Autoimmne mechanisms have been implicated in the pathogenesis of chronic ongoing mycarditis. An earlier study of murine chronic ongoing
myocarditis reported that infiltrating T cells and macrophages were prominent in the normal donor heart, in a heterotopic
cardiac transplantation model. It was demonstrated that
myocarditis was transferred to a normal heart transplanted into a mouse with chronic
myocarditis. The present study investigated an autoimmune link to the pathogenesis of chronic ongoing
myocarditis by analyzing the T cell clonalities in the model. To characterize the accumulating T cells in the donor heart, the T cell receptor beta genes (TCRBG) were amplified by
reverse transcriptase-polymerase chain reaction (RT-PCR) from
mRNA in the donor hearts and accumulating TCRBG clonotypes were contrasted with those from recipient hearts. Inbred 3-week-old A/J mice were inoculated intraperitoneally with Coxsackievirus B3 (Nancy strain), 2 x 10(4) PFU, and housed for more than 60 days. Normal A/J mouse hearts were transplanted into the same strain of mice without
myocarditis, as well as into the mice with chronic ongoing
myocarditis. Both recipient and donor hearts were evaluated histologically 2 weeks after the
transplantation. TCRBG were amplified by RT-PCR from
mRNA of recipient and donor hearts and spleens. The specific accumulating TCRBG clonotypes were identified by their single strand conformation polymorphism. Multiple clonotypic accumulations occurred in the donor heart after
cardiac transplantation. Distinct oligoclonal accumulation of TCR Vbeta1, 10, and 13 T cells was found in both recipient and donor hearts in 3 of 4 mice. Moreover, these clonotypes were not observed in spleen cells of the recipient mice. T specific cells expanding clonotypes of TCRBG are responsible for transferring
myocarditis to the donor heart. An autoimmune response may, therefore, play a key role in the progression of chronic ongoing
myocarditis.