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Lack of association between seropositivity to Chlamydia pneumoniae and carotid atherosclerosis
Journal article   Peer reviewed

Lack of association between seropositivity to Chlamydia pneumoniae and carotid atherosclerosis

K.A. Coles, A.J. Plant, T.V. Riley, D.W. Smith, B.M. McQuillan and P.L. Thompson
The American Journal of Cardiology, Vol.84(7), pp.825-828
1999
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Abstract

Since the Chlamydia pneumoniae (C. pneumoniae)-specific antibody was shown to be associated with acute myocardial infarction and chronic coronary heart disease, the role of C. pneumoniae in the etiology of cardiovascular disease has been studied by a number of groups. We investigated the association between the C. pneumoniae-specific antibody, measured by microimmunofluorescence, risk factors for cardiovascular disease, and atherosclerosis in a randomly selected urban population. Overall, immunoglobulin-G (IgG) seroprevalence to C. pneumoniae in this sample of 1,034 subjects was 58%, whereas IgA seroprevalence was 32%. There was a decline in seropositivity with age for IgG but not IgA. Men were more likely than women to be IgG (66% vs 51%, chi-square p = 0.001) and IgA seropositive (36% vs 28%, chi-square p = 0.005). Current smokers had higher IgA seropositivity than nonsmokers (43% vs 30%). Those patients with a family history of cerebrovascular disease were more likely to have IgG antibody than those without (75% vs 57%, chi-square p= 0.007). Neither IgG nor IgA seropositivity was associated with the standard risk factors of hypertension, hyperlipidemia, or family history of ischemic heart disease, nor was seropositivity associated with carotid intima medial thickening (IMT) or atherosclerotic plaque as measured by carotid B-mode ultrasound. There was no difference between those participants who were IgG or IgA seropositive and seronegative in measurements of mean IMT, prevalence of abnormal IMT, and percentage with atherosclerotic plaque. In conclusion, although C. pneumoniae was associated with several risk factors for cardiovascular disease in a large cross-sectional population, we found no independent association between seroprevalence to C. pneumoniae and carotid atherosclerosis as measured by carotid IMT.

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Collaboration types
Domestic collaboration
Citation topics
1 Clinical & Life Sciences
1.248 Sexually Transmitted Infections
1.248.655 Chlamydia Infections
Web Of Science research areas
Cardiac & Cardiovascular Systems
ESI research areas
Clinical Medicine
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