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Endothelial dysfunction after repeated Chlamydia pneumoniae infection in apolipoprotein E-knockout mice
P Liuba1, P Karnani, E Pesonen
1Department of Pediatric Cardiology, Lund University Hospital, Sweden.
Circulation
|August 30, 2000
Summary
Chlamydia pneumoniae infection impairs arterial endothelial function, primarily involving the nitric oxide (NO) pathway. This suggests a role for C. pneumoniae in atherosclerosis development.
Area of Science:
- Cardiovascular Research
- Infectious Disease Immunology
- Vascular Biology
Background:
- Endothelial nitric oxide (NO) regulates arterial relaxation; diminished NO activity is linked to early atherosclerosis.
- Chlamydia pneumoniae infection is a potential factor in cardiovascular disease development.
Purpose of the Study:
- To investigate the impact of Chlamydia pneumoniae inoculation on endothelium-dependent aortic relaxation in apolipoprotein E-knockout (apoE-KO) mice.
Main Methods:
- ApoE-KO mice were exposed to repeated intranasal Chlamydia pneumoniae or saline inoculations over six weeks.
- Aortic rings were isolated and relaxation responses to methacholine were measured in vitro.
- The roles of the nitric oxide (NO) pathway and cyclooxygenase (COX) pathway were assessed using L-NAME and diclofenac.
Main Results:
- Chlamydia pneumoniae infection significantly attenuated endothelium-dependent relaxation in aortic rings at six weeks post-inoculation.
- The impaired relaxation was observed both in the absence and presence of L-NAME, indicating NO pathway involvement.
- Diclofenac enhanced relaxation in infected mice pretreated with L-NAME at two weeks, suggesting a role for cyclooxygenase products.
Conclusions:
- Chlamydia pneumoniae infection impairs arterial endothelial function, with the NO pathway being a primary mediator.
- Cyclooxygenase-dependent vasoconstricting products may also contribute to infection-induced impaired relaxation.
- These findings support the hypothesis that Chlamydia pneumoniae infection plays a role in the pathogenesis of atherosclerosis.

