PMID- 18055551 OWN - NLM STAT- MEDLINE DCOM- 20080208 LR - 20211020 IS - 0002-9440 (Print) IS - 1525-2191 (Electronic) IS - 0002-9440 (Linking) VI - 171 IP - 6 DP - 2007 Dec TI - Amelioration of coxsackievirus B3-mediated myocarditis by inhibition of tissue inhibitors of matrix metalloproteinase-1. PG - 1762-73 AB - Coxsackievirus B3 (CVB3) is a major cause of acute myocarditis, a serious condition that is refractory to treatment. Myocardial damage results in tissue remodeling that, if too extensive, may contribute to disease. Remodeling is achieved by extracellular proteolysis mediated by the matrix metalloproteinases (MMPs), and MMP activity is counterbalanced by tissue inhibitors of MMPs (TIMPs). We show herein that TIMP-1 expression is induced in the myocardium by CVB3 infection. Surprisingly, TIMP-1 knockout mice exhibited a profound attenuation of myocarditis, with increased survival. The amelioration of disease in TIMP-1 knockout mice was not attributable to either an altered T-cell response to the virus or to reduced viral replication. These data led us to propose a novel function for TIMP-1: its highly localized up-regulation might arrest the MMP-dependent migration of inflammatory cells at sites of infection, thereby anatomically focusing the adaptive immune response. The benefits of TIMP-1 blockade in treating viral myocarditis were confirmed by administering, to wild-type animals, TIMP-1-specific siRNA or polyclonal antisera, both of which diminished CVB3-induced myocarditis. These unexpected findings indicate that increased TIMP-1 expression exacerbates, rather than ameliorates, CVB3-induced myocarditis and, thus, that TIMP-1 may represent a target for the treatment of virus-induced heart disease. FAU - Crocker, Stephen J AU - Crocker SJ AD - Molecular and Integrative Neurosciences Dept., SP30-2110, The Scripps Research Institute, 10550 N. Torrey Pines Rd., La Jolla, CA 92037, USA. . FAU - Frausto, Ricardo F AU - Frausto RF FAU - Whitmire, Jason K AU - Whitmire JK FAU - Benning, Nicola AU - Benning N FAU - Milner, Richard AU - Milner R FAU - Whitton, J Lindsay AU - Whitton JL LA - eng GR - R01 AI042314/AI/NIAID NIH HHS/United States GR - AI-42314/AI/NIAID NIH HHS/United States PT - Journal Article PT - Research Support, N.I.H., Extramural PT - Research Support, U.S. Gov't, Non-P.H.S. DEP - 20071130 PL - United States TA - Am J Pathol JT - The American journal of pathology JID - 0370502 RN - 0 (Immune Sera) RN - 0 (RNA, Small Interfering) RN - 0 (Tissue Inhibitor of Metalloproteinase-1) SB - IM MH - Animals MH - Apoptosis MH - Coxsackievirus Infections/*complications MH - *Enterovirus B, Human MH - Immune Sera/pharmacology MH - Lymphocyte Activation MH - Mice MH - Mice, Knockout MH - Myocarditis/*metabolism/pathology/*virology MH - RNA, Small Interfering/pharmacology MH - T-Lymphocytes/immunology MH - Tissue Inhibitor of Metalloproteinase-1/*antagonists & inhibitors/genetics/metabolism MH - Up-Regulation PMC - PMC2111101 EDAT- 2007/12/07 09:00 MHDA- 2008/02/09 09:00 PMCR- 2008/06/01 CRDT- 2007/12/07 09:00 PHST- 2007/12/07 09:00 [pubmed] PHST- 2008/02/09 09:00 [medline] PHST- 2007/12/07 09:00 [entrez] PHST- 2008/06/01 00:00 [pmc-release] AID - S0002-9440(10)62439-X [pii] AID - 10.2353/ajpath.2007.070179 [doi] PST - ppublish SO - Am J Pathol. 2007 Dec;171(6):1762-73. doi: 10.2353/ajpath.2007.070179. Epub 2007 Nov 30.