2003
DOI: 10.1046/j.0303-6987.2003.0143.x
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Parvoviral infection of endothelial cells and stromal fibroblasts: a possible pathogenetic role in scleroderma

Abstract: Parasitism of endothelia and fibroblasts by B19 with resultant enhanced TNF-alpha expression may be of pathogenetic importance in SSc even in the absence of demonstrable viremia. The vascular deposition of C5b-9 suggests a role for humoral immunity possibly induced by a state of endothelial neoantigenicity evoked by virally mediated cell injury. Treatment strategies include anti-viral therapy, including in the context of intravenous gamma-globulin and anti-TNF therapy.

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Cited by 85 publications
(54 citation statements)
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“…In that study, immune precipitation was suppressed significantly in patients who carried the C4A*Q0 allotype (27). More recently, the activated complement complex C5b-9 and the C5a receptor were detected in the microvasculature of SSc patients, both in the early and in the late stages of the disease (28,29).…”
Section: Discussionmentioning
confidence: 84%
“…In that study, immune precipitation was suppressed significantly in patients who carried the C4A*Q0 allotype (27). More recently, the activated complement complex C5b-9 and the C5a receptor were detected in the microvasculature of SSc patients, both in the early and in the late stages of the disease (28,29).…”
Section: Discussionmentioning
confidence: 84%
“…It has been shown previously that endothelial cells are susceptible to B19V infection in vitro, with detection of low levels of NS1 and VP1 transcripts, but no evidence for a productive infection, such as an increase in B19V DNA amounts or detectable levels of VP1 or VP2 capsid proteins, was found (27). In vivo, B19V infection of endothelial cells has been demonstrated in myocardium (20) and skin (66), but again without any hints of a productive infection. However, both B19V nucleic acids and viral proteins have been detected in the fetal capillary endothelium in placental villi from a case of intrauterine fetal death caused by B19V (22).…”
Section: Discussionmentioning
confidence: 95%
“…Although the association between B19 infection and acute and chronic myocarditis has been established with the identification of myocardial endothelial cells as target cells (8,16,41,44,52,82) and the role of B19 in the development of endothelial and isolated left ventricle diastolic dysfunction has been discussed (81), little is known about the pathophysiological mechanisms involved. B19 can be detected solely in endothelial cells of endomyocardial biopsy specimens of patients suffering from acute and chronic myocarditis (41).…”
Section: Discussionmentioning
confidence: 99%