Identification of streptococcal m-protein cardiopathogenic epitopes in experimental autoimmune valvulitis.

Abstract:

:The M protein of rheumatogenic group A streptococci induces carditis and valvulitis in Lewis rats and may play a role in pathogenesis of rheumatic heart disease. To identify the epitopes of M5 protein that produce valvulitis, synthetic peptides spanning A, B, and C repeat regions contained within the extracellular domain of the streptococcal M5 protein were investigated. A repeat region peptides NT4, NT5/6, and NT7 induced valvulitis similar to the intact pepsin fragment of M5 protein. T cell lines from rats with valvulitis recognized M5 peptides NT5/6 and NT6. Passive transfer of an NT5/6-specific T cell line into naïve rats produced valvulitis characterized by infiltration of CD4+ cells and upregulation of VCAM-1, while an NT6-specific T cell line did not target the valve. Our new data suggests that M protein-specific T cells may be important mediators of valvulitis in the Lewis rat model of rheumatic carditis.

authors

Kirvan CA,Galvin JE,Hilt S,Kosanke S,Cunningham MW

doi

10.1007/s12265-013-9526-4

subject

Has Abstract

pub_date

2014-03-01 00:00:00

pages

172-81

issue

2

eissn

1937-5387

issn

1937-5395

journal_volume

7

pub_type

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