1887

Abstract

In viral myocarditis, adeno- and enteroviruses have most commonly been implicated as causes of infection. Both viruses require the human coxsackie-adenovirus receptor (CAR) to infect the myocardium. Due to its crucial role for viral entry, CAR-downregulation may lead to novel approaches for treatment for viral myocarditis. In this study, we report on pharmaceutical drug influences on CAR levels in human umbilical vein endothelial cells (HUVEC) and cervical carcinoma cells (HeLa) detected by immunoblotting, quantitative real time-PCR and cellular susceptibility to the cardiotropic coxsackie-B3 virus strain Nancy (CVB3). Our results indicate, for the first time, a dose-dependent CAR mRNA and protein downregulation upon Valsartan and Bosentan treatment. Most interestingly, drug-induced CAR diminution significantly reduced the viral load in CVB3-infected HUVEC. In order to assess the regulatory effects of both drugs in detail, we knocked down their protein targets, the G-protein coupled receptors angiotensin-II type-1 receptor (ATR) and endothelin-1 type-A and -B receptors (ETR/ETR) in HUVEC. Receptor-specific gene silencing indicates that CAR gene expression is regulated by agonistic and antagonistic binding to ETR, but not ETR. In addition, neither stimulation nor inhibition of ATR seemed to be involved in CAR gene regulatory processes. Our study indicates that Valsartan and Bosentan protected human endothelial cells from CVB3-infection. Therefore, besides their well-known anti-hypertensive effects these drugs may also protect the myocardium and other tissues from coxsackie- and adenoviral infection.

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2010-08-01
2024-04-23
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References

  1. Abelmann W. H. 1973; Viral myocarditis and its sequelae. Annu Rev Med 24:145–152
    [Google Scholar]
  2. Barst R. J. 2007; A review of pulmonary arterial hypertension: role of ambrisentan. Vasc Health Risk Manag 3:11–22
    [Google Scholar]
  3. Bergelson J. M., Cunningham J. A., Droguett G., Kurt-Jones E. A., Krithivas A., Hong J. S., Horwitz M. S., Crowell R. L., Finberg R. W. 1997; Isolation of a common receptor for coxsackie B viruses and adenoviruses 2 and 5. Science 275:1320–1323
    [Google Scholar]
  4. Bian C., Wu Y., Chen P. 2009; Telmisartan increases the permeability of endothelial cells through zonula occludens-1. Biol Pharm Bull 32:416–420
    [Google Scholar]
  5. Bowles N. E., Richardson P. J., Olsen E. G., Archard L. C. 1986; Detection of coxsackie-B-virus-specific RNA sequences in myocardial biopsy samples from patients with myocarditis and dilated cardiomyopathy. Lancet 1:1120–1123
    [Google Scholar]
  6. Carson S. D. 2001; Receptor for the group B coxsackieviruses and adenoviruses: CAR. Rev Med Virol 11:219–226
    [Google Scholar]
  7. Coyne C. B., Shen L., Turner J. R., Bergelson J. M. 2007; Coxsackievirus entry across epithelial tight junctions requires occludin and the small GTPases Rab34 and Rab5. Cell Host Microbe 2:181–192
    [Google Scholar]
  8. Dec G. W. Jr, Palacios I. F., Fallon J. T., Aretz H. T., Mills J., Lee D. C., Johnson R. A. 1985; Active myocarditis in the spectrum of acute dilated cardiomyopathies. Clinical features, histologic correlates, and clinical outcome. N Engl J Med 312:885–890
    [Google Scholar]
  9. Dennert R., Crijns H. J., Heymans S. 2008; Acute viral myocarditis. Eur Heart J 29:2073–2082
    [Google Scholar]
  10. Eckart R. E., Scoville S. L., Campbell C. L., Shry E. A., Stajduhar K. C., Potter R. N., Pearse L. A., Virmani R. 2004; Sudden death in young adults: a 25-year review of autopsies in military recruits. Ann Intern Med 141:829–834
    [Google Scholar]
