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Does Not Indicate Its Necessity for Induction of Coronary Arteritis in an Animal Model of Kawasaki Disease1

* Division of Cancer Research, Hospital for Sick Children Research Institute, Toronto, Canada; and
Division of Rheumatology, Department of Paediatrics, Hospital for Sick Children, University of Toronto, Toronto, Canada
Kawasaki disease is the most common cause of vasculitis affecting children, and the leading cause of acquired heart disease in the developed world. To date, studies on the role of IFN-
in the pathogenesis of Kawasaki disease have focused on peripheral production of IFN-
, and have yielded conflicting results. Affected heart tissue is not available from children with Kawasaki disease. In this study, we use an animal model of Kawasaki disease, Lactobacillus casei cell wall extract (LCWE)-induced coronary arteritis, to examine the role of IFN-
in the development of coronary artery lesions. We report the presence of IFN-
, both at the mRNA and protein levels, in the affected vessels. Its biphasic expression, first at days 37 and again at days 2842 post-LCWE injection, corresponds to the first appearance of inflammatory infiltrate in coronary arteries, and later to vascular wall disruption and aneurysm formation, respectively. Interestingly, ablation of IFN-
expression did not dampen the inflammatory response, and IFN-
-deficient lymphocytes proliferated more vigorously in response to LCWE than those of wild-type animals. Of more importance, the incidence of coronary arteritis was the same in IFN-
-deficient and wild-type mice. Taken together, our findings demonstrate that IFN-
regulates the immune response during development of coronary arteritis, but is not required for the induction of coronary artery disease.
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