Chlamydophila pneumonia: Specific mRNA in aorta ascendens in patients undergoing coronary artery by-pass grafting

• Published in: Scandinavian journal of infectious diseases 2006, Vol.38 (9), p.758-763
• Main Authors: Nyström-Rosander, Christina, Edvinsson, Marie, Thelin, Stefan, Hjelm, Eva, Friman, Göran
• Format: Article
• Language: English
• Subjects: Aged; Aged, 80 and over; Angina Pectoris - microbiology; Antibodies, Bacterial; Aorta - microbiology; Bacterial Outer Membrane Proteins - genetics; Biological and medical sciences; Chlamydophila Infections - microbiology; Chlamydophila pneumoniae; Chlamydophila pneumoniae - genetics; Chlamydophila pneumoniae - immunology; Chlamydophila pneumoniae - isolation & purification; Coronary Artery Bypass; Coronary Artery Disease - complications; Coronary Artery Disease - surgery; DNA, Bacterial - analysis; DNA, Bacterial - genetics; Female; Humans; Infectious diseases; Male; Medical sciences; MEDICIN; MEDICINE; Middle Aged; Polymerase Chain Reaction; Reverse Transcriptase Polymerase Chain Reaction; RNA, Bacterial - analysis; RNA, Bacterial - genetics; RNA, Messenger - analysis; RNA, Messenger - genetics; Statistics as Topic
• ISSN: 0036-5548; 1651-1980; 1651-1980
• DOI: 10.1080/00365540600617058

The objective of this prospective study was to investigate if Chlamydophila pneumoniae (Cp)-specific DNA and mRNA are present in tissue samples from the wall of aorta ascendens in patients undergoing by-pass surgery for coronary artery disease (CAD) that includes stable angina pectoris (SAP, 25 patients) and acute coronary syndrome (ACS, 19 patients). Viable Cp was detected in 8/44 (18%) patients using reversed transcriptase PCR (RT-PCR) against bacterial mRNA with detection of cDNA using real-time PCR against the MOMP gene. Cp DNA was detected by nested PCR in 22/44 (50%) patients and by real-time PCR in 13/44 (30%) patients. In total, 24/44 (55%) patients were positive for Cp nucleic acid in any PCR. Antibodies to Cp were detected in 13/24 (54%) Cp PCR-positive and in 15/20 (75%) Cp PCR-negative patients. Nested PCR was run on throat swabs from all patients. No significant differences were noted between SAP and ACS patients regarding PCR results or serology. It has been suggested that Cp may be a 'silent passenger' picked up by the atherosclerotic plaque. Our findings of viable and metabolically active bacteria in aortic tissue add further support to the hypothesis that Cp may have an active role in the pathogenesis of atherosclerosis.