Expression of tumor necrosis factor-.ALPHA. protein in the myocardium in fatal myocarditis.

Accession number;00A0259392
Title;Expression of tumor necrosis factor-.ALPHA. protein in the myocardium in fatal myocarditis.
Author; JIBIKI T (Chiba Univ. School Of Medicine, Jpn) TERAI M (Chiba Univ. School Of Medicine, Jpn) TATENO S (Chiba Univ. School Of Medicine, Jpn) TOYOZAKI T (Chiba Univ. School Of Medicine, Jpn) HORIE H (Chiba Children's Hospital, Chiba, Jpn) NAKAJIMA H (Funabashi Municipal Medical Center, Jpn) NIWA K (Chiba Cardiovascular Center, Jpn) NIIMI H (Chiba Univ. School Of Medicine, Jpn)
Journal Title;Pediatr Int
Journal Code:Z0373B
ISSN:1328-8067
VOL.42;NO.1;PAGE.43-47(2000)
Figure&Table&Reference;FIG.2, TBL.1, REF.16
Pub. Country;Japan
Language;English
Abstract;Background: Tumor necrosis factor (TNF)-.ALPHA. is the most studied cytokine in the failing human heart and in experimental murine myocarditis. We have investigated the expression of (TNF)-.ALPHA. in the myocardium in human myocarditis. Methods: We examined endomyocardial biopsy (n = 4) and autopsy (n = 5) tissues obtained from nine patients diagnosed with myocarditis by the Dallas criteria. Expression of (TNF)-.ALPHA. in the hearts was immunohistochemically studied using monoclonal antibodies against human (TNF)-.ALPHA.. Results: Tumor necrosis factor-.ALPHA. protein was expressed in the myocardium of six of the nine patients studied. Four of five fatal patients showed intense immunoreactivity for TNF-.ALPHA. compared with survivors. Furthermore, left ventricular systolic function was reduced in patients with TNF-.ALPHA.-positive hearts. Conclusions: These findings may support the suggestion that TNF-.ALPHA. plays an irnportant role in cardiac dysfunction and myocytic darnage in fatal human myocarditis. (author abst.)
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