title: Specific stimulation of peripheral blood mononuclear cells from patients with acute myocarditis by peptide-bound flavin adenine dinucleotide (FAD), a naturally occurring autologous hapten.
abstract: The tryptic FAD-peptide carrying the flavin in 8alpha-(N3)histidyl linkage as natural hapten was isolated by HPLC from the bacterial enzyme 6-hydroxy-d-nicotine oxidase. The same flavin protein linkage is found in the mitochondrial succinate dehydrogenase flavoprotein subunit, the predominant flavoprotein with covalently bound FAD in mitochondria of cardiomyocytes. Peripheral blood mononuclear cells (PBMC) were isolated from four patients with acute myocarditis, seven patients with dilated cardiomyopathy (DCM) and from four healthy control individuals. The response of PBMC to the FAD-peptide was evaluated by measuring proliferation ([3H]-dThd incorporation) and cytokine secretion [interferon (IFN)-gamma]. PBMC from all patients with acute myocarditis showed positive responses to the FAD-peptide, in contrast to PBMC from patients with DCM or control individuals. Following the recovery of the patients from the acute inflammation of the heart, PBMC no longer exhibited a proliferation response to the FAD-peptide. A chemically synthesized FAD-free peptide with identical amino acid sequence induced no response of PBMC. The results are consistent with a recall response by activated T cells, specific for the normally cryptic mitochondrial flavin-hapten, which may be liberated following cardiomyocyte destruction during the inflammation of the heart.
authors.affiliation: Institute for Biochemistry and Molecular Biology, University of Freiburg, Germany.
authors.forename: G
authors.initials: G
authors.lastname: Cicek
authors.forename: E
authors.initials: E
authors.lastname: Schiltz
authors.forename: J
authors.initials: J
authors.lastname: Staiger
authors.forename: F-J
authors.initials: FJ
authors.lastname: Neumann
authors.forename: I
authors.initials: I
authors.lastname: Melchers
authors.forename: R
authors.initials: R
authors.lastname: Brandsch
mesh_terms: D000208:Acute Disease; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D002311:Cardiomyopathy, Dilated / Q000276:immunology; D016022:Case-Control Studies; D002455:Cell Division; D002478:Cells, Cultured; D004768:Enterotoxins / Q000494:pharmacology; D005260:Female; D005182:Flavin-Adenine Dinucleotide / Q000276:immunology*; D006241:Haptens / Q000276:immunology; D006801:Humans; D007371:Interferon-gamma / Q000378:metabolism; D008213:Lymphocyte Activation; D008297:Male; D008875:Middle Aged; D008929:Mitochondria, Heart / Q000276:immunology*; D009205:Myocarditis / Q000276:immunology*; D010835:Phytohemagglutinins / Q000494:pharmacology; D013601:T-Lymphocytes / Q000276:immunology*; D013745:Tetanus Toxoid / Q000494:pharmacology; D013997:Time Factors
chemical_list: D004768:Enterotoxins; D006241:Haptens; D010835:Phytohemagglutinins; D013745:Tetanus Toxoid; D005182:Flavin-Adenine Dinucleotide; C031818:enterotoxin B, staphylococcal; D007371:Interferon-gamma