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Chlamydia pneumoniae in atherosclerosis

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Chlamydia pneumoniae and Chronic Diseases
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Abstract

The previously proposed risk factors cannot explain the prevalence of coronary heart disease (CHD) and the most effective drugs against CHD, statins, do not prevent 70–80 % of the cases. New means to cure the leading cause of death all over the world are needed. The inflammatory nature of atherosclerosis underlying coronary heart disease is well established, and oxidized or enzymatically modified LDL have been the prime candidates as causes of this inflammation [1,2]. Recently, however, common viruses of the herpes virus group, dental infections, H. pylori infections and, first of all, infections caused by a common, obligatory intracellular, respiratory bacterial pathogen, C. pneumoniae, have been suggested to associate with CHD. Over the last years, several reviews [3–13] and numerous editorials on the subject appeared and seroepidemiological and histopathological findings were supported with results of animal experiments and preliminary intervention trials. In this review, principally the most recent findings are discussed; for earlier references, the reader is referred to the review by Mattila and others [9].

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References

  1. Ross R. (1993) The pathogenesis of atherosclerosis: a perspective of the 1990s. Nature 362: 801–809

    Article  PubMed  CAS  Google Scholar 

  2. Bhakdi S, Dorweiler B, Kirchmann R. (1995) On the pathogenesis of atherosclerosis enzymatic transformation of human low-density lipoprotein to an atherogenic moiety. J Exp Med 182: 1959–1971

    Article  PubMed  CAS  Google Scholar 

  3. Danesh J, Collins R, Peto R. (1997) Chronic infections and coronary heart disease: is there a link? Lancet 350: 430–436

    Article  PubMed  CAS  Google Scholar 

  4. Ellis RW. (1997) Infection and coronary heart disease. J Med Microbiol 46: 535–539

    Article  PubMed  CAS  Google Scholar 

  5. Gupta S, Camm AJ. (1997) Chronic infection in the etiology of atherosclerosis-the case for Chlamydia pneumoniae. Clin Cardiol 20: 829–836

    Article  PubMed  CAS  Google Scholar 

  6. Libby P, Egan D, Skarlatos S. (1997) Roles of infectious agents in atherosclerosis and restenosis. An assessment of the evidence and need for future research. Circulation 96: 4095–4103

    Article  PubMed  CAS  Google Scholar 

  7. Saikku P. (1997) Chlamydia pneumoniae and atherosclerosis-an update. Scand J Infect Dis Suppl 104: 53–56

    PubMed  CAS  Google Scholar 

  8. Coles KA, Plant AJ, Riley TV, Smith DW. (1998) Cardiovascular disease-an infectious aetiology. Rev Med Microbiol 9: 17–27

    Article  Google Scholar 

  9. Mattila KJ, Valtonen VV, Nieminen MS, Asikainen S. (1998) Role of infection as a risk factor for atherosclerosis, myocardial infarction, and stroke. Clin Infect Dis 26: 719–734

    Article  PubMed  CAS  Google Scholar 

  10. Mehta JL, Saldeen TGP, Rand K. (1998) Interactive role of infection, inflammation and traditional risk factors in atherosclerosis and coronary artery disease. J Am Coll Cardiol 31: 1217–1225

    Article  PubMed  CAS  Google Scholar 

  11. Muldowney JAS III. (1998) Chlamydia pneumoniae: A treatable cause of atherosclerosis? Antimicr Infect Dis Newsletter 16: 1–4

    Article  Google Scholar 

  12. Pai J, Knoop FC, Hunter WJ, Agrawal DK. (1998) C. pneumoniae and occlusive vascular disease-identification and characterization. J Pharmacol Toxicol Methods 39: 51–61

    Article  PubMed  CAS  Google Scholar 

  13. Gupta S. (1999) Chronic infection in the aetiology of atherosclerosis-focus on Chlamydia pneumoniae. Atherosclerosis 143: 1–6

    Article  PubMed  CAS  Google Scholar 

  14. Meier CR, Jick SS, Derby LE, Vasilakis C, Jick H. (1998) Acute respiratory-tract infections and risk of first-time acute myocardial infarction. Lancet 351: 1467–1471

