Assessing customized multivalent chemokine-binding peptide treatment in a murine model of coxsackievirus B3 myocarditis

被引:0
作者
Kelm, Nicolas [1 ,2 ,3 ]
Kespohl, Meike [1 ,2 ,3 ,4 ]
Smagurauskaite, Gintare [5 ]
Vales, Serena [5 ]
Karuppanan, Kalimuthu [5 ]
Mburu, Philomena [5 ]
Thiele, Arne [4 ,6 ,7 ,8 ,9 ]
Pinkert, Sandra [1 ,2 ,3 ]
Bukur, Thomas [10 ]
Muelleder, Michael [2 ,3 ,11 ]
Berndt, Nikolaus [2 ,3 ,12 ,13 ,14 ]
Klingel, Karin [15 ]
Gaida, Matthias M. [10 ,16 ,17 ]
Bhattacharya, Shoumo [5 ]
Beling, Antje [1 ,2 ,3 ,4 ]
机构
[1] Charite Univ med Berlin, Inst Biochem, D-10117 Berlin, Germany
[2] Free Univ Berlin, D-10117 Berlin, Germany
[3] Humboldt Univ, D-10117 Berlin, Germany
[4] Deutsch Zentrum Herz Kreislauf Forsch, Partner Site Berlin, D-10117 Berlin, Germany
[5] Univ Oxford, Ctr Human Genet & RDM Cardiovasc Med, Roosevelt Dr, Oxford OX3 7BN, Oxon, England
[6] Charite Univ Med Berlin, Max Rubner Ctr Cardiovasc Metab Renal Res, Inst Pharmacol, Berlin, Germany
[7] Expt & Clin Res Ctr Joint Cooperat Max Delbruck Ct, Berlin, Germany
[8] Charite Univ Med Berlin, Dept Nephrol & Intens Care Med, Berlin, Germany
[9] Max Delbruck Ctr Mol Med, Berlin, Germany
[10] Johannes Gutenberg Univ Mainz, TRON Translat Oncol, Univ Med Ctr, Mainz, Germany
[11] Charite Univ Med Berlin, Core Facil High Throughput Mass Spectrometry, Berlin, Germany
[12] Deutsch Herzzentrum Charite, Inst Comp Assisted Cardiovasc Med, Berlin, Germany
[13] Charite Univ Med Berlin, Berlin, Germany
[14] German Inst Human Nutr Potsdam Rehbrucke, Dept Mol Toxicol, Nuthetal, Germany
[15] Univ Hosp Tubingen, Inst Pathol & Neuropathol, D-72076 Tubingen, Germany
[16] Johannes Gutenberg Univ Mainz, Univ Med Ctr Mainz, Inst Pathol, D-55131 Mainz, Germany
[17] Johannes Gutenberg Univ Mainz, Univ Med Ctr Mainz, Res Ctr Immunotherapy, D-55131 Mainz, Germany
关键词
Infection; Inflammation; Chemokines; Evasin; Myocarditis; Heart failure; MONOCYTE CHEMOATTRACTANT PROTEIN-1; GIANT-CELL MYOCARDITIS; GENE-EXPRESSION; ENDOMYOCARDIAL BIOPSY; DIAGNOSIS; CARDIOMYOPATHY; METABOLISM; INFECTION; SOCIETY; INJURY;
D O I
10.1007/s00395-025-01098-w
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Myocarditis, an inflammatory disease of the heart muscle, is often triggered by viral infections. This inflammation, which can lead to severe cardiac dysfunction and adverse outcomes, is mediated by various CC and CXC chemokines that interact with receptors in a "one-to-many" fashion. Ticks have evolved chemokine-binding salivary proteins known as Evasins, which efficiently suppress inflammation. This study explores a tailored Evasin-derived CC chemokine-targeting strategy using a 17-mer synthetic dimeric peptide, BK1.3. This peptide inhibits the inflammatory chemokines CCL2, CCL3, CCL7, and CCL8 in murine Coxsackievirus B3 (CVB3) infection, a viral trigger of myocarditis. Administered at a dose of 5 mg/kg twice daily, BK1.3 effectively maintains virus control without exacerbating CVB3-induced morbidity markers, such as hemodynamic compromise, multiorgan failure with hepatitis and pancreatitis, hypothermia, hypoglycemia, and weight loss. Metabolic profiling combined with proteomics reveals preserved reprogramming of lipid storage and gluconeogenesis capacity in the liver, alongside sustained energy production in the injured heart muscle. In survivors of acute CVB3 infection exhibiting manifestations of the subacute phase, BK1.3 enhances virus control, reduces myeloid cell infiltration in the heart and liver, improves markers of liver injury, and alleviates cardiac dysfunction, as evidenced by echocardiographic global longitudinal strain analysis. These findings affirm the safety profile of BK1.3 peptide therapeutics in a preclinical mouse model of acute CVB3 infection and emphasize its potential for therapeutic advancement in addressing virus-induced inflammation in the heart.
引用
收藏
页码:393 / 422
页数:30
相关论文
共 64 条
[1]  
Alenazi Y., Singh K., Davies G., Eaton J.R.O., Elders P., Kawamura A., Bhattacharya S., Genetically engineered two-warhead evasins provide a method to achieve precision targeting of disease-relevant chemokine subsets, Sci Rep, 8, (2018)
[2]  
Ali-Ahmed F., Dalgaard F., Al-Khatib S.M., Sudden cardiac death in patients with myocarditis: evaluation, risk stratification, and management, Am Heart J, 220, pp. 29-40, (2020)
[3]  
Althof N., Goetzke C.C., Kespohl M., Voss K., Heuser A., Pinkert S., Kaya Z., Klingel K., Beling A., The immunoproteasome-specific inhibitor ONX 0914 reverses susceptibility to acute viral myocarditis, EMBO Mol Med, 10, pp. 200-218, (2018)
[4]  
Ammirati E., Cipriani M., Moro C., Raineri C., Pini D., Sormani P., Mantovani R., Varrenti M., Pedrotti P., Conca C., Mafrici A., Grosu A., Briguglia D., Guglielmetto S., Perego G.B., Colombo S., Caico S.I., Giannattasio C., Maestroni A., Lombardo R., delle M, Clinical presentation and outcome in a contemporary cohort of patients with acute myocarditis: multicenter lombardy registry, Circulation, 138, pp. 1088-1099, (2018)
[5]  
Bauer M., Cheng S., Jain M., Ngoy S., Theodoropoulos C., Trujillo A., Lin F.C., Liao R., Echocardiographic speckle-tracking based strain imaging for rapid cardiovascular phenotyping in mice, Circ Res, 108, pp. 908-916, (2011)
[6]  
Berndt N., Bulik S., Wallach I., Wunsch T., Konig M., Stockmann M., Meierhofer D., Holzhutter H.G., HEPATOKIN1 is a biochemistry-based model of liver metabolism for applications in medicine and pharmacology, Nat Commun, 9, (2018)
[7]  
Berndt N., Eckstein J., Heucke N., Gajowski R., Stockmann M., Meierhofer D., Holzhutter H.G., Characterization of lipid and lipid droplet metabolism in human HCC, Cells, (2019)
[8]  
Berndt N., Kann O., Holzhutter H.G., Physiology-based kinetic modeling of neuronal energy metabolism unravels the molecular basis of NAD(P)H fluorescence transients, J Cereb Blood Flow Metab, 35, pp. 1494-1506, (2015)
[9]  
Bhattacharya S., Kawamura A., Using evasins to target the chemokine network in inflammation, Adv Protein Chem Struct Biol, 119, pp. 1-38, (2020)
[10]  
Bhattacharya S., Nuttall P.A., Phylogenetic analysis indicates that evasin-like proteins of ixodid ticks fall into three distinct classes, Front Cell Infect Microbiol, 11, (2021)