Key result
Coxsackievirus B3 activates ERK-1/2 signaling, driving viral replication and susceptibility to severe myocarditis in mice.
ERK-1/2 activation is essential for efficient coxsackievirus B3 replication and may determine host susceptibility to viral myocarditis.
Does not yet inform clinical management of viral myocarditis; leaves open ERK-1/2 as therapeutic target in humans.
Group B coxsackieviral (CVB) infection commonly causes viral myocarditis. Mice are protected from CVB3 myocarditis by gene-targeted knockout of p56Lck(Lck), the Src family kinase (Src) essential for T cell activation. Extracellular signal-regulated kinase 1 and 2 (ERK-1/2) can influence cell function downstream of Lck. Using T cell lines and neonatal cardiac myocytes we investigated the role of ERK-1/2 in CVB3 infection. In Jurkat T cells ERK-1/2 is rapidly activated by CVB3; but, this response is absent in Lck-negative JCaM T cells. Inhibition of ERK-1/2 with UO126 reduced CVB3 titers in Jurkat cells, but not in JCaM cells. In cardiac myocytes CVB3 activation of ERK-1/2 is blocked by the Src inhibitor PP2. In addition, viral production in myocytes is decreased by Src or ERK-1/2 inhibition. In vitro, in both immune and myocardial cells, ERK-1/2 is activated by CVB3 downstream of Lck and other Src's and is necessary for efficient CVB3 replication. In vivo, following CVB3 infection, ERK-1/2 activation is evident in the myocardium. ERK-1/2 activation is intense in the hearts of myocarditis-susceptible A/J mice. In contrast, significantly less ERK-1/2 activation is found in the hearts of myocarditis-resistant C57BL/6 mice. Therefore, the ERK-1/2 response to CVB3 infection may contribute to differential host susceptibility to viral myocarditis.
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Opavsky et al. (2002) studied Coxsackievirus-induced myocarditis (n=80). Coxsackievirus B3 (CVB3) infection vs. Uninfected controls and myocarditis-resistant C57BL/6 mice was evaluated on ERK-1/2 activation and viral replication. Coxsackievirus B3 infection activates the ERK-1/2 signaling pathway, which is required for optimal viral replication and correlates with host susceptibility to severe myocarditis in mice.
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