The molecular basis for cardiovirulence in the coxsackievirus B3 (CVB3
) genome was examined in a murine model of acute myocarditis. Infectio
us cDNAs representing a highly cardiovirulent coxsackievirus B3 (CVB3(
m)) and a noncardiovirulent (CVB3(o)) virus were used to construct inf
ectious chimeric cDNAs. Assays of the resulting recombinant viruses fo
r cardiovirulence in adolescent male CD-1 mice showed that the 5' nont
ranslated region (5' NTR) of the CVB3(m) genome plays the major role i
n determining cardiovirulence and that the genomic region encoding the
capsid proteins has a minor additive effect in increasing cardiovirul
ence. Nucleotide sequences in the 5' NTR of CVB3(m) and CVB3(o) differ
at 23 positions; 14 are located in four stem-loop motifs of the secon
dary structure and may influence the cardiovirulent phenotype by regul
ating RNA or protein synthesis. A comparison of predicted amino acid s
equences of capsid proteins in CVB3(m) and CVB3(o) identified two amin
o acids as potential candidate contributors to cardiovirulence, i.e.,
amino acids at positions A207 (Asn-Asp) in the puff structure of the E
-F loop of VP2 and A566 (Gln-Glu) in the C terminal of VP3 at the exte
rnal surface. The data from this study and published literature suppor
t the conclusion that cardiovirulence of a CVB3 can depend on several
regions of the genome. (C) 1997 Wiley-Liss, Inc.