    Article  PubMed  CAS  Google Scholar 

  15. Mattila KJ. (1989) Viral and bacterial infections in acute myocardial infarction. J Intern Med 225: 293–296

    Article  PubMed  CAS  Google Scholar 

  16. Blasi F, Cosentini R, Raccanelli R, Massari FM, Arosio C, Tarsia P, Allegra L. (1997) A possible association of Chlamydia pneumoniae infection and acute myocardial infarction in patients younger than 65 years of age. Chest 112: 309–312

    Article  PubMed  CAS  Google Scholar 

  17. Saikku P, Leinonen M, Mattila K, Ekman MR, Nieminen MS, Mäkelä PH, Huttunen J, Valtonen V. (1988) Serologic evidence of an association of a novel Chlamydia, TWAR, with chronic coronary heart disease and acute myocardial infarction. Lancet ii: 983–985

    Article  Google Scholar 

  18. Leinonen M, Linnanmäki E, Mattila K, Nieminen MS, Valtonen V, Leirisalo-Repo M, Saikku P. (1990) Circulating immune complexes containing Chlamydiallipopolysaccharide in acute myocardial infarction. Mierob Pathog 9: 67–73

    Article  CAS  Google Scholar 

  19. Thom DH, Wang SP, Grayston JT, Siscoviek DS, Stewart DK, Kronmal RA, Weiss NS. (1991) Chlamydia pneumoniae strain TWAR antibody and angiographieally demonstrated coronary artery disease. Arterioscler Thromb 11: 547–551

    Article  PubMed  CAS  Google Scholar 

  20. Thom DH, Grayston JT, Siscoviek DS, Wang SP, Weiss NS, Daling JR. (1992) Association of prior infection with Chlamydia pneumoniae and angiographically demonstrated coronary artery disease. JAMA 268: 68–72

    Article  PubMed  CAS  Google Scholar 

  21. Melniek SL, Shahar E, Folsom AR, Grayston JT, Sorlie PD, Wang SP, Szklo M. (1993) Past infection by Chlamydia pneumoniae strain TWAR and asymptomatie carotid atherosclerosis. Am J Med 95: 499–504

    Article  Google Scholar 

  22. Linnanmäki E, Leinonen M, Mattila K, Ekman MR, Nieminen MS, Valtonen V, Saikku P. (1993) Presence of Chlamydia pneumoniae specific antibodies in circulating immune complexes in coronary heart disease. Circulation 87: 1130–1134

    Article  PubMed  Google Scholar 

  23. Mendall MA, Carrington D, Strachan D, Patel P, Molineaux N, Levi J, Toosey T, Camm Al, Northfield TC. (1995) Chlamydia pneumoniae: Risk factors for seropositivity and association with COronary heart disease. J Infect 30: 121–128

    Article  PubMed  CAS  Google Scholar 

  24. Miettinen H, Lehto S, Saikku P, Haffner SM, Rönnemaa T, Pyörälä K, Laakso M. (1996) Association of Chlamydia pneumoniae and acute coronary heart disease events in non-insulin-dependent diabetic and non-diabetic subjects in Finland. Eur Heart J 17: 682–688

    Article  PubMed  CAS  Google Scholar 

  25. Ossewaarde JM, Feskens EJM, De Vries A, Vallinga CE, Kromhout D. (1998) Chlamydia pneumoniae is a risk factor for coronary heart disease in symptom-free elderly men, but Helicobacter pylori and cytomegalovirus are not. Epidemiol Infect 120: 93–99

    Article  PubMed  CAS  Google Scholar 

  26. Diedriehs H, Schneider CA, Scharkus S, Pfister H, Erdmann E. (1997) Prevalence of chlamydial antibodies in patients with CHD [In German]. Herz Kreisl 29: 304–307

