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Publication : IFN-gamma action in the media of the great elastic arteries, a novel immunoprivileged site.

First Author  Dal Canto AJ Year  2001
Journal  J Clin Invest Volume  107
Issue  2 Pages  R15-22
PubMed ID  11160143 Mgi Jnum  J:66972
Mgi Id  MGI:1929560 Doi  10.1172/JCI11540
Citation  Dal Canto AJ, et al. (2001) IFN-gamma action in the media of the great elastic arteries, a novel immunoprivileged site. J Clin Invest 107(2):R15-22
abstractText  Infection of medial smooth muscle cells with gamma-herpesvirus 68 (gammaHV68) causes severe chronic vasculitis that is restricted to the great elastic arteries. We show here that persistence of disease in the great elastic arteries is (a) due to inefficient clearance of viral infection from this site compared with other organs or other vascular sites, and (b) associated with failure of T cells and macrophages to enter the virus-infected elastic media. These findings demonstrate immunoprivilege of the media of the great elastic arteries. We found that IFN-gamma acted on somatic cells during acute infection to prevent the establishment of medial infection and on hematopoietic cells to determine the severity of disease in this site. The immunoprivileged elastic media may provide a site for persistence of pathogens or self antigens leading to chronic vascular disease, a process regulated by IFN-gamma actions on both somatic and hematopoietic cells. These concepts have significant implications for understanding immune responses contributing to or controlling chronic inflammatory diseases of the great vessels.
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