Inhibition of Coxsackievirus-associated dystrophin cleavage prevents cardiomyopathy.

نویسندگان

  • Byung-Kwan Lim
  • Angela K Peter
  • Dingding Xiong
  • Anna Narezkina
  • Aaron Yung
  • Nancy D Dalton
  • Kyung-Kuk Hwang
  • Toshitaka Yajima
  • Ju Chen
  • Kirk U Knowlton
چکیده

Heart failure in children and adults is often the consequence of myocarditis associated with Coxsackievirus (CV) infection. Upon CV infection, enteroviral protease 2A cleaves a small number of host proteins including dystrophin, which links actin filaments to the plasma membrane of muscle fiber cells (sarcolemma). It is unknown whether protease 2A-mediated cleavage of dystrophin and subsequent disruption of the sarcolemma play a role in CV-mediated myocarditis. We generated knockin mice harboring a mutation at the protease 2A cleavage site of the dystrophin gene, which prevents dystrophin cleavage following CV infection. Compared with wild-type mice, we found that mice expressing cleavage-resistant dystrophin had a decrease in sarcolemmal disruption and cardiac virus titer following CV infection. In addition, cleavage-resistant dystrophin inhibited the cardiomyopathy induced by cardiomyocyte-restricted expression of the CV protease 2A transgene. These findings indicate that protease 2A-mediated cleavage of dystrophin is critical for viral propagation, enteroviral-mediated cytopathic effects, and the development of cardiomyopathy.

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عنوان ژورنال:
  • The Journal of clinical investigation

دوره 123 12  شماره 

صفحات  -

تاریخ انتشار 2013