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1+ T Cells Suppress and V
4+ T Cells Promote Susceptibility to Coxsackievirus B3-Induced Myocarditis in Mice1



*
Department of Pathology, University of Vermont, Burlington, VT 05446;
Department of Biology, University of Colorado, Colorado Springs, CO 80933; and
National Jewish Medical and Research Center, Denver, CO 80206
Coxsackievirus B3 infections of C57BL/6 mice, which express the MHC
class II IA but not IE Ag, results in virus replication in the heart
but minimal myocarditis. In contrast, Bl.Tg.E
mice, which are
C57BL/6 mice transgenically induced to express IE Ag, develop
significant myocarditis upon Coxsackievirus B3 infection. Despite this
difference in inflammatory damage, cardiac virus titers are similar
between C57BL/6 and Bl.Tg.E
mice. Removing 
T cells from
either strain by genetic manipulation (
knockout(ko)) changes the
disease phenotype. C57BL/6 
ko mice show increased myocarditis.
In contrast, Bl.Tg.E

ko mice show decreased cardiac
inflammation. Flow cytometry revealed a difference in the 
cell
subsets in the two strains, with V
1 dominating in C57BL/6 mice, and
V
4 predominating Bl.Tg.E
mice. This suggests that these two
V
-defined subsets might have different functions. To test this
possibility, we used mAb injection to deplete each subset. Mice
depleted of V
1 cells showed enhanced myocarditis, whereas those
depleted of V
4 cells suppressed myocarditis. Adoptively transfusing
enriched V
4+ cells to the C57BL/6 and Bl.Tg.E

ko strains confirmed that the V
4 subset promoted myocarditis. Th
subset analysis suggests that V
1+ cells biased the
CD4+ T cells to a dominant Th2 cell response, whereas
V
4+ cells biased CD4+ T cells toward a
dominant Th1 cell response.
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