• Media type: E-Article
  • Title: Cutting Edge: Cross-Regulation by TLR4 and T cell Ig Mucin-3 Determines Sex Differences in Inflammatory Heart Disease
  • Contributor: Frisancho-Kiss, Sylvia; Davis, Sarah E.; Nyland, Jennifer F.; Frisancho, J. Augusto; Cihakova, Daniela; Barrett, Masheka A.; Rose, Noel R.; Fairweather, DeLisa
  • imprint: The American Association of Immunologists, 2007
  • Published in: The Journal of Immunology
  • Language: English
  • DOI: 10.4049/jimmunol.178.11.6710
  • ISSN: 0022-1767; 1550-6606
  • Origination:
  • Footnote:
  • Description: <jats:title>Abstract</jats:title> <jats:p>Recent clinical studies have reinforced the importance of sex-related differences in the pathogenesis of cardiovascular diseases, with an increased incidence and mortality in men. Similar to humans, male BALB/c mice infected with coxsackievirus B3 (CVB3) develop more severe inflammation in the heart even though viral replication is no greater than in females. We show that TLR4 and IFN-γ levels are significantly elevated and regulatory T cell (Treg) populations significantly reduced in the heart of males following CVB3 infection, whereas females have significantly increased T cell Ig mucin (Tim)-3, IL-4 and Treg. Blocking Tim-3 in males significantly increases inflammation and TLR4 expression while reducing Treg. In contrast, defective TLR4 signaling significantly reduces inflammation while increasing Tim-3 expression. Cross-regulation of TLR4 and Tim-3 occurs during the innate and adaptive immune response. This novel mechanism may help explain why inflammatory heart disease is more severe in males.</jats:p>
  • Access State: Open Access