TRIF is a critical survival factor in viral cardiomyopathy

A Riad, D Westermann, C Zietsch… - The Journal of …, 2011 - journals.aai.org
A Riad, D Westermann, C Zietsch, K Savvatis, PM Becher, S Bereswill, MM Heimesaat…
The Journal of Immunology, 2011journals.aai.org
TRIF is a member of the innate immune system known to be involved in viral recognition and
type I IFN activation. Because IFNs are thought to play an important role in viral myocarditis,
we investigated the role of TRIF in induced myocarditis in mice. Whereas C57BL/6 (wild-
type) mice showed only mild myocarditis, including normal survival postinfection with
coxsackievirus group B serotype 3 (CVB3), infection of TRIF−/− mice led to the induction of
cardiac remodeling, severe heart failure, and 100% mortality (p< 0.0001). These mice …
Abstract
TRIF is a member of the innate immune system known to be involved in viral recognition and type I IFN activation. Because IFNs are thought to play an important role in viral myocarditis, we investigated the role of TRIF in induced myocarditis in mice. Whereas C57BL/6 (wild-type) mice showed only mild myocarditis, including normal survival postinfection with coxsackievirus group B serotype 3 (CVB3), infection of TRIF−/− mice led to the induction of cardiac remodeling, severe heart failure, and 100% mortality (p< 0.0001). These mice showed markedly reduced virus control in cardiac tissues and cardiomyocytes. This was accompained with dynamic cardiac cytokine activation in the heart, including a suppression of the antiviral cytokine IFN-β in the early viremic phase. TRIF−/− myocytes displayed a TLR4-dependent suppression of IFN-β, and pharmacological treatment of CVB3-infected TRIF−/− mice with murine IFN-β led to improved virus control and reduced cardiac inflammation. Additionally, this treatment within the viremic phase of myocarditis showed a significant long-term outcome indexed by reduced mortality (20 versus 100%; p< 0.001). TRIF is essential toward a cardioprotection against CVB3 infection.
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