PMID- 24023968 OWN - NLM STAT- MEDLINE DCOM- 20140408 LR - 20211021 IS - 1932-6203 (Electronic) IS - 1932-6203 (Linking) VI - 8 IP - 9 DP - 2013 TI - Adoptive transfer of regulatory T cells protects against Coxsackievirus B3-induced cardiac fibrosis. PG - e74955 LID - 10.1371/journal.pone.0074955 [doi] LID - e74955 AB - BACKGROUND: Cardiac fibrogenesis in the late stage of viral myocarditis causing contractile dysfunction and ventricular dilatation, is a major pathogenic factor for the progression of myocarditis to serious cardiovascular diseases including dilated cardiomyopathy (DCM) and congestive heart failure (HF). Recent studies indicate that regulatory T cells (Tregs) are involved in the fibrotic process of liver and lung fibosis. However, the role of Tregs in the development of viral myocarditis-caused cardiac fibrosis and their therapeutic potential remains unclear. METHODOLOGY/PRINCIPAL FINDINGS: Myocardial fibrosis was induced in BALB/c mice by intraperitoneal injection of Coxsackievirus B3 (CVB3) assessed by picrosirius red staining and detection of expression levels of collagen I, matrix metalloproteinase-1 (MMP-1), matrix metalloproteinase-3 (MMP-3) and tissue inhibitor of metalloproteinase-1 (TIMP-1). Myocardial Treg frequency was down-regulated during the course of viral myocarditis and a negative correlation with the severity of cardiac fibrosis was found. To explore the role of Tregs in CVB-induced cardiac fibrosis, Treg was in vivo depleted by injecting anti-CD25 mAb which resulted in aggravation of cardiac fibrosis. In consistent with that, after adoptive transfer of isolated Tregs into mice, significant amelioration of CVB3-induced cardiac fibrosis was confirmed. Interleukin-10 (IL-10) neutralizing antibodies were used in vivo and in vitro to explore the molecular mechanism of the therapeutic effect of Treg. It was found that administration of anti-IL-10 mAb after Treg transfer abrogated Treg's treating effect and the inhibition of Treg on collagen production by cardiac fibroblasts was mediated mainly through IL-10. CONCLUSION/SIGNIFICANCE: Our data suggested that Tregs have a protective role in the fibrotic process of CVB3-induced cardiac fibrosis via secreting IL-10 and might provide an alternative option for the future treatment of cardiac fibrosis. FAU - Cao, Yanxia AU - Cao Y AD - Institute for Immunobiology, Shanghai Medical College, Fudan University, Shanghai, P. R. China. FAU - Xu, Wei AU - Xu W FAU - Xiong, Sidong AU - Xiong S LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20130904 PL - United States TA - PLoS One JT - PloS one JID - 101285081 RN - 130068-27-8 (Interleukin-10) SB - IM MH - *Adoptive Transfer MH - Animals MH - Cell Count MH - Enterovirus B, Human/*physiology MH - Fibrosis MH - Interleukin-10/metabolism MH - Male MH - Mice MH - Mice, Inbred BALB C MH - Myocardium/*pathology MH - T-Lymphocytes, Regulatory/cytology/*microbiology PMC - PMC3762771 COIS- Competing Interests: The authors have declared that no competing interests exist. EDAT- 2013/09/12 06:00 MHDA- 2014/04/09 06:00 PMCR- 2013/09/04 CRDT- 2013/09/12 06:00 PHST- 2013/06/25 00:00 [received] PHST- 2013/08/07 00:00 [accepted] PHST- 2013/09/12 06:00 [entrez] PHST- 2013/09/12 06:00 [pubmed] PHST- 2014/04/09 06:00 [medline] PHST- 2013/09/04 00:00 [pmc-release] AID - PONE-D-13-26195 [pii] AID - 10.1371/journal.pone.0074955 [doi] PST - epublish SO - PLoS One. 2013 Sep 4;8(9):e74955. doi: 10.1371/journal.pone.0074955. eCollection 2013.