    Google Scholar 

  27. Lindberg G, Rastam L, Lundblad A, Sorlie PD, Folsom AR, ARIC Study Investigators. (1997) The association between serum sialic acid and asymptomatic carotid atherosclerosis is not related to antibodies to Herpes type viruses or Chlamydia pneumoniae. Int J Epidemiol 26: 1386–1391

    Google Scholar 

  28. Maass M, Gieffers J. (1997) Cardiovascular disease risk from prior Chlamydia pneumoniae infection can be related to certain antigens recognized in the immunoblot profile. J Infect 35: 171–176

    Article  PubMed  CAS  Google Scholar 

  29. Thomas GN, Scheel O, Koehler AP, Bassett DCJ, Cheng AFB. (1997) Respiratory chlamydial infections in a Hong Kong teaching hospital and association with coronary heart disease. Scand J Infect Dis Suppl 104: 30–33

    PubMed  CAS  Google Scholar 

  30. Cook PJ, Honeybourne D, Lip GYH, Beevers DG, Wise R, Davies P. (1998) Chlamydia pneumoniae antibody titers are significantly associated with acute stroke and transient cerebral ischemia-the West Birmingham stroke project. Stroke 29: 404–410

    Article  PubMed  CAS  Google Scholar 

  31. Mazzoli S, Tofani N, Fantini A, Semplici F, Bandini F, Salvi A, Vergassola R. (1998) Chlamydia pneumoniae antibody response in patients with acute myocardial infarction and their follow-up. Am Heart J 135: 15–20

    Article  PubMed  CAS  Google Scholar 

  32. Strachan DP, Carrington D, Mendall MA, Ballam L, Morris J, Butland BK, Sweetnam PM, Elwood PC. (1999) Relation of Chlamydia pneumoniae serology to mortality and incidence of ischaemic heart disease over 13 years in the Caerphilly prospective heart disease study. Br Med J 318: 1035–1039

    Article  CAS  Google Scholar 

  33. Fagerberg B, Gnarpe J, Gnarpe H, Agewall S, Wikstrand J. (1999) Chlamydia pneumoniae but not cytomegalovirus antibodies are associated with future risk of stroke and cardiovascular disease-A prospective study in middle-aged to elderly men with treated hypertension. Stroke 30: 299–305

    Article  PubMed  CAS  Google Scholar 

  34. Weiss SM, Roblin PM, Gaydos CA, Cummings P, Patton DL, Schulhoff N, Shani E, Frankel R, Penney K, Quinn TC, Hammerschlag MR, Schachter J. (1996) Failure to detect Chlamydia pneumoniae in coronary atheromas of patients undergoing atherectomy. J Infect Dis 173: 957–962

    Article  PubMed  CAS  Google Scholar 

  35. Kark J, Leinonen M, Paltiel O, Saikku P. (1997) Chlamydia pneumoniae and acute myocardial infarction in Jerusalem. Int J Epidemiol 26: 730–738

    Article  PubMed  CAS  Google Scholar 

  36. Ridker PM, Kundsin RB, Stampfer J, Poulin S, Hennekens CH. (1999) Prospective study of Chlamydia pneumoniae IgG seropositivity and risks of future myocardial infarction. Circulation 99: 1161–1164

    Article  PubMed  CAS  Google Scholar 

  37. Shor A, Kuo CC, Patton DL. (1992) Detection of Chlamydia pneumoniae in coronary arterial fatty streaks and atheromatous plaques. S Afr Med J 82: 158–160

    PubMed  CAS  Google Scholar 

  38. Kuo CC, Grayston JT, Campbell LA, Goo YA, Wissler RW, Benditt EP. (1995) Chlamydia pneumoniae (TWAR) in coronary arteries of young adults (15-34 years old). Proc Natl Acad Sci USA 92: 6911–6914

    CAS  Google Scholar 

  39. Campbell LA, O’Brien ER, Cappuceio AL, Kuo CC, Wang SP, Stewart D, Patton DL, Cummings PK, Grayston JT. (1995) Detection of Chlamydia pneumoniae TWAR in human coronary atherectomy tissues. J Infect Dis 172: 585–588

    Article  PubMed  CAS  Google Scholar 

  40. Blasi F, Denti F, Erba M, Cosentini R, Raccanelli R, Rinaldi A, Fagetti L, Esposito G, Ruberti U, Allegra L. (1996) Detection of Chlamydia pneumoniae but not Helicobacter pylori in atherosclerotic plaques of aortic aneurysms. J Clin Microbiol 34: 2766–2769

    PubMed  CAS  Google Scholar 

  41. Ong G, Thomas BJ, Mansfield AO, Davidson BR, Taylor-Robinson D. (1996) Detection and widespread distribution of Chlamydia pneumoniae in the vascular system and its possible implications. J Clin Pathol 49: 102–106

    Article  PubMed  CAS  Google Scholar 

  42. Muhlestein JB, Hammond EH, Carlquist JF, Radicke E, Thomson MJ, Karagounis LA, Woods ML, Anderson JL. (1996) Increased incidence of Chlamydia species within the coronary arteries of patients with symptomatic atherosclerotic versus other forms of cardiovascular disease. J Am Coll Cardiol 27: 1555–1561

    Article  PubMed  CAS  Google Scholar 

  43. Ramirez JA, Chlamydia pneumoniae/atherosclerosis Study Group. (1996) Isolation of Chlamydia pneumoniae from the coronary artery of a patient with coronary atherosclerosis. Ann Intern Med 125: 979–982

    Google Scholar 

  44. Chiu B, Viira E, Tucker W, Fong IW. (1997) Chlamydia pneumoniae, cytomegalovirus, and herpes complex virus in atherosclerosis of the carotid artery. Circulation 96: 2144–2148

    Article  PubMed  CAS  Google Scholar 

  45. Kuo CC, Coulson AS, Campbell LA, Capuccio AL, Lawrence RD, Wang SP, Grayston JT. (1997) Detection of Chlamydia pneumoniae in atherosclerotic plaques in the walls of arteries of lower extremities from patients undergoing bypass operation for arterial obstruction. J Vascul Surg 26: 29–31

    Article  CAS  Google Scholar 

  46. Jackson LA, Campbell LA, Schmidt RA, Kuo CC, Capuccio AL, Lee MJ, Grayston JT. (1997) Specificity of detection of Chlamydia pneumoniae in cardiovascular atheroma-evaluation of the innocent bystander hypothesis. Am J Pathol 150: 1785–1790

    PubMed  CAS  Google Scholar 

  47. Jackson LA, Campbell LA, Kuo CC, Rodriguez DI, Lee A, Grayston JT. (1997) Isolation of Chlamydia pneumoniae from a carotid endarterectomy specimen. J Infect Dis 176: 292–295

    Article  PubMed  CAS  Google Scholar 

  48. Juvonen J, Laurila A, Alakärppä H, Leinonen M, Surcel HM, Juvonen T, Kairaluoma M, Saikku P. (1997) Demonstration of Chlamydia pneumoniae in the walls of abdominal aortic aneurysms. J Vascul Surg 25: 499–505

    Article  CAS  Google Scholar 

  49. Juvonen J, Laurila A, Juvonen T, Alakärppä H, Surcel HM, Lounatmaa K, Kuusisto J, Saikku P. (1997) Detection of Chlamydia pneumoniae in human non-rheumatie stenotie aortic valves. J Am Coll Cardiol 29: 1054–1059

    Article  PubMed  CAS  Google Scholar 

  50. Juvonen J, Juvonen T, Laurila A, Kuusisto J, Bodian CA, Alarakkola E, Särkioja T, Kairaluoma MI, Saikku P. (1998) Can degenerative tricuspid aortic valve stenosis be caused by a persistent Chlamydia pneumoniae infection? Ann Int Med 128: 741–744

    PubMed  CAS  Google Scholar 

  51. Kuo CC, Coulson AS, Campbell LA, Capuccio AL, Lawrence RD, Wang SP, Grayston JT. (1997) Detection of Chlamydia pneumoniae in atherosclerotic plaques in the walls of arteries of lower extremities from patients undergoing bypass operation for arterial obstