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Journal of Virology, July 1999, p. 5630-5636, Vol. 73, No. 7
Department of Pathology1 and
Immunobiology Program2 and
Pulmonary Disease and Critical Care
Unit,4 Department of Medicine, University of
Vermont College of Medicine, Burlington, Vermont 05405;
National Jewish Medical Research Center, Denver, Colorado
80206, and Department of Immunology, University of Colorado Health
Sciences Center, Denver, Colorado 802623;
and Department of Immunology, Mayo Clinic, Rochester, Minnesota
559055
Received 29 January 1999/Accepted 6 April 1999
Coxsackievirus B3 (CVB3) infection induces myocardial inflammation
and myocyte necrosis in some, but not all, strains of mice. C57BL/6
mice, which inherently lack major histocompatibility complex (MHC)
class II IE antigen, develop minimal cardiac lesions despite high
levels of virus in the heart. The present experiments evaluate the
relative roles of class II IA and IE expression on myocarditis susceptibility in four transgenic C57BL/6 mouse strains differing in
MHC class II antigen expression. Animals lacking MHC class II IE
antigen (C57BL/6 [IA+ IE
0022-538X/99/$04.00+0
Copyright © 1999, American Society for Microbiology. All rights reserved.

+ T Cells Regulate Major Histocompatibility
Complex Class II (IA and IE)-Dependent Susceptibility to
Coxsackievirus B3-Induced Autoimmune Myocarditis
] and
ABo [IA
IE
]) developed
minimal cardiac lesions subsequent to infection despite high
concentrations of virus in the heart. In contrast, strains expressing
IE (ABo E
[IA
IE+] and
Bl.Tg.E
[IA+ IE+]) had substantial cardiac
injury. Myocarditis susceptibility correlated to a Th1 (gamma
interferon-positive) cell response in the spleen, while disease
resistance correlated to a preferential Th2 (interleukin-4-positive)
phenotype. V
/V
analysis indicates that distinct subpopulations of

+ T cells are activated after CVB3 infection of
C57BL/6 and Bl.Tg.E
mice. Depletion of 
+ T cells
abrogated myocarditis susceptibility in IE+ animals and
resulted in a Th1
Th2 phenotype shift. These studies indicate that
the MHC class II antigen haplotype controls myocarditis susceptibility,
that this control is most likely mediated through the type of 
T
cells activated during CVB3 infection, and finally that different
subpopulations of 
+ T cells may either promote or
inhibit Th1 cell responses.
*
Corresponding author. Mailing address: Department of
Pathology, University of Vermont, 55A South Park Dr., Colchester, VT 05446. Phone: (802) 656-8944. Fax: (802) 656-8965. E-mail:
shuber{at}salus.med.uvm.edu.
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