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The acute phase reactant response to respiratory infection with Chlamydia pneumoniae: implications for the
Lee Ann Campbell1, Kambiz Yaraei, Brian Van Lenten
1Department of Epidemiology, School of Public Health, University of Washington, Seattle, WA 98195, USA.
Abstract:
The acute phase response to Chlamydia pneumoniae infection was analyzed over a 72 h period post-infection in C57BL/6J mice. A single intra-nasal inoculation stimulated statistically significant increases in the plasma levels of IL-2, IL-5, IL-6, IL-10, IL-12, GM-CSF, IFN-gamma, and serum amyloid A but not TNF-alpha, IL-1beta, IL-4 and serum amyloid P. There was also a decrease in the activity of the HDL protective enzyme paraoxonase as well as a reduced ability of HDL to prevent oxidation of palmitoyl-2-arachidonyl-sn-glycerol-3-phosphocholine by hydroperoxyoctadecadienoic acid at 48 and 72 h post-infection. To determine whether the C. pneumoniae induced acute phase response had any effect on atherosclerotic plaque stability, we measured the frequency of intra-plaque hemorrhage as a marker of plaque disruption in the innominate arteries of apolipoprotein E deficient mice at 29-30 weeks and 1.5-2.0 years of age. There was an increased frequency of intra-plaque hemorrhage only in the older mice infected with the live organism (8/14) as compared to mice treated with killed C. pneumoniae (2/11) or sham inoculated with PBS (2/12). These results suggest that acute phase reactant proteins produced in response to pulmonary infection with C. pneumoniae may contribute to the progression and destabilization of atherosclerotic lesions.
Insights
Chlamydia pneumoniae infection triggers an acute phase response in mice, increasing inflammatory proteins and decreasing HDL
Area of Science:
- Infectious Diseases
- Immunology
- Cardiovascular Research
Background:
- Chlamydia pneumoniae is a pathogen linked to cardiovascular disease.
- The acute phase response involves systemic changes in host physiology during infection.
- Atherosclerotic plaque stability is crucial in cardiovascular event pathogenesis.
Purpose of the Study:
- To investigate the acute phase response to Chlamydia pneumoniae infection in mice.
- To assess the impact of this response on atherosclerotic plaque stability.
Main Methods:
- Mice were infected intranasally with Chlamydia pneumoniae.
- Plasma cytokine and acute phase protein levels were measured.
- Paraoxonase activity and HDL's oxidative protection were assessed.
- Intra-plaque hemorrhage frequency was analyzed in apolipoprotein E-deficient mice.
Main Results:
- Infection increased plasma levels of IL-2, IL-5, IL-6, IL-10, IL-12, GM-CSF, IFN-gamma, and serum amyloid A.
- Paraoxonase activity and HDL's protective function decreased post-infection.
- Older infected mice showed increased intra-plaque hemorrhage compared to controls.
Conclusions:
- Chlamydia pneumoniae infection elicits a significant acute phase response.
- This response, characterized by specific inflammatory markers and reduced HDL function, may promote atherosclerotic lesion destabilization.
- Acute phase proteins contribute to plaque progression and hemorrhage risk.
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