1. Microbiota-derived peptide mimics drive lethal inflammatory cardiomyopathy
- Author
-
Cristina Gil-Cruz, Lucas Onder, Lukas Flatz, Valérie Boivin-Jahns, Catherine Mooser, Emma Slack, Burkhard Ludewig, Madeleine Wyss, Mechthild Lütge, Micha T. Maeder, Markus Arnoldini, Markus B. Geuking, Mario Novkovic, Roland Jahns, Hans Rickli, Rebekka Niederer, Francesca Ronchi, Katrien Van der Borght, Angelina De Martin, Christian Perez-Shibayama, Gustavo Campos Ramos, Bart N. Lambrecht, Urs Eriksson, Kathy D. McCoy, Veronika Nindl, University of Zurich, and Ludewig, Burkhard
- Subjects
CD4-Positive T-Lymphocytes ,Cardiomyopathy, Dilated ,Myocarditis ,Heart disease ,T cell ,Cardiomyopathy ,610 Medicine & health ,Mice, Transgenic ,Autoimmune Diseases ,11459 Center for Molecular Cardiology ,Mice ,medicine ,Animals ,Bacteroides ,Humans ,Microbiome ,B cell ,1000 Multidisciplinary ,B-Lymphocytes ,Mice, Inbred BALB C ,Cardiotoxicity ,Multidisciplinary ,Myosin Heavy Chains ,business.industry ,Dilated cardiomyopathy ,beta-Galactosidase ,medicine.disease ,Gastrointestinal Microbiome ,Intestines ,Disease Models, Animal ,medicine.anatomical_structure ,Immunology ,Th17 Cells ,Peptides ,business - Abstract
Peptide mimicry breaks the heart Myocarditis, a prolonged chronic inflammation of heart muscle, can eventually progress to inflammatory cardiomyopathy, a serious condition associated with heart failure. Activated T helper (T H ) cells that recognize myosin heavy chain 6–derived peptides are thought to play a central role in this pathogenesis. Using a mouse model of myocarditis, Gil-Cruz et al. found that cardiac myosin–reactive T H cells are initially primed by myosin-peptide mimics derived from commensal Bacteroides species in the gut (see the Perspective by Epelman). Unlike heathy controls, human myocarditis patients also showed detectable immune reactivity to both Bacteroides and cardiac myosin antigens. Treatment with antibiotics dampened inflammatory responses and prevented lethal heart disease. Science , this issue p. 881 ; see also p. 806
- Published
- 2019
- Full Text
- View/download PDF