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Flow Cytometry Analysis of Immune Cells Within Murine Aortas
Published on: July 1, 2011
Detection of infectious agents by polymerase chain reaction in human aortic wall
Edyta Reszka1, Bogdan Jegier, Wojciech Wasowicz
1Department of Toxicology and Carcinogenesis, Nofer Institute of Occupational Medicine, Lodz, Poland.
Introduction:
Several studies have been suggested that infectious agents may induce or progress the process of atherosclerosis in humans. In the present study, the samples of visually healthy human aortic wall were examined for the presence of Chlamydia pneumoniae, Mycoplasma pneumoniae, Helicobacter pylori, herpes simplex virus (HSV), and cytomegalovirus (CMV).
Methods:
Bacterial DNA of C. pneumoniae, M. pneumoniae, and H. pylori and viral DNA of HSV and CMV were analyzed by polymerase chain reaction. The specimens were obtained from 40 patients with atherosclerotic three-vessel stable coronary artery disease referred to surgical revascularization (coronary group) and 20 controls referred to aortic valve replacement (valve group).
Results:
C. pneumoniae was detected in 11 of 40 samples of aorta in coronary group (27.5%) and 5 of 20 in valve group (25%). M. pneumoniae was found in 6 of 40 (15%) and 5 of 20 (25%) samples, and CMV was found in 22 of 40 (55%) and 10 of 20 (50%) samples. The most frequent detected pathogens were H. pylori and HSV. H. pylori was found in 32 of 40 samples of aortic wall in coronary group (80%) and 17 of 20 samples in valve group (85%), whereas HSV was found in 27 of 40 (67.5%) and 17 of 20 (85%) aortic wall specimens.
Conclusion:
Results demonstrate that C. pneumoniae, M. pneumoniae, H. pylori, CMV, and HSV can be detected in macroscopically healthy aortic wall of coronary and valve patients in similar frequency, which do not support hypothesis concerning the role of microorganisms in atherosclerosis etiology.
Insights
Infectious agents like Chlamydia pneumoniae and Helicobacter pylori were found in healthy aortic walls. However, their similar detection rates in patients and controls do not support a role in atherosclerosis.
Area of Science:
- Cardiovascular Research
- Infectious Disease Epidemiology
- Molecular Pathology
Background:
- Atherosclerosis is a complex disease potentially influenced by infectious agents.
- This study investigated the presence of specific pathogens in human aortic tissue.
- Key pathogens examined include Chlamydia pneumoniae, Mycoplasma pneumoniae, Helicobacter pylori, herpes simplex virus (HSV), and cytomegalovirus (CMV).
Purpose of the Study:
- To determine the prevalence of selected bacterial and viral DNA in macroscopically healthy aortic walls.
- To assess whether the detection rates of these microorganisms differ between patients with coronary artery disease and control subjects.
- To evaluate the hypothesis linking specific infections to the etiology of atherosclerosis.
Main Methods:
- Polymerase chain reaction (PCR) was employed to detect bacterial DNA (C. pneumoniae, M. pneumoniae, H. pylori) and viral DNA (HSV, CMV).
- Aortic wall specimens were collected from 40 patients with coronary artery disease (coronary group) and 20 controls undergoing aortic valve replacement (valve group).
- Pathogen detection was quantified and compared between the two patient groups.
Main Results:
- Chlamydia pneumoniae was detected in 27.5% of the coronary group and 25% of the valve group.
- Mycoplasma pneumoniae was found in 15% of the coronary group and 25% of the valve group.
- Cytomegalovirus (CMV) was detected in 55% of the coronary group and 50% of the valve group.
- Helicobacter pylori (80-85%) and HSV (67.5-85%) were the most frequently detected pathogens in both groups.
- Detection frequencies of all tested microorganisms were similar between coronary and valve groups.
Conclusions:
- The study detected C. pneumoniae, M. pneumoniae, H. pylori, CMV, and HSV in healthy aortic tissue from both patient groups.
- Similar detection rates across groups suggest these microorganisms may not play a significant role in atherosclerosis development.
- The findings do not support the hypothesis that these specific infections are primary etiological factors in atherosclerosis.
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