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Updated: Oct 5, 2026

Quantitative Analysis and Characterization of Atherosclerotic Lesions in the Murine Aortic Sinus
Published on: December 7, 2013
Demonstration of Chlamydia pneumoniae in atherosclerotic arteries from various vascular regions
M Rassu1, S Cazzavillan, M Scagnelli
1Department of Microbiology, S. Bortolo Hospital, Via Rodolfi 37, 36100 Vicenza, Italy. microbvi@tin.it
Insights
Chlamydia pneumoniae (CP) is strongly associated with atherosclerosis across multiple vascular sites. This study found CP in 100% of patients, suggesting its significant role in the disease.
Area of Science:
- Cardiovascular Research
- Infectious Disease Pathology
- Atherosclerosis Etiology
Background:
- Chlamydia pneumoniae (CP) is implicated in atherosclerosis, but its distribution in various vascular regions remains unclear.
- Most research focuses on coronary artery disease, leaving other atherosclerotic sites understudied regarding CP presence.
Purpose of the Study:
- To investigate the prevalence of Chlamydia pneumoniae (CP) in atheromatous plaques from five distinct vascular areas.
- To determine the association of CP with atherosclerotic disorders across the basilary artery, coronary artery, thoracic aorta, abdominal aorta, and renal arteries.
- To compare the presence of CP with other suspected atherosclerosis agents, Helicobacter pylori (HP) and cytomegalovirus (CMV).
Main Methods:
- Nested polymerase chain reaction (PCR) and immunohistochemical staining (IHC) were employed to detect CP in plaque samples.
- PCR techniques were also used to identify the presence of Helicobacter pylori (HP) and cytomegalovirus (CMV).
- Plaques were analyzed from five different vascular territories: basilary artery, coronary artery, thoracic aorta, abdominal aorta, and renal arteries.
Main Results:
- Chlamydia pneumoniae (CP) was detected in 100% of the analyzed atheromatous plaques across all five vascular areas.
- Helicobacter pylori (HP) was found in 22.2% of patients, and cytomegalovirus (CMV) in 16.6% of patients.
- The high prevalence of CP across multiple vascular sites suggests a strong link to atherosclerotic disease.
Conclusions:
- The findings strongly support a significant association between Chlamydia pneumoniae (CP) and atherosclerosis.
- CP is consistently present in atheromatous plaques from diverse vascular regions, underscoring its role in the disease.
- Routine detection of CP in multiple vascular areas of patients with atherosclerosis is recommended.
Abstract:
Chlamydia pneumoniae (CP) has been reported to be a pathogenic agent in the mechanism leading to atherosclerosis. The majority of available data is focused mainly on coronary artery disease whereas the distribution of CP in different areas, associated with atherosclerotic disorders, has not been completely clarified. In this study we investigated the presence of CP in atheromasic plaques from five different vascular areas (basilary artery, coronary artery, thoracic aorta, abdominal aorta, renal arteries) using nested polymerase chain reaction (PCR) and immunohistochemical staining (IHC), in order to establish the putative association of CP with atherosclerotic disease. The same atheromasic plaques were also tested for the presence of Helicobacter pylori (HP) and cytomegalovirus (CMV), other putative agents of atherosclerosis, using a nested PCR technique. Our data indicate that the presence of CP can be demonstrated in 100% of patients tested, considering globally the five areas of analysis. On the other hand the presence of HP has been demonstrated in four out of 18 patients (22.2%), and CMV only in three out of 18 (16.6%). Our results strongly suggest an association between CP and atherosclerosis and highlight the need for the detection of CP in multiple vascular areas of the same patient.
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