Key result
Coxsackievirus B3 infection in mice produced distinct serum metabolic profiles across acute viral myocarditis, chronic viral myocarditis, and dilated cardiomyopathy stages compared to normal controls.
Why the study?
Viral myocarditis can induce dilated cardiomyopathy, but the molecular mechanisms underlying this progression remain elusive.
NMR-based metabolomic analysis identified distinct serum metabolic profiles and potential biomarkers across the progression from acute viral myocarditis to dilated cardiomyopathy in a mouse model.
Should not change viral myocarditis or DCM evaluation yet; leaves open human studies of stage-specific serum biomarkers.
Viral myocarditis (VMC) is an inflammatory heart condition which can induce dilated cardiomyopathy (DCM). However, molecular mechanisms underlying the progression of VMC into DCM remain exclusive. Here, we established mouse models of VMC and DCM by infecting male BALB/c mice with Coxsackievirus B3 (CVB3), and performed NMR-based metabonomic analyses of mouse sera. The mouse models covered three pathological stages including: acute VMC (aVMC), chronic VMC (cVMC) and DCM. We recorded 1D 1H-NMR spectra on serum samples and conducted multivariate statistical analysis on the NMR data. We found that metabolic profiles of these three pathological stages were distinct from their normal controls (CON), and identified significant metabolites primarily responsible for the metabolic distinctions. We identified significantly disturbed metabolic pathways in the aVMC, cVMC and DCM stages relative to CON, including: taurine and hypotaurine metabolism; pyruvate metabolism; glycine, serine and threonine metabolism; glycerolipid metabolism. Additionally, we identified potential biomarkers for discriminating a VMC, cVMC and DCM from CON including: taurine, valine and acetate for aVMC; glycerol, valine and leucine for cVMC; citrate, glycine and isoleucine for DCM. This work lays the basis for mechanistically understanding the progression from acute VMC to DCM, and is beneficial to exploitation of potential biomarkers for prognosis and diagnosis of heart diseases.
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Kong et al. (2022) studied Viral myocarditis and dilated cardiomyopathy. Coxsackievirus B3 (CVB3) infection vs. Normal controls (CON) was evaluated on Serum metabolic profiles and biomarkers. Coxsackievirus B3 infection in mice produced distinct serum metabolic profiles across acute viral myocarditis, chronic viral myocarditis, and dilated cardiomyopathy stages compared to normal controls.
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