β or IL-6. Conclusions—: We show for the first time to our knowledge that IL-33 induces eosinophilic pericarditis, whereas soluble ST2 prevents eosinophilia and improves systolic function, and that IL-33 independently adversely affects heart function through the IL-33 receptor.
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Autoantibodies against α-MyHC are detected in mice with eosinophilic myopericarditis induced by recombinant IL-33 administration.
“autoantibodies against α -MyHC have been detected in mice with eosinophilic myopericarditis, which involves inflamed myocardium and pericardium, induced by recombinant IL-33 in vivo administration.”
From Autoimmune Myocarditis, Old Dogs and New Tricks. (2024) · cites this paper as [209]
The Results section, “IL-33 increases eosinophilic perimyocarditis without affecting virus levels” (page unavailable), reports that recombinant IL-33 increased myocarditis, pericarditis, and cardiac eosinophils in CVB3-infected mice. The paper does not report detecting autoantibodies against α-MyHC in those mice; searches for α-MyHC and cardiac-myosin autoantibodies found no such result. (LLM, conf=0.85)
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- Authors
- Abston, E. D., Barin, J. G., Cihakova, D., Bucek, A., Coronado, M. J., Brandt, J. E., Bedja, D., Kim, J. B., Georgakopoulos, D., Gabrielson, K. L., Mitzner, W., & Fairweather, D.
- Affiliations
- Johns Hopkins University (US)
- From the Department of Environmental Health Sciences (E.D.A., A.B., M.J.C., J.E.B., J.B.K., W.M., D.F.), the W. Harry Feinstone Department of Molecular Microbiology and Immunology (J.G.B.), Department of Pathology (D.C., D.F.), and Department of Molecular and Comparative Pathobiology (D.B., K.L.G.), Johns Hopkins University Bloomberg School of Public Health and School of Medicine, Baltimore, MD; and CVRx Inc, Minneapolis, MN (D.G.).
- ORCID
- Venue
- Circulation: Heart Failure
- Published
- 2012-05
- Volume
- 5
- Issue
- 3
- Pages
- 366-375
- ISSN
- 1941-3289 (ISSN-L)
- 1941-3297
- PMC
- PMC3874395
- OpenAlex
- W1988596418
- Cited by
- 69
- References
- 3
- Citations by year
- 2026: 5 · 2025: 5 · 2024: 6 · 2023: 6 · 2022: 7 · 2021: 3 · 2020: 11 · 2019: 2 · 2018: 5 · 2016: 1 · 2015: 1 · 2014: 7 · 2013: 6 · 2012: 3
- FWCI
- 2.38
- Type
- journal article
- Language
- en
- Open access
- hybrid
- doi.org
- Licence
- other-oa
- Locations
- Circulation Heart Failure (publishedVersion, other-oa)
- PubMed (publishedVersion)
- Europe PMC (PubMed Central) (acceptedVersion)
- PubMed Central (acceptedVersion)
- Funders
- National Heart, Lung, and Blood Institute (R56HL077611, R01HL087033)
- National Center for Research Resources (UL1RR025005)
- Topics
- Life Sciences › Immunology and Microbiology › Immunology › IL-33, ST2, and ILC Pathways
- Health Sciences › Medicine › Cardiology and Cardiovascular Medicine › Viral Infections and Immunology Research
- Health Sciences › Medicine › Cardiology and Cardiovascular Medicine › Cardiac Fibrosis and Remodeling
- Keywords
- IL-33, ST2, eosinophilia, dilated cardiomyopathy, autoimmune heart disease, cardiac function, ventriculomegaly, IL-1β, interleukin-6, IL-4
- MeSH terms
- Interleukin-33, Interleukin-1 Receptor-Like 1 Protein, Animals, Autoimmune Diseases, Cardiomyopathy, Dilated, Coxsackievirus Infections, Disease Models, Animal, Eosinophilia, Heart, Interleukins, Male, Mice, Inbred BALB C, Mice, Inbred C57BL, Myocardium, Pericarditis, Recombinant Proteins, Interleukin-6, Receptors, Interleukin, Mice, Knockout, Mice, Interleukin-1beta
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