Antibody levels to persistent pathogens and incident stroke in Mexican Americans

Shawnita Sealy-Jefferson1, Brenda W Gillespie, Allison E Aiello

  • 1Department of Family Medicine and Public Health Sciences, Wayne State University School of Medicine, Detroit, Michigan, United States of America. ssealyj@med.wayne.edu

Plos One
|June 27, 2013
PubMed
Abstract

Insights

Helicobacter pylori (H. pylori) infection is linked to increased stroke risk in Mexican Americans. This finding may explain higher stroke rates in this ethnic group due to H. pylori prevalence.

Area of Science:

  • Epidemiology
  • Infectious Disease
  • Neurology

Background:

  • Persistent pathogens are potential stroke risk factors, but evidence is inconclusive.
  • Mexican Americans face higher stroke risk, particularly at younger ages, and have increased prevalence of certain persistent infections.

Purpose of the Study:

  • To investigate the association between persistent pathogens and stroke risk in Mexican Americans.
  • To determine if specific pathogen exposures, including Helicobacter pylori (H. pylori), predict incident stroke.

Main Methods:

  • Utilized discrete-time regression analysis on data from the Sacramento Area Latino Study on Aging (n=1621).
  • Examined immunoglobulin G antibody levels to H. pylori, Cytomegalovirus, Varicella Zoster Virus, Toxoplasma gondii, and Herpes simplex virus 1.
  • Assessed pathogen burden based on summed sero-positivity, number of high antibody-level pathogens, and average antibody level, adjusting for socio-demographics and stroke risk factors.

Main Results:

  • Elevated antibody levels to H. pylori were significantly associated with increased incident stroke risk (OR: 1.58; 95% CI: 1.09, 2.28).
  • No significant associations were found between stroke risk and antibody levels to Cytomegalovirus, Varicella Zoster Virus, Toxoplasma gondii, or Herpes simplex virus 1.
  • Pathogen burden, by any measure, did not show a significant association with incident stroke risk.

Conclusions:

  • Exposure to H. pylori may represent a stroke risk factor in the Mexican American population.
  • This association could contribute to observed ethnic disparities in stroke risk.
  • Further research is necessary to validate the link between H. pylori and stroke.