Abdominal aortic aneurysm and virus infection: A potential causative role for cytomegalovirus infection?

An abdominal aortic aneurysm (AAA) is a multifactorial disease with a variety of genetic and environmental risk factors, but the exact mechanism of AAA formation and progression is still not well understood. The present study investigated the frequency of cytomegalovirus (CMV), Epstein‐Barr virus (E...

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Veröffentlicht in:Journal of medical virology 2021-08, Vol.93 (8), p.5017-5024
Hauptverfasser: Jabłońska, Agnieszka, Zagrapan, Branislav, Paradowska, Edyta, Neumayer, Christoph, Eilenberg, Wolf, Brostjan, Christine, Klinger, Markus, Nanobachvili, Josif, Huk, Ihor
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container_issue 8
container_start_page 5017
container_title Journal of medical virology
container_volume 93
creator Jabłońska, Agnieszka
Zagrapan, Branislav
Paradowska, Edyta
Neumayer, Christoph
Eilenberg, Wolf
Brostjan, Christine
Klinger, Markus
Nanobachvili, Josif
Huk, Ihor
description An abdominal aortic aneurysm (AAA) is a multifactorial disease with a variety of genetic and environmental risk factors, but the exact mechanism of AAA formation and progression is still not well understood. The present study investigated the frequency of cytomegalovirus (CMV), Epstein‐Barr virus (EBV), and papillomavirus types 6 and 11 (HPV6 and HPV11), their impact on clinical manifestations of cardiovascular diseases, and their possible association with inflammation in patients with AAA and healthy volunteers. Genotyping of CMV UL75, EBV LMP‐1, and HPV6, and HPV11 E6 was performed by polymerase chain reaction (PCR), while the viral DNA loads were measured by quantitative real‐time PCR. Cytokine levels were determined by enzyme‐linked immunosorbent assays. The CMV UL75 was detected more frequently in the blood of patients with AAA than in the blood of healthy volunteers (32.7% vs. 6.3%, p 
doi_str_mv 10.1002/jmv.26901
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The present study investigated the frequency of cytomegalovirus (CMV), Epstein‐Barr virus (EBV), and papillomavirus types 6 and 11 (HPV6 and HPV11), their impact on clinical manifestations of cardiovascular diseases, and their possible association with inflammation in patients with AAA and healthy volunteers. Genotyping of CMV UL75, EBV LMP‐1, and HPV6, and HPV11 E6 was performed by polymerase chain reaction (PCR), while the viral DNA loads were measured by quantitative real‐time PCR. Cytokine levels were determined by enzyme‐linked immunosorbent assays. The CMV UL75 was detected more frequently in the blood of patients with AAA than in the blood of healthy volunteers (32.7% vs. 6.3%, p &lt; .0001). Neither EBV LMP‐1 nor HPV6 E6 was found in blood and aortic wall biopsies, while the HPV11 E6 was detected in 36.4% of AAA walls. The CMV infection in patients with AAA was associated with an increased risk of hypertension and coronary artery disease (OR, 9.057; 95% CI, 1.141–71.862; p = .037; and OR, 2.575; 95% CI, 1.002–6.615; p = .049, respectively). Additionally, CMV‐infected patients with AAA had higher tumor necrosis factor‐α levels compared with noninfected subjects (p = .017). Our findings suggest that CMV infection can stimulate local inflammation in the aorta but is not a direct cause of most abdominal aortic aneurysms.</description><identifier>ISSN: 0146-6615</identifier><identifier>EISSN: 1096-9071</identifier><identifier>DOI: 10.1002/jmv.26901</identifier><identifier>PMID: 33629381</identifier><language>eng</language><publisher>United States: Wiley Subscription Services, Inc</publisher><subject>Abdomen ; abdominal aortic aneurysm ; Aneurysms ; Aorta ; Aortic aneurysms ; Blood ; Cardiovascular disease ; Cardiovascular diseases ; Coronary artery ; Coronary artery disease ; Cytokines ; Cytomegalovirus ; Deoxyribonucleic acid ; DNA ; Environmental risk ; Epstein-Barr virus ; Genotyping ; Heart diseases ; human papillomavirus ; Hypertension ; Immunoassays ; Infections ; Inflammation ; Papilloma viruses ; Polymerase chain reaction ; Risk analysis ; Risk factors ; Virology</subject><ispartof>Journal of medical virology, 2021-08, Vol.93 (8), p.5017-5024</ispartof><rights>2021 Wiley Periodicals LLC</rights><rights>2021 Wiley Periodicals LLC.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c3531-3749b12439eda8e477f4ef0dd95f3097dab1aed447d917e7cb335b7971f5ee5b3</citedby><cites>FETCH-LOGICAL-c3531-3749b12439eda8e477f4ef0dd95f3097dab1aed447d917e7cb335b7971f5ee5b3</cites><orcidid>0000-0002-6688-043X ; 0000-0001-8381-1543 ; 0000-0001-9446-0136 ; 0000-0002-1964-0580 ; 0000-0003-1407-4185 ; 0000-0003-1462-5397 ; 0000-0002-9322-6193</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://onlinelibrary.wiley.com/doi/pdf/10.1002%2Fjmv.26901$$EPDF$$P50$$Gwiley$$H</linktopdf><linktohtml>$$Uhttps://onlinelibrary.wiley.com/doi/full/10.1002%2Fjmv.26901$$EHTML$$P50$$Gwiley$$H</linktohtml><link.rule.ids>314,780,784,1416,27922,27923,45572,45573</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/33629381$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Jabłońska, Agnieszka</creatorcontrib><creatorcontrib>Zagrapan, Branislav</creatorcontrib><creatorcontrib>Paradowska, Edyta</creatorcontrib><creatorcontrib>Neumayer, Christoph</creatorcontrib><creatorcontrib>Eilenberg, Wolf</creatorcontrib><creatorcontrib>Brostjan, Christine</creatorcontrib><creatorcontrib>Klinger, Markus</creatorcontrib><creatorcontrib>Nanobachvili, Josif</creatorcontrib><creatorcontrib>Huk, Ihor</creatorcontrib><title>Abdominal aortic aneurysm and virus infection: A potential causative role for cytomegalovirus infection?</title><title>Journal of medical virology</title><addtitle>J Med Virol</addtitle><description>An abdominal aortic aneurysm (AAA) is a multifactorial disease with a variety of genetic and environmental risk factors, but the exact mechanism of AAA formation and progression is still not well understood. 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The present study investigated the frequency of cytomegalovirus (CMV), Epstein‐Barr virus (EBV), and papillomavirus types 6 and 11 (HPV6 and HPV11), their impact on clinical manifestations of cardiovascular diseases, and their possible association with inflammation in patients with AAA and healthy volunteers. Genotyping of CMV UL75, EBV LMP‐1, and HPV6, and HPV11 E6 was performed by polymerase chain reaction (PCR), while the viral DNA loads were measured by quantitative real‐time PCR. Cytokine levels were determined by enzyme‐linked immunosorbent assays. The CMV UL75 was detected more frequently in the blood of patients with AAA than in the blood of healthy volunteers (32.7% vs. 6.3%, p &lt; .0001). Neither EBV LMP‐1 nor HPV6 E6 was found in blood and aortic wall biopsies, while the HPV11 E6 was detected in 36.4% of AAA walls. The CMV infection in patients with AAA was associated with an increased risk of hypertension and coronary artery disease (OR, 9.057; 95% CI, 1.141–71.862; p = .037; and OR, 2.575; 95% CI, 1.002–6.615; p = .049, respectively). Additionally, CMV‐infected patients with AAA had higher tumor necrosis factor‐α levels compared with noninfected subjects (p = .017). 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subjects Abdomen
abdominal aortic aneurysm
Aneurysms
Aorta
Aortic aneurysms
Blood
Cardiovascular disease
Cardiovascular diseases
Coronary artery
Coronary artery disease
Cytokines
Cytomegalovirus
Deoxyribonucleic acid
DNA
Environmental risk
Epstein-Barr virus
Genotyping
Heart diseases
human papillomavirus
Hypertension
Immunoassays
Infections
Inflammation
Papilloma viruses
Polymerase chain reaction
Risk analysis
Risk factors
Virology
title Abdominal aortic aneurysm and virus infection: A potential causative role for cytomegalovirus infection?
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