Immunopathological Basis of Virus-induced Myocarditis

Heart diseases are an important cause of morbidity and mortality in industrialized countries. Dilated cardiomyopathy (DCM), one of the most common heart diseases, may be the consequence of infectionassociated myocardits. Coxsackievirus B3 (CVB3) can be frequently detected in the inflamed heart muscl...

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Main Authors: Reinhard Maier, Philippe Krebs, Burkhard Ludewig
Format: Article
Language:English
Published: Wiley 2004-01-01
Series:Clinical and Developmental Immunology
Online Access:http://dx.doi.org/10.1080/10446670410001670427
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author Reinhard Maier
Philippe Krebs
Burkhard Ludewig
author_facet Reinhard Maier
Philippe Krebs
Burkhard Ludewig
author_sort Reinhard Maier
collection DOAJ
description Heart diseases are an important cause of morbidity and mortality in industrialized countries. Dilated cardiomyopathy (DCM), one of the most common heart diseases, may be the consequence of infectionassociated myocardits. Coxsackievirus B3 (CVB3) can be frequently detected in the inflamed heart muscle. CVB3-induced acute myocarditis is most likely the consequence of direct virus-induced myocyte damage, whereas chronic CVB3 infection-associated heart disease is dominated by its immunopathological sequelae. Bona fide autoimmunity, for example, directed against cardiac myosin, may favor chronic destructive immune damage in the heart muscle and thereby promote the development of DCM. The immunopathogenesis of myocarditis and subsequent DCM induced either by pathogens or autoantigens can be investigated in well-established animal models. In this article, we review recent studies on the role of viruses, with particular emphasis on CVB3, and different immunological effector mechanisms in initiation and progression of myocarditis.
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spelling doaj-art-c58a8c4afb934a1c84e45164790b2a242025-02-03T01:24:23ZengWileyClinical and Developmental Immunology1740-25221740-25302004-01-011111510.1080/10446670410001670427Immunopathological Basis of Virus-induced MyocarditisReinhard Maier0Philippe Krebs1Burkhard Ludewig2Research Department, Kantonal Hospital St. Gallen, St. Gallen 9007, SwazilandResearch Department, Kantonal Hospital St. Gallen, St. Gallen 9007, SwazilandResearch Department, Kantonal Hospital St. Gallen, St. Gallen 9007, SwazilandHeart diseases are an important cause of morbidity and mortality in industrialized countries. Dilated cardiomyopathy (DCM), one of the most common heart diseases, may be the consequence of infectionassociated myocardits. Coxsackievirus B3 (CVB3) can be frequently detected in the inflamed heart muscle. CVB3-induced acute myocarditis is most likely the consequence of direct virus-induced myocyte damage, whereas chronic CVB3 infection-associated heart disease is dominated by its immunopathological sequelae. Bona fide autoimmunity, for example, directed against cardiac myosin, may favor chronic destructive immune damage in the heart muscle and thereby promote the development of DCM. The immunopathogenesis of myocarditis and subsequent DCM induced either by pathogens or autoantigens can be investigated in well-established animal models. In this article, we review recent studies on the role of viruses, with particular emphasis on CVB3, and different immunological effector mechanisms in initiation and progression of myocarditis.http://dx.doi.org/10.1080/10446670410001670427
spellingShingle Reinhard Maier
Philippe Krebs
Burkhard Ludewig
Immunopathological Basis of Virus-induced Myocarditis
Clinical and Developmental Immunology
title Immunopathological Basis of Virus-induced Myocarditis
title_full Immunopathological Basis of Virus-induced Myocarditis
title_fullStr Immunopathological Basis of Virus-induced Myocarditis
title_full_unstemmed Immunopathological Basis of Virus-induced Myocarditis
title_short Immunopathological Basis of Virus-induced Myocarditis
title_sort immunopathological basis of virus induced myocarditis
url http://dx.doi.org/10.1080/10446670410001670427
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