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Antimicrobial Agents and Chemotherapy, May 2001, p. 1444-1449, Vol. 45, No. 5
Division of Veterinary and Biomedical
Sciences, Murdoch University,1 and
Department of Microbiology, The University of Western
Australia,2 Perth, Western Australia
Received 6 November 2000/Returned for modification 29 January
2001/Accepted 15 February 2001
The cardiovascular disease myocarditis is characterized by
inflammation and necrosis of cardiac muscle. This disease has been associated with various viral etiologies, including cytomegalovirus (CMV). Murine CMV (MCMV) infection of adult BALB/c mice produces a
disease with acute and chronic phases similar to that found in humans.
In our murine model, we have investigated the therapeutic efficacy of
antiviral drug administration on myocarditis. Two drugs commonly used
for CMV treatment, ganciclovir and cidofovir, were subjected to trials,
with both drugs showing potent antiviral activity against MCMV both in
vitro and in vivo. The acute phase of myocarditis was significantly
reduced when antiviral therapy commenced 24 h postinfection. Such
treatment also reduced the severity of the chronic phase of
myocarditis. In contrast, antiviral treatment commencing after the
acute phase had no effect on chronic myocarditis. Reinfection of mice
with MCMV caused exacerbation of myocardial inflammation. Such an
increase in severity of myocarditis could be prevented with either
ganciclovir or cidofovir treatment, but the preexisting inflammation
and necrosis of the myocardium persisted. These data highlight possible
therapeutic uses of antiviral drugs in viral myocarditis as well as
further elucidating the pathogenic nature of the disease.
0066-4804/01/$04.00+0 DOI: 10.1128/AAC.45.5.1444-1449.2001
Copyright © 2001, American Society for Microbiology. All rights reserved.
Ganciclovir and Cidofovir Treatment of
Cytomegalovirus-Induced Myocarditis in Mice
*
Corresponding author. Mailing address: Division of
Veterinary and Biomedical Sciences, Murdoch University, South St.,
Perth 6150, Australia. Phone: 618 9360 2267. Fax: 618 9310 4144. E-mail: cassiel{at}numbat.murdoch.edu.au.
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