  11. Freimuth P., Philipson L., Carson S. D. 2008; The coxsackievirus and adenovirus receptor. Curr Top Microbiol Immunol 323:67–87
    [Google Scholar]
  12. Harada M., Itoh H., Nakagawa O., Ogawa Y., Miyamoto Y., Kuwahara K., Ogawa E., Igaki T., Yamashita J. other authors 1997; Significance of ventricular myocytes and nonmyocytes interaction during cardiocyte hypertrophy: evidence for endothelin-1 as a paracrine hypertrophic factor from cardiac nonmyocytes. Circulation 96:3737–3744
    [Google Scholar]
  13. Huber S. A., Kupperman J., Newell M. K. 1999; Hormonal regulation of CD4+ T-cell responses in coxsackievirus B3-induced myocarditis in mice. J Virol 73:4689–4695
    [Google Scholar]
  14. Ishikawa K., Ihara M., Noguchi K., Mase T., Mino N., Saeki T., Fukuroda T., Fukami T., Ozaki S. other authors 1994; Biochemical and pharmacological profile of a potent and selective endothelin B-receptor antagonist, BQ-788. Proc Natl Acad Sci U S A 91:4892–4896
    [Google Scholar]
  15. Johansson E. S., Xing L., Cheng R. H., Shafren D. R. 2004; Enhanced cellular receptor usage by a bioselected variant of coxsackievirus a21. J Virol 78:12603–12612
    [Google Scholar]
  16. Kallewaard N. L., Zhang L., Chen J. W., Guttenberg M., Sanchez M. D., Bergelson J. M. 2009; Tissue-specific deletion of the coxsackievirus and adenovirus receptor protects mice from virus-induced pancreatitis and myocarditis. Cell Host Microbe 6:91–98
    [Google Scholar]
  17. Kandolf R., Ameis D., Kirschner P., Canu A., Hofschneider P. H. 1987; In situ detection of enteroviral genomes in myocardial cells by nucleic acid hybridization: an approach to the diagnosis of viral heart disease. Proc Natl Acad Sci U S A 84:6272–6276
    [Google Scholar]
  18. Kingman M., Ruggiero R., Torres F. 2009; Ambrisentan, an endothelin receptor type A-selective endothelin receptor antagonist, for the treatment of pulmonary arterial hypertension. Expert Opin Pharmacother 10:1847–1858
    [Google Scholar]
  19. Klump W. M., Bergmann I., Muller B. C., Ameis D., Kandolf R. 1990; Complete nucleotide sequence of infectious coxsackievirus B3 cDNA: two initial 5′ uridine residues are regained during plus-strand RNA synthesis. J Virol 64:1573–1583
    [Google Scholar]
  20. Laemmli U. K. 1970; Cleavage of structural proteins during the assembly of the head of bacteriophage T4. Nature 227:680–685
    [Google Scholar]
  21. Lim B. K., Choi J. H., Nam J. H., Gil C. O., Shin J. O., Yun S. H., Kim D. K., Jeon E. S. 2006; Virus receptor trap neutralizes coxsackievirus in experimental murine viral myocarditis. Cardiovasc Res 71:517–526
    [Google Scholar]
  22. Lisewski U., Shi Y., Wrackmeyer U., Fischer R., Chen C., Schirdewan A., Juttner R., Rathjen F., Poller W. other authors 2008; The tight junction protein CAR regulates cardiac conduction and cell-cell communication. J Exp Med 205:2369–2379
    [Google Scholar]
  23. Mahrholdt H., Wagner A., Deluigi C. C., Kispert E., Hager S., Meinhardt G., Vogelsberg H., Fritz P., Dippon J. other authors 2006; Presentation, patterns of myocardial damage, and clinical course of viral myocarditis. Circulation 114:1581–1590
    [Google Scholar]
  24. Marchant D., Dou Y., Luo H., Garmaroudi F. S., McDonough J. E., Si X., Walker E., Luo Z., Arner A. other authors 2009; Bosentan enhances viral load via endothelin-1 receptor type-A-mediated p38 mitogen-activated protein kinase activation while improving cardiac function during coxsackievirus-induced myocarditis. Circ Res 104:813–821
    [Google Scholar]
  25. Martino T. A., Petric M., Weingartl H., Bergelson J. M., Opavsky M. A., Richardson C. D., Modlin J. F., Finberg R. W., Kain K. C. other authors 2000; The coxsackie-adenovirus receptor (CAR) is used by reference strains and clinical isolates representing all six serotypes of coxsackievirus group B and by swine vesicular disease virus. Virology 271:99–108
    [Google Scholar]
  26. Milting H., Kassner A., Arusoglu L., Meyer H. E., Morshuis M., Brendel R., Klauke B., El Banayosy A., Korfer R. 2006; Influence of ACE-inhibition and mechanical unloading on the regulation of extracellular matrix proteins in the myocardium of heart transplantation candidates bridged by ventricular assist devices. Eur J Heart Fail 8:278–283
    [Google Scholar]
  27. Noutsias M., Fechner H., de Jonge H., Wang X., Dekkers D., Houtsmuller A. B., Pauschinger M., Bergelson J., Warraich R. other authors 2001; Human coxsackie-adenovirus receptor is colocalized with integrins α v β 3 and α v β 5 on the cardiomyocyte sarcolemma and upregulated in dilated cardiomyopathy: implications for cardiotropic viral infections. Circulation 104:275–280
    [Google Scholar]
  28. Nuedling S., van Eickels M., Allera A., Doevendans P., Meyer R., Vetter H., Grohe C. 2003; 17 β -Estradiol regulates the expression of endothelin receptor type B in the heart. Br J Pharmacol 140:195–201
    [Google Scholar]
  29. Okada M., Nishikibe M. 2002; BQ-788, a selective endothelin ET(B) receptor antagonist. Cardiovasc Drug Rev 20:53–66
    [Google Scholar]
  30. Ono K., Matsumori A., Shioi T., Furukawa Y., Sasayama S. 1999; Contribution of endothelin-1 to myocardial injury in a murine model of myocarditis: acute effects of Bosentan, an endothelin receptor antagonist. Circulation 100:1823–1829
    [Google Scholar]
  31. Patel K. P., Coyne C. B., Bergelson J. M. 2009; Dynamin- and lipid raft-dependent entry of decay-accelerating factor (DAF)-binding and non-DAF-binding coxsackieviruses into nonpolarized cells. J Virol 83:11064–11077
    [Google Scholar]
  32. Pinkert S., Westermann D., Wang X., Klingel K., Dorner A., Savvatis K., Grossl T., Krohn S., Tschope C. other authors 2009; Prevention of cardiac dysfunction in acute coxsackievirus B3 cardiomyopathy by inducible expression of a soluble coxsackievirus-adenovirus receptor. Circulation 120:2358–2366
    [Google Scholar]
  33. Pong R. C., Lai Y. J., Chen H., Okegawa T., Frenkel E., Sagalowsky A., Hsieh J. T. 2003; Epigenetic regulation of coxsackie and adenovirus receptor (CAR) gene promoter in urogenital cancer cells. Cancer Res 63:8680–8686
    [Google Scholar]
  34. Shi Y., Chen C., Lisewski U., Wrackmeyer U., Radke M., Westermann D., Sauter M., Tschope C., Poller W. other authors 2009; Cardiac deletion of the coxsackievirus-adenovirus receptor abolishes coxsackievirus B3 infection and prevents myocarditis in vivo. J Am Coll Cardiol 53:1219–1226
    [Google Scholar]
  35. Smith P. K., Krohn R. I., Hermanson G. T., Mallia A. K., Gartner F. H., Provenzano M. D., Fujimoto E. K., Goeke N. M., Olson B. J., Klenk D. C. 1985; Measurement of protein using bicinchoninic acid. Anal Biochem 150:76–85
    [Google Scholar]
  36. Tomko R. P., Xu R., Philipson L. 1997; HCAR and MCAR: the human and mouse cellular receptors for subgroup C adenoviruses and group B coxsackieviruses. Proc Natl Acad Sci U S A 94:3352–3356
    [Google Scholar]
  37. Yajima T., Knowlton K. U. 2009; Viral myocarditis: from the perspective of the virus. Circulation 119:2615–2624
    [Google Scholar]
  38. Yanagawa B., Spiller O. B., Proctor D. G., Choy J., Luo H., Zhang H. M., Suarez A., Yang D., McManus B. M. 2004; Soluble recombinant coxsackievirus and adenovirus receptor abrogates coxsackievirus b3-mediated pancreatitis and myocarditis in mice. J Infect Dis 189:1431–1439
    [Google Scholar]
  39. Zautner A. E., Korner U., Henke A., Badorff C., Schmidtke M. 2003; Heparan sulfates and coxsackievirus-adenovirus receptor: each one mediates coxsackievirus B3 PD infection. J Virol 77:10071–10077
    [Google Scholar]
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