Key result
TRPV1 activation by capsaicin enhanced CVB3 egress via extracellular vesicles, while TRPV1 inhibition with SB-366791 mitigated pancreatic damage and reduced viral titers in a mouse model.
Why the study?
Factors contributing to the diverse clinical manifestations of CVB3 remain poorly understood.
TRPV1 activation by capsaicin facilitates Coxsackievirus B3 dissemination via extracellular vesicles, highlighting TRPV1 as a potential exacerbating factor and therapeutic target.
Highlights EV-mediated non-lytic spread in CVB3 models; leaves open therapeutic targeting in human myocarditis.
Coxsackievirus B3 (CVB3) is a picornavirus that causes systemic inflammatory diseases including myocarditis, pericarditis, pancreatitis, and meningoencephalitis. We have previously reported that CVB3 induces mitochondrial fission and mitophagy while inhibiting lysosomal degradation by blocking autophagosome-lysosome fusion. This promotes the release of virus-laden mitophagosomes from host cells as infectious extracellular vesicles (EVs), enabling non-lytic viral egress. Transient receptor potential vanilloid 1 (TRPV1), a heat and capsaicin-sensitive cation channel, regulates mitochondrial dynamics by inducing mitochondrial membrane depolarization and fission. In this study, we found that TRPV1 activation by capsaicin dramatically enhances CVB3 egress from host cells via EVs. Released EVs revealed increased levels of viral capsid protein VP1, mitochondrial protein TOM70, and fission protein phospho-DRP1. Moreover, these EVs were enriched in heat shock protein HSP70, suggesting its role in facilitating infectious EV release from cells. Furthermore, TRPV1 inhibition with capsazepine and SB-366791 significantly reduced viral infection in vitro. Our in vivo studies also found that SB-366791 significantly mitigates pancreatic damage and reduces viral titers in a mouse model of CVB3 pancreatitis. Given the lack of understanding regarding factors that contribute to diverse clinical manifestations of CVB3, our study highlights capsaicin and TRPV1 as potential exacerbating factors that facilitate CVB3 dissemination via mitophagy-derived EVs.
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Chatterjee et al. (2026) studied Coxsackievirus B3 infection. Capsaicin and TRPV1 inhibitors (capsazepine, SB-366791) was evaluated on Viral egress, in vitro viral infection, and in vivo pancreatic damage and viral titers. TRPV1 activation by capsaicin enhanced CVB3 egress via extracellular vesicles, while TRPV1 inhibition with SB-366791 mitigated pancreatic damage and reduced viral titers in a mouse model.
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