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Antibodies to Chlamydia pneumoniae and haemostatic factors in acute coronary syndrome without ST segment elevation
Zofia Grabczewska1, Edmund Nartowicz, Ludmiła Szymaniak
1Department of Cardiology and Internal Diseases, Medical Academy, Bydgoszcz.
Insights
Chlamydia pneumoniae infection is linked to higher fibrinogen levels in acute coronary syndrome patients. However, no significant association was found with other key haemostatic factors.
Area of Science:
- Cardiology
- Infectious Diseases
- Hematology
Background:
- Chronic infections like Chlamydia pneumoniae are implicated in atherosclerosis development.
- The link between C. pneumoniae infection and haemostatic factors, crucial in atherosclerosis, remains unclear.
Purpose of the Study:
- To investigate the association between C. pneumoniae-specific IgA and IgG antibodies and haemostatic factors in acute coronary syndrome (ACS) patients.
Main Methods:
- Serum antibodies to C. pneumoniae and haemostatic factors (vWF, TM, tPA, PAI-1, fibrinogen) were measured in 31 ACS patients.
- Patients had ACS without ST segment elevation.
Main Results:
- Chlamydia pneumoniae seropositivity was observed in 35.4% of patients.
- A significant association was found between C. pneumoniae-specific IgG antibodies and elevated fibrinogen levels (p=0.05).
- No significant relationships were identified between C. pneumoniae infection and vWF, TM, tPA, or PAI-1 levels.
Conclusions:
- C. pneumoniae infection is not significantly associated with increased levels of most measured haemostatic factors in ACS patients.
- Fibrinogen levels may be an exception, showing a potential link with C. pneumoniae-specific IgG antibodies.
Background:
Various chronic infections, including Chlamydia pneumoniae (C. pneumoniae), are regarded as one of the possible factors which initiates, progresses and exacerbates atherosclerotic process. The relationship between C. pneumoniae infection and haemostatic factors which also may promote atherosclerosis, has not yet been established.
Aim:
To assess the relationship between C. pneumoniae-specific IgA and IgG serum antibodies and haemostatic factors in patients with acute coronary syndrome (ACS).
Methods:
The study group consisted of 31 patients (17 males, mean age 62 years, and 14 females, mean age 60.6 years) with ACS and without ST segment elevation in whom antibodies to C. pneumoniae and such haemostatic factors as von Willebrand factor (vWF), thrombomodulin (TM), tissue plasmin activator (tPA), tPA inhibitor (PAI-1) and fibrinogen were measured.
Results:
The proportion of patients with C. pneumoniae seropositivity was 35.4% in our study which is lower than that reported in literature. No significant relationship between vWF, TM, tPA and PAI-1 levels, and C. pneumoniae infection was found whereas a significant (p=0.05) relationship between C. pneumoniae-specific IgG antibodies and fibrinogen level was detected.
Conclusions:
Excluding fibrinogen, the presence of antibodies to C. pneumoniae is not associated with increased levels of haemostatic factors in patients with ACS without ST segment elevation.
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