title: Persistent infection of human vascular endothelial cells by group B coxsackieviruses.
abstract: Group B coxsackieviruses (CVBs) cause >20% of the cases of myocarditis and dilated cardiomyopathy. Information on the permissiveness of vascular cells to CVBs is scant. Interactions of CVBs with human vascular endothelial cells (ECs) were investigated in vitro. All 6 CVBs (CVB-1 to -6) consistently infected primary EC cultures and an immortalized EC line without producing cytopathology. Whereas replication of types 1, 2, 4, and 6 ceased within 30-60 days after infection, CVB-3 and -5 caused a persistent infection. Replication of CVB-3 and -5 continued for >260 days. In ECs, the constitutive production of interferon-beta, but not of other cytokines, appeared to confer resistance to CVBs. Persistence of CVB-3 and -5 was associated with the chronic release of tumor necrosis factor-alpha, a cytotoxic cytokine that also has a negative inotropic effect on myocardial cells. The results suggest that chronic endothelial CVB infections may play a role in vascular disease.
authors.affiliation: Department of Clinical and Biological Sciences, University of Pavia, Varese, Italy.
authors.forename: P G
authors.initials: PG
authors.lastname: Conaldi
authors.forename: C
authors.initials: C
authors.lastname: Serra
authors.forename: A
authors.initials: A
authors.lastname: Mossa
authors.forename: V
authors.initials: V
authors.lastname: Falcone
authors.forename: F
authors.initials: F
authors.lastname: Basolo
authors.forename: G
authors.initials: G
authors.lastname: Camussi
authors.forename: A
authors.initials: A
authors.lastname: Dolei
authors.forename: A
authors.initials: A
authors.lastname: Toniolo
mesh_terms: D002478:Cells, Cultured; D004730:Endothelium, Vascular / Q000382:microbiology*; D029822:Enterovirus B, Human / Q000254:growth & development*; D006801:Humans; D014409:Tumor Necrosis Factor-alpha / Q000378:metabolism; D014471:Umbilical Veins; D014779:Virus Replication
chemical_list: D014409:Tumor Necrosis Factor-alpha