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A Human Ex Vivo Atherosclerotic Plaque Model to Study Lesion Biology
Published on: May 6, 2014
Positive Expression of Human Cytomegalovirus Phosphoprotein 65 in Atherosclerosis
Zhe Wang1, Jun Cai1, Mingming Zhang1
1Department of Cardiology, Beijing Chaoyang Hospital, Capital Medical University, Beijing 100020, China.
Abstract:
Previous studies showed that human cytomegalovirus (HCMV) is associated with atherosclerosis. However, local vascular atherosclerosis related HCMV infection and protein expression remain unclear. This study aimed to assess the relationship between HCMV infection and atherosclerosis. Formalin-fixed, paraffin-embedded peripheral artery specimens were obtained from 15 patients with atherosclerosis undergoing vascular surgery from 2008 to 2010 at Zhongnan Hospital, Wuhan University. Pathological analyses were carried out after hematoxylin and eosin (H&E) and Masson trichrome staining. In situ hybridization and immunohistochemistry with two different monoclonal antibodies were employed to detect HCMV nucleic acids and proteins, respectively. H&E and Masson trichrome staining showed homogeneous extracellular matrix in femoral artery, while smooth muscle fibers were interlaced with collagen fibers; in carotid artery, inflammatory cell infiltration, foam cell vascular change, cholesterol crystals, and layered collagen fibers were observed. In situ hybridization showed no expression of HCMV nucleic acids in all 15 cases. Immunohistochemical staining for protein immediate-early protein (IE1 72) was negative in all cases, while phosphoprotein 65 (pp65) expression was detected in 14 cases. A high rate of positive pp65 signals was found in patients with atherosclerosis, suggesting that local HCMV infection may be associated with the pathogenesis of atherosclerosis. Further studies on this relationship are warranted.
Insights
Human cytomegalovirus (HCMV) infection, indicated by pp65 protein, is linked to atherosclerosis. While viral DNA wasn't found, pp65 presence suggests HCMV may play a role in artery disease development.
Area of Science:
- Vascular Biology
- Virology
- Pathology
Background:
- Human cytomegalovirus (HCMV) has been previously associated with atherosclerosis.
- The precise role of local HCMV infection and its protein expression in vascular atherosclerosis remains incompletely understood.
Purpose of the Study:
- To investigate the association between HCMV infection and the pathogenesis of atherosclerosis.
- To detect HCMV nucleic acids and proteins in atherosclerotic peripheral artery specimens.
Main Methods:
- Analysis of formalin-fixed, paraffin-embedded peripheral artery specimens from 15 atherosclerosis patients.
- Pathological examination using H&E and Masson trichrome staining.
- Detection of HCMV via in situ hybridization and immunohistochemistry for IE1 72 and pp65 proteins.
Main Results:
- Histopathology revealed characteristic features of atherosclerosis in carotid arteries.
- In situ hybridization detected no HCMV nucleic acid expression in any samples.
- Immunohistochemistry showed negative IE1 72 protein expression but positive pp65 protein detection in 14 out of 15 cases.
Conclusions:
- The high prevalence of pp65 protein in atherosclerotic arteries suggests a potential role for local HCMV infection in atherosclerosis.
- Further research is necessary to elucidate the specific mechanisms linking HCMV to the development of atherosclerosis.
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