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Title
Group G Streptococcus Induces an Autoimmune Carditis Mediated by Interleukin 17A and Interferon γ in the Lewis Rat Model of Rheumatic Heart Disease
Fields of Research (FoR) 2008:
Author(s)
Sikder, Suchandan
Williams, Natasha L
Sorenson, Alanna E
Alim, Md A
Vidgen, Miranda E
Moreland, Nicole J
Rush, Catherine M
Simpson, Robert S
Govan, Brenda L
Norton, Robert E
Cunningham, Madeleine W
McMillan, David J
Sriprakash, Kadaba S
Publication Date
2018-07-15
Socio-Economic Objective (SEO) 2008
Early Online Version
Abstract
Acute rheumatic fever and rheumatic heart disease (ARF/RHD) have long been described as autoimmune sequelae of Streptococcus pyogenes or group A streptococcal (GAS) infection. Both antibody and T-cell responses against immunodominant GAS virulence factors, including M protein, cross-react with host tissue proteins, triggering an inflammatory response leading to permanent heart damage. However, in some ARF/RHD-endemic regions, throat carriage of GAS is low. Because Streptococcus dysgalactiae subspecies equisimilis organisms, also known as β-hemolytic group C streptococci and group G streptococci (GGS), also express M protein, we postulated that streptococci other than GAS may have the potential to initiate or exacerbate ARF/RHD. Using a model initially developed to investigate the uniquely human disease of ARF/RHD, we have discovered that GGS causes interleukin 17A/interferon γ–induced myocarditis and valvulitis, hallmarks of ARF/RHD. Remarkably the histological, immunological, and functional changes in the hearts of rats exposed to GGS are identical to those exposed to GAS. Furthermore, antibody cross-reactivity to cardiac myosin was comparable in both GGS- and GAS-exposed animals, providing additional evidence that GGS can induce and/or exacerbate ARF/RHD.
Publication Type
Journal Article
Source of Publication
The Journal of Infectious Diseases, 218(2), p. 324-335
Publisher
Oxford University Press
Socio-Economic Objective (SEO) 2020
2017-12-09
Place of Publication
United States of America
ISSN
1537-6613
0022-1899
Fields of Research (FoR) 2020
Socio-Economic Objective (SEO) 2020
Peer Reviewed
Yes
HERDC Category Description
Peer Reviewed
Yes
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