Does infection with Chlamydia pneumoniae and/or Helicobacter pylori increase the expression of endothelial cell adhesion molecules in humans?

Autor: A. Schumacher, A. B. Lerkerød, J. E. Otterstad, Ingebjørg Seljeflot, Harald Arnesen, L. Sommervoll
Rok vydání: 2002
Předmět:
Male
Immunoglobulin A
Lipopolysaccharide
Arteriosclerosis
Coronary Disease
Serology
chemistry.chemical_compound
Chlamydia pneumoniae
Chlamydophila Infections
Chlamydia
biology
E-selectin
General Medicine
Chlamydophila pneumoniae
Intercellular Adhesion Molecule-1
intercellular cell adhesion molecule
Antibodies
Bacterial

Infectious Diseases
Evaluation Studies as Topic
Female
Antibody
Cardiology and Cardiovascular Medicine
Adult
Microbiology (medical)
Vascular Cell Adhesion Molecule-1
Chlamydia antibodies
Helicobacter Infections
Microbiology
Internal Medicine
medicine
Humans
coronary heart disease
Cell adhesion
Aged
Helicobacter pylori
business.industry
medicine.disease
biology.organism_classification
chemistry
inflammation
Immunoglobulin G
Immunology
biology.protein
vascular cell adhesion molecule
business
Cell Adhesion Molecules
Biomarkers
Zdroj: Clinical Microbiology and Infection. 8:654-661
ISSN: 1198-743X
DOI: 10.1046/j.1469-0691.2002.00439.x
Popis: Objective To investigate if Chlamydia pneumoniae and/or Helicobacter pylori seropositivity is associated with elevated levels of soluble endothelial cell adhesion molecules (sCAMs) as markers of atherosclerotic activity. Methods Immunoglobulin A (IgA) and IgG antibodies to the two bacteria, soluble intercellular cell adhesion molecule-1 (sICAM-1), soluble vascular cell adhesion molecule-1 (sVCAM-1) and E-selectin were measured in coronary heart disease (CHD) patients ( n = 193) and age- and sex-matched controls ( n = 193). Two different serological methods were used for the detection of Chlamydia antibodies: Labsystems microimmunofluorescence to detect species-specific C. pneumoniae antibodies and Medac's recombinant enzyme-linked immunosorbent assay to detect genus-specific lipopolysaccharide antibodies. Results The concentrations of sICAM-1 and E-selectin were higher in CHD patients with positive vs. negative Chlamydia lipopolysaccharide IgA ( P = 0.044 for both). H. pylori antibodies alone did not predict raised levels of sCAMs, but in CHD patients sICAM-1 was increased with IgA seropositivity to both bacteria compared to double seronegativity ( P = 0.034). Concentrations of sVCAM-1 were elevated in CHD patients with double IgA seropositivity compared to those with Chlamydia lipopolysaccharide IgA seropositivity alone ( P = 0.018). Conclusion Our results may indicate that C. pneumoniae contributes to increased inflammation in CHD, and that this contribution is even more pronounced when present in combination with H. pylori IgA antibodies.
Databáze: OpenAIRE