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Visualization of Streptococcus pneumoniae within Cardiac Microlesions and Subsequent Cardiac Remodeling
Published on: April 7, 2015
Chlamydia pneumoniae DNA is more frequent in advanced than in mild atherosclerosis lesions
Ahmad Reza Bahrmand1, Moslem Bahadori, Abdolmajid Hossaini
1Pasteur Institute of Iran, Tehran, Islamic Republic of Iran. padideh79@yahoo.com
Abstract:
There is growing evidence of an association between Chlamydia pneumoniae infection and atherosclerosis. By using polymerase chain reaction (PCR), we detected the presence of C. pneumoniae DNA in 16 of 92 (17%) arterial specimens with severe atherosclerotic lesions, and in 3 of 109 (3%) such specimens with mild atherosclerotic lesions (p < 0.01) from 49 cases with an autopsy diagnosis of cardiac death and 5 patients who underwent vascular reconstructive surgery. 14 of the 54 cases (28%) were C. pneumoniae-positive in at least 1 vascular sample. 12 of the 14 (86%) PCR positive cases were aged 60 y or older. Normal pulmonary artery specimens from 24 autopsy cases, used as a methodological control, tested negative. The levels of low density lipoprotein cholesterol and triglycerides were significantly lower in the PCR-positive cases than in the PCR-negative cases (p < 0.05). Importantly, 11 of the 14 PCR-positive cases had only 1 risk factor for atherosclerotic cardiovascular disease, whereas all PCR-negative cases had multiple risk factors (p < 0.05). Our data support the idea that C. pneumoniae may be involved in the development of atherosclerosis in humans, especially in cases where classic risk factors are not identified to explain the incidence of atherosclerotic vascular disease.
Insights
Chlamydia pneumoniae DNA was detected in arterial specimens, suggesting its role in atherosclerosis development, particularly in older individuals lacking traditional risk factors. This finding highlights a potential link between infection and cardiovascular disease.
Area of Science:
- Infectious Diseases
- Cardiovascular Pathology
- Molecular Biology
Background:
- Atherosclerosis is a complex disease with multifactorial origins.
- The role of infectious agents, such as Chlamydia pneumoniae, in atherosclerosis pathogenesis is under investigation.
- Understanding novel contributing factors is crucial for effective disease prevention and treatment.
Purpose of the Study:
- To investigate the presence of Chlamydia pneumoniae in human arterial tissues.
- To explore the association between C. pneumoniae infection and the severity of atherosclerotic lesions.
- To examine the relationship between C. pneumoniae detection and traditional cardiovascular risk factors.
Main Methods:
- Polymerase chain reaction (PCR) was employed to detect C. pneumoniae DNA in arterial specimens.
- Specimens were obtained from autopsy cases with cardiac death and patients undergoing vascular surgery.
- Control specimens from normal pulmonary arteries were analyzed.
Main Results:
- C. pneumoniae DNA was detected in 17% of severe atherosclerotic lesions versus 3% of mild lesions (p < 0.01).
- Overall, 28% of cases tested positive for C. pneumoniae in vascular samples, with 86% of these being aged 60 or older.
- PCR-positive cases had lower LDL cholesterol and triglyceride levels and fewer traditional risk factors compared to PCR-negative cases (p < 0.05).
Conclusions:
- The findings support a potential role for Chlamydia pneumoniae in human atherosclerosis development.
- C. pneumoniae may contribute to atherosclerosis, especially in cases where conventional risk factors are not apparent.
- This suggests C. pneumoniae as a potential target for further research in cardiovascular disease etiology.
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Various factors influence the likelihood of developing pneumonia. Age plays a crucial role, with infants, children under two, and individuals over 65 at increased risk due to their...