Seko Y, Tsuchimochi H, Nakamura T, Okumura K, Naito S, Imataka K, Fujii J, Takaku F, Yazaki Y
Institute for Adult Diseases, Asahi Life Foundation, Tokyo, Japan.
Circ Res. 1990 Aug;67(2):360-7. doi: 10.1161/01.res.67.2.360.
Evidence has accumulated that T cell-mediated autoimmunity plays an important role in the pathogenesis of viral myocarditis. T lymphocytes are known to recognize antigen-presenting cells, such as virus-infected cells, being restricted by syngeneic major histocompatibility complex (MHC) antigens. To clarify in more detail the immunological mechanisms involved, we induced acute viral myocarditis in C3H/He mouse ventricles with coxsackievirus B3 (CVB3) and examined, by immunofluorescence, the expression of MHC class I and II antigens, previously reported not to be expressed by normal cardiac myocytes. Furthermore, to confirm the expression of MHC class I (H-2Kk) antigens at the cellular level, we treated cultured cardiac myocytes with interferon gamma and examined the antigen expression by immunofluorescence and Northern blot hybridization, using an antisense RNA probe for MHC messenger RNA. Our observations demonstrated 1) CVB3-induced myocarditis resulted in the enhanced expression of MHC class I (H-2Kk) gene product on the surface of cardiac myocytes but low or undetectable levels of MHC class II or H-2Dk gene products, and moderate focal transient (days 5-7) expression of both MHC class I (Kk + Dk) region gene products and MHC class II antigens were induced on capillary endothelial cells; 2) murine fetal cardiac myocytes cultured in vitro in the presence of interferon gamma similarly were shown to express marked levels of MHC class I (H-2Kk) but low to undetectable levels of the H-2Dk gene product; however, weak to moderate MHC Class II antigens were expressed by these cultured myocytes; and 3) the expression of MHC antigens in cardiac myocytes was modulated at the transcriptional level.(ABSTRACT TRUNCATED AT 250 WORDS)
越来越多的证据表明,T细胞介导的自身免疫在病毒性心肌炎的发病机制中起重要作用。已知T淋巴细胞识别抗原呈递细胞,如受同基因主要组织相容性复合体(MHC)抗原限制的病毒感染细胞。为了更详细地阐明所涉及的免疫机制,我们用柯萨奇病毒B3(CVB3)诱导C3H/He小鼠心室发生急性病毒性心肌炎,并通过免疫荧光检查了I类和II类MHC抗原的表达,此前报道正常心肌细胞不表达这些抗原。此外,为了在细胞水平上确认I类MHC(H-2Kk)抗原的表达,我们用γ干扰素处理培养的心肌细胞,并使用针对MHC信使RNA的反义RNA探针通过免疫荧光和Northern印迹杂交检查抗原表达。我们的观察结果表明:1)CVB3诱导的心肌炎导致心肌细胞表面I类MHC(H-2Kk)基因产物表达增强,但II类MHC或H-2Dk基因产物水平低或检测不到,并且在毛细血管内皮细胞上诱导了I类MHC(Kk + Dk)区域基因产物和II类MHC抗原的中度局灶性短暂(第5 - 7天)表达;2)在γ干扰素存在下体外培养的小鼠胎儿心肌细胞同样显示出高水平的I类MHC(H-2Kk)表达,但H-2Dk基因产物水平低至检测不到;然而,这些培养的心肌细胞表达了弱至中度的II类MHC抗原;3)心肌细胞中MHC抗原的表达在转录水平受到调节。(摘要截短于250字)