Cytokines in myocarditis and dilated cardiomyopathy
Department of Cardiovascular Medicine, Kyoto University Graduate School of Medicine, Kyoto, Japan
* Correspondence: Akira Matsumori, MD, PhD, Department of Cardiovascular Medicine, Kyoto University Graduate School of Medicine, 54 Kawahara-cho Shogoin, Sakyo-ku, Kyoto 606-8397, Japan.
Abstract
Cytokines have been found to play an important role in the pathogenesis and pathophysiology of myocarditis and dilated cardiomyopathy. Persistent expressions of proinflammatory cytokines were seen in animal models of these diseases. IL-10 suppressed the expression of cytokines and improved viral myocarditis. A phosphodiesterase inhibitor, pimobendan, prolonged survival and attenuated inflammatory lesions and the production of intra-cardiac cytokines. The inhibitory effect was explained by its inhibitory effect on the activation of NF-kappa B. Cytokine gene therapy by in vivo electroporation is a promising treatment for viral myocarditis.
Key Words: Cytokines NF-kappa B myocarditis cardiomyopathy gene therapy
References
- Matsumori A, Yamada T, Suzuki H, Matoba Y, Sasayama S. Increased circulating cytokines in patients with myocarditis and cardiomyopathy. Br Heart J. 1994;72:561566
[Abstract/Free Full Text] - Shioi T, Matsumori A, Sasayama S. Persistent expression of cytokine in the chronic stage of viral myocarditis in mice. Circulation. 1996;94:29302937
[Abstract/Free Full Text] - Yamada T, Matsumori A, Sasayama S. Therapeutic effect of anti-tumor necrosis factor-
antibody on the murin model of viral myocarditis induced by encephalomyocarditis virus. Circulation. 1994;89:846851[Abstract/Free Full Text] - Nishio R, Matsumori A, Shioi T, Ishida H, Sasayama S. Treatment of experimental viral myocarditis with interleukin-10. Circulation. 1999;100:11021108
[Abstract/Free Full Text] - Shioi T, Matsumori A, Nishio R, Ono K, Kakio T, Sasayama S. Protective role of interleukin-12 in viral myocarditis. J Mol Cell Cardiol. 1997;29:23272334[CrossRef][ISI][Medline]
- Matsumori A, Ono K, Sato Y, Shioi T, Nose Y, Sasayama S. Differential modulation of cytokine production by drugs: implications for therapy in heart failure. J Mol Cell Cardiol. 1996;28:24912499[CrossRef][ISI][Medline]
- Matsumori A, Okada I, Shioi T, et al. Inotropic agents differentially inhibit the induction of nitric oxide synthase by endotoxin in cultured macrophages. Life Sci. 1996;59:L121L125
- Iwasaki A, Matsumori A, Yamada T, et al. Pimobendan inhibits the production of proinflammatory cytokines and gene expression of inducible nitric oxide synthase in a murine model of viral myocarditis. J Am Coll Cardiol. 1999;33:14001407
[Abstract/Free Full Text] - Matsumori A, Nunokawa Y, Sasayama S. Pimobendan inhibits the activation of transcription factor NF-
B. A mechanism which explains its inhibition of cytokine production and inducible nitric oxide synthase. Life Sci. 2000;67:25132519[CrossRef][ISI][Medline]
- Nakano A, Matsumori A, Kawamoto S, et al. Cytokine gene therapy for myocarditis by in vivo electroporation. Hum Gene Ther. 2001;12:12891297[CrossRef][ISI][Medline]
- Adachi O, Nakano A, Sato O, et al. Gene transfer of Fc-fusion cytokine by in vivo electroporation: application to gene therapy for viral myocarditis. Gene Ther. 2002;9:577583[CrossRef][ISI][Medline]
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