Abstract-Coxsackievirus (CV)B3 is the primary cause of viral myocarditis. We previously observed CXC chemokine ligand 10 (CXCL10) upregulation in the myocardium early in infection. However, the impact of CXCL10 in CVB3-induced myocarditis is unknown. Using isolated primary mouse cardiomyocytes we demonstrated for the first time that cardiomyocytes can express CXCL10 on interferon-␥ stimulation. To explore the role of CXCL10 in CVB3-induced myocarditis, both CXCL10 transgenic and knockout mice were used. Following CVB3 challenges, the viral titer in the hearts inversely correlated with the levels of CXCL10 at early phase of infection before visible immune infiltration. Furthermore, as compared with the control mice, the decreased virus titers in the CXCL10 transgenic mouse hearts led to less cardiac damage and better cardiac function and vice verse in the knockout mice. This antiviral ability of CXCL10 might be through recruitment of natural killer (NK) cells to the heart and increased interferon-␥ expression early in infection. At day 7 postinfection, with massive influx of mononuclear cells the expression of CXCL10 enhanced the infiltration of CXCR3 ϩ cells, CD4ϩ , and CD8 ϩ T cells, as well as the expression of associated inflammatory cytokines. However, the augmented accumulation of these immune cells and associated cytokines failed to alter the viral clearance and mice survival. These results suggest the protective role of CXCL10 during the early course of CVB3 infection, which is attributed to the recruitment of NK cells. Nonetheless, CXCL10-directed chemoattractant effect is not sufficient for host to clear the virus in the heart. (Circ Res. 2009;104:628-638.) Key Words: cardiomyocytes Ⅲ chemokine CXCL 10 Ⅲ coxsackievirus Ⅲ myocarditis Ⅲ natural killer cells C oxsackievirus (CV)B3 has been recognized as the predominant cause of viral myocarditis in humans. 1 This disease is composed of three distinct stages including viremic injury, immune infiltration, and reclamation. 2 Earlier studies have suggested that mechanisms of viral myocarditis include direct myocyte injury by CVB3 and subsequent immune-mediated damage of the heart. 3,4 The essential role of the immune response in combating viral myocarditis has been demonstrated by recent studies using a series of knockout (KO) mice. Conversely, others have argued that the robust protective response can also be deleterious to host tissue to some extent. For instance, mice lacking T cells or T cell subsets developed less severe disease following CVB3 inoculation. 5 However, general immunosuppressive therapy did not benefit patients with myocarditis, 6 raising the need for better understanding the role of major immune mediators in disease cascade of CVB-induced myocarditis.During the process of leukocyte trafficking, it is well known that chemokines are the principle chemotactic factors to mediate leukocyte migration to the site of infection. 7 CXC chemokines, including interferon (IFN)-inducible protein 10 (IP10/CXCL10), monokine induced by IFN-␥ (Mig/CXCL9), an...