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Published on: October 12, 2018
Human T Lymphotropic Virus Type I (HTLV-I) is a Risk Factor for Coronary Artery Disease
Reza Farid Hosseni1, Farahzad Jabbari2, Mahmoud Shabestari3
1Allergy Research Centre.
Insights
Human T-lymphotropic virus type I (HTLV-I) infection is associated with a higher prevalence of coronary artery disease (CAD) in Neyshabour. This finding suggests HTLV-I may be a significant risk factor for heart complications in this endemic region.
Area of Science:
- Cardiology
- Infectious Diseases
- Epidemiology
Background:
- Limited research exists on the association between Human T-lymphotropic virus type I (HTLV-I) infection and coronary artery disease (CAD).
- HTLV-I has been identified in cardiac tissues, particularly in cases of lymphoma/leukemia.
- Mashhad and Neyshabour, Iran, are recognized endemic areas for HTLV-I.
Purpose of the Study:
- To investigate the impact of HTLV-I infection on the prevalence of CAD among patients in Neyshabour, Iran.
- To determine the seroprevalence of HTLV-I in a population with diagnosed coronary artery disease.
Main Methods:
- A cohort of 7590 patients admitted to Razavi and Imam Reza Hospitals between 2007-2008 was studied.
- HTLV-I seroprevalence was assessed using Enzyme-Linked Immunosorbent Assay (ELISA) and confirmed by Polymerase Chain Reaction (PCR).
- Statistical analyses were conducted using SPSS software.
Main Results:
- Among 564 residents of Neyshabour, the HTLV-I seroprevalence was 13%.
- Of 294 patients with abnormal angiography (CAD), 14.6% were HTLV-I seropositive.
- The PCR-confirmed HTLV-I infection rate in patients with CAD was 10.54%, nearly three times higher than the general population's rate (3.4%).
Conclusions:
- The seroprevalence of HTLV-I is significantly elevated in Neyshabour patients with heart complications compared to the general population.
- HTLV-I infection is associated with an increased risk of coronary artery disease in this Iranian population.
- Additional co-factors may contribute to the development of heart complications in Neyshabour, alongside HTLV-I infection.
Objective(S):
Few studies have shown the association between HTLV-I infection and coronary artery disease (CAD). HTLV-I has been detected in heart autopsies, particularly in lymphoma\leukemia cases. Mashhad and Neyshabour (Razavi Khorasan Province, Iran) are endemic regions for HTLV-I. Therefore, the present study was carried out to evaluate the impact of HTLV-I on CAD in Neyshabourian patients.
Materials And Methods:
7590 patients admitted to Razavi and Imam Reza Hospitals (2007-2008) were included in this study. The seroprevalance of HTLV-I infection was determined by the ELISA method and confirmed with the PCR method. Statistical analyses were performed using the SPSS software.
Results:
Out of the 7590 studied subjects, 564 patients were born and had resided in Neyshabour. The HTLV-I sero-prevalence among these subjects was 13% (n=73). 294 subjects had an abnormal angiography (CAD) and among them 43 (14.6%) were sero-positive for HTLV-I. In the remaining 227 subjects who had a normal angiography, 30 cases were HTLV-I seropositve. The PCR test was performed on 35 cases in order to confirm the presence of infection, which was positive in 31. Regarding the initial population of 294, the rate of PCR-confirmed infection was 10.54%. Conclusion : This sero-prevalence of HTLV-I in subjects with heart complications in Neyshabour was nearly 3 times more than the general population of this city (10.5 % vs 3.4%). However, the results of this study show that in addition to HTLV-I infection, there might be other co-factors leading to the development of heart complications in Neyshabour.
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