Coxsackieviruses are closely associated with myocarditis and dilated cardiomyopathy in humans. Serum levels of soluble Fas (CD95) and Fas ligand (FasL) predict disease course in patients with acute myocarditis, with the highest levels of these factors occurring in patients with a fatal outcome (11). Fasdependent apoptosis of cardiac myocytes is observed in some cases of clinical and experimental myocarditis (10,18,54). In other instances, apoptosis may be restricted to the myocardial inflammatory cell infiltrate and occurs primarily in CD4 ϩ T cells (7,18,27,59). In the case of direct Fas-dependent apoptosis of cardiac myocytes, the mechanism by which Fas contributes to pathogenesis in myocarditis is self-evident. It is less clear whether Fas-dependent apoptosis affects pathogenicity when only the infiltrating inflammatory cells die.We have previously reported that coxsackievirus B3 (CVB3)-induced myocarditis in BALB/c mice depends upon generation of CD4 ϩ Th1 (gamma interferon [IFN-␥ ϩ ]) cell responses and that CD4 ϩ Th2 cell responses protect against CVB3-induced disease (24). T cells expressing the ␥␦ T-cell receptor (TCR) regulate the CD4 ϩ Th phenotype in vivo. Although cytokines produced by ␥␦ T cells may partially contribute to their modulation of the CD4 ϩ cell response (20), direct cell-cell contact between the ␥␦ ϩ and CD4 ϩ cells is additionally important in vitro (19). In this study, we provide evidence in vivo that ␥␦ T-cell modulation of the CD4 ϩ cytokine phenotype requires Fas-FasL interaction to promote a pathogenic Th1 response.
MATERIALS AND METHODS
Mice. BALB/c, MRLϩ/ϩ , MRL lpr/lpr (lpr), and MRL gld/gld (gld) mice were originally purchased from Jackson Laboratories (Bar Harbor, Maine). Breeding colonies were maintained at the University of Vermont. Male mice 5 to 8 weeks of age were used in all experiments.Infection. Animals received injections of 10 5 PFU of CVB3 (variant H3-49) intraperitoneally in 0.5 ml of phosphate-buffered saline (PBS) (24). Animals were euthanatized 7 days after infection by intraperitoneal injection of 120 mg of sodium pentobarbital/kg of body weight in 0.5 ml of PBS.Histology. Hearts were removed and divided in half, and the apex portion of the heart was fixed in 10% buffered formalin. Tissue was paraffin embedded, sectioned, stained with hematoxylin and eosin, and evaluated for inflammation by image analysis using the procedure reported by Knowlton et al. (29). Briefly, heart sections were viewed in transmitted light mode with an Olympus BX50 compound light microscope, and true-color digital images were captured with a Sony DXC-960MD/LLP video camera connected to a video frame grabber on a SUN SPARCstation5. Image processing and analysis were done using IMIX software (Princeton Gamma Tech Inc., Princeton, N.J.).Virus titer. The remaining cardiac tissue not used for histology was homogenized in RPMI 1640 medium containing 5% fetal bovine serum (FBS), centrifuged at 300 ϫ g to remove cellular debris, serially titrated using 10-fold dilutions, and added to HeLa cell...