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From the Department of Immunology (H.H., T. Inomata, H.S., T.A.) and the First Department of Internal Medicine (H.H., T. Inomata, T. Izumi, A.S.), Niigata (Japan) University School of Medicine.
Correspondence to Haruo Hanawa, MD, the First Department of Internal Medicine, Niigata University School of Medicine, Niigata 951, Japan.
Abstract Experimental autoimmune myocarditis (EAM) resembles
the lethal giant cell myocarditis seen in humans, and the recurrent
forms lead to dilated cardiomyopathy (DCM). EAM in
rats induced by a subcutaneous injection of cardiac myosin has been
shown to be a T cellmediated autoimmune disease.
ß T cells
have proved to be important by the observation that antibodies to
ß T-cell receptor (TCR) prevent disease progression.
ß T
cells recognize antigenic peptides bound to major histocompatibility
(MHC) molecules by
ß TCR, and complementarity determining region 3
(CDR3) is considered the most important region for antigen recognition.
To elucidate the nature of this T cellmediated myocarditis, we
analyzed TCR Vß chains of heart-infiltrating T cells. In
the early stage of EAM, none of 22 TCR Vß chain transcripts seemed to
be dominant by reverse transcriptionpolymerase chain reaction
analysis of total RNA and flow cytometric analysis. On
the other hand, single-strand conformation polymorphism
analysis of TCR Vß8.2, Vß8.5, Vß10, and Vß16 cDNA
amplified by polymerase chain reaction encompassing the CDR3 revealed
oligoclonal expansion in heart-infiltrating T cells isolated from
animals at various disease stages. cDNA encoding Vß CDR3 from
heart-infiltrating and pericardial effusion T cells in rats with
EAM revealed more restricted sequences than did cells from rats with
normal spleens. Clones from distinct lesions of the same animal were
identical, and clones from heart-infiltrating and pericardial
effusion T cells from the same animal showed overlap. Thus, CDR3 of the
TCR ß chain may be important in rat EAM, and heart-infiltrating T
cells are considered to recognize the specific antigen.
Key Words: autoimmune myocarditis dilated cardiomyopathy complementarity-determining region 3 T-cell receptor
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