Chlamydia pneumoniae seropositivity is associated with carotid artery intima-media thickness

Infection may both augment the atherosclerotic process and contribute to later manifestations of overt clinical disease. Chlamydia pneumoniae elementary bodies have been detected in atherosclerotic lesions. The aim of the present study was to investigate whether elevated titers of antibodies and cir...

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Veröffentlicht in:Stroke (1970) 2000-07, Vol.31 (7), p.1526-1531
Hauptverfasser: SCHMIDT, C, HULTHE, J, WIKSTRAND, J, GNARPE, H, GNARPE, J, AGEWALL, S, FAGERBERG, B
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container_end_page 1531
container_issue 7
container_start_page 1526
container_title Stroke (1970)
container_volume 31
creator SCHMIDT, C
HULTHE, J
WIKSTRAND, J
GNARPE, H
GNARPE, J
AGEWALL, S
FAGERBERG, B
description Infection may both augment the atherosclerotic process and contribute to later manifestations of overt clinical disease. Chlamydia pneumoniae elementary bodies have been detected in atherosclerotic lesions. The aim of the present study was to investigate whether elevated titers of antibodies and circulating immune complexes to C pneumoniae were associated with ultrasound findings indicating presence of atherosclerosis in the carotid artery. Serum titers of antibodies to C pneumoniae (IgM, IgA, IgG, and circulating immune complex) were related to intima-media thickness (IMT) and plaque status measured by B-mode ultrasound in the carotid artery in 113 men with treated hypertension and at least 1 of the following risk factors: hypercholesterolemia, smoking, or diabetes. Any of the titers was elevated in 56 (50%) men, and common carotid artery IMT was thicker in this group compared with the 57 men without any elevated titers (1.00 versus 0.92 mm, P
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Chlamydia pneumoniae elementary bodies have been detected in atherosclerotic lesions. The aim of the present study was to investigate whether elevated titers of antibodies and circulating immune complexes to C pneumoniae were associated with ultrasound findings indicating presence of atherosclerosis in the carotid artery. Serum titers of antibodies to C pneumoniae (IgM, IgA, IgG, and circulating immune complex) were related to intima-media thickness (IMT) and plaque status measured by B-mode ultrasound in the carotid artery in 113 men with treated hypertension and at least 1 of the following risk factors: hypercholesterolemia, smoking, or diabetes. Any of the titers was elevated in 56 (50%) men, and common carotid artery IMT was thicker in this group compared with the 57 men without any elevated titers (1.00 versus 0.92 mm, P&lt;0.05). There were no accompanying differences in blood pressure, lipid levels, blood glucose, or smoking. 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Chlamydia pneumoniae elementary bodies have been detected in atherosclerotic lesions. The aim of the present study was to investigate whether elevated titers of antibodies and circulating immune complexes to C pneumoniae were associated with ultrasound findings indicating presence of atherosclerosis in the carotid artery. Serum titers of antibodies to C pneumoniae (IgM, IgA, IgG, and circulating immune complex) were related to intima-media thickness (IMT) and plaque status measured by B-mode ultrasound in the carotid artery in 113 men with treated hypertension and at least 1 of the following risk factors: hypercholesterolemia, smoking, or diabetes. Any of the titers was elevated in 56 (50%) men, and common carotid artery IMT was thicker in this group compared with the 57 men without any elevated titers (1.00 versus 0.92 mm, P&lt;0.05). There were no accompanying differences in blood pressure, lipid levels, blood glucose, or smoking. Elevation of separate antibody types and circulation immune complex were also associated with increased IMT. In the latter group, systolic blood pressure was higher among seropositive patients compared with those who had no circulating immune complex. Seropositivity was not related to plaque status. Seropositivity for C pneumoniae was associated with an increased intima-media thickness in the common carotid artery but not plaque status in hypertensive men at high risk for cardiovascular disease.</abstract><cop>Hagerstown, MD</cop><pub>Lippincott Williams &amp; Wilkins</pub><pmid>10884448</pmid><doi>10.1161/01.STR.31.7.1526</doi><tpages>6</tpages><oa>free_for_read</oa></addata></record>
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source MEDLINE; American Heart Association Journals; Elektronische Zeitschriftenbibliothek - Frei zugängliche E-Journals; Journals@Ovid Complete; Alma/SFX Local Collection
subjects Aged
Antibodies, Bacterial - blood
Antigen-Antibody Complex - blood
Atherosclerosis (general aspects, experimental research)
Biological and medical sciences
Blood and lymphatic vessels
Cardiology. Vascular system
carotid arteries chlamydia
Carotid Artery Diseases - epidemiology
Carotid Artery Diseases - microbiology
Carotid Artery Diseases - pathology
Carotid Artery, Common - microbiology
Carotid Artery, Common - pathology
Chlamydia Infections - epidemiology
Chlamydia Infections - immunology
Chlamydia Infections - pathology
Chlamydophila pneumoniae
Fysiologi
Humans
Immunoglobulin A - blood
Immunoglobulin G - blood
Immunoglobulin M - blood
Male
Medical sciences
MEDICIN
MEDICINE
Middle Aged
Physiology
Random Allocation
Risk Factors
Seroepidemiologic Studies
Tunica Intima - microbiology
Tunica Intima - pathology
title Chlamydia pneumoniae seropositivity is associated with carotid artery intima-media thickness
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