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Published on: February 4, 2021
Cell-mediated immune response associated with Chlamydia pneumoniae infection in atherosclerotic patients
Loubna El Yazouli1, Fouad Seghrouchni2, Hicham Hejaji3
1Institut Pasteur du Maroc, Chlamydiae and Mycoplasmas Laboratory, Casablanca, 20360, Morocco; Laboratory of Human Pathologies Biology, Genomic Center of Human Pathologies, Faculty of Sciences, Mohammed V University of Rabat, Morocco.
Insights
Chlamydia pneumoniae infection increases CD4, CD8, and CD14 expression in atherosclerosis patients and healthy individuals. This suggests C. pneumoniae may drive immune responses contributing to atherosclerosis development.
Area of Science:
- Immunology
- Infectious Diseases
- Cardiovascular Research
Background:
- Chlamydia pneumoniae is an intracellular bacterium linked to atherosclerosis.
- It activates cell-mediated immune responses, suggesting a role in cardiovascular disease pathogenesis.
Purpose of the Study:
- To investigate the cell-mediated immune response to C. pneumoniae in atherosclerosis patients.
- To evaluate the expression of CD14, CD8, and CD4 in response to C. pneumoniae infection.
Main Methods:
- Analyzed 27 atherosclerosis patients and 32 controls.
- Detected C. pneumoniae DNA in peripheral blood mononuclear cells (PBMCs) using nested PCR.
- Measured CD4, CD8, and CD14 expression via flow cytometry.
Main Results:
- Increased mean fluorescence intensity (MFI) of CD4, CD8, and CD14 was observed in C. pneumoniae DNA-positive subjects (patients and controls).
- Statistically significant differences (p < 0.05) were found in marker expression between C. pneumoniae DNA-positive and negative groups.
- C. pneumoniae DNA-positive atherosclerosis patients showed significantly higher CD4, CD8, and CD14 expression compared to C. pneumoniae DNA-positive healthy controls.
Conclusions:
- C. pneumoniae infection significantly alters cell-mediated immune responses.
- Elevated CD4, CD8, and CD14 expression suggests a role for C. pneumoniae in atherosclerosis-related inflammation and thrombosis.
- Further research is warranted to understand C. pneumoniae's impact on immune mechanisms in atherosclerosis.
Background:
Chlamydia pneumoniae is an obligate intracellular bacterium that activates cell mediated immune responses; several investigations have demonstrated its strong implication in atherosclerosis.
Objectives:
The main objective of our study was to explore the cell-mediated immune response to C. pneumoniae infection in patients with atherosclerosis by evaluating CD14, CD8 and CD4 expression.
Methods:
This investigation involved a total of 27 patients with atherosclerosis and 32 controls, among patients recruited to evaluate the association of C. pneumoniae with atherosclerosis. C. pneumoniae DNA was detected in PBMCs by nested PCR as described in our previous studies. CD4, CD8 and CD14 expression was measured by flow cytometry and data analysis was performed using FlowJo software.
Results:
The results revealed an increase in MFI expression of CD4, CD8 and CD14 in Cpn DNA+ subjects among both patients and healthy subject controls (CD4 Cpn DNA+ = 829.11 vs. CD4 Cpn DNA- = 571.14; CD8 Cpn DNA+ = 1562 vs. CD8 Cpn DNA- = 699; CD14 Cpn DNA+ = 1513.83 vs. CD14 Cpn DNA- = 1170.70), with a statistically significant difference (p < 0.05). Furthermore, the comparison of CD4, CD8 and CD14 expression between Cpn DNA+ patients and Cpn DNA+ healthy subject controls showed a statistically significant increase in expression in the former group (p < 0.05).
Conclusion:
These data provide incentive to further explore the role of C. pneumoniae in stimulating and changing mechanisms of the cell-mediated immune response induced by C. pneumoniae antigens. This may alter immune cell-mediated responses via increased expression of CD4, CD8 and CD14 during inflammation and the development of thrombosis, leading to fatal atherosclerosis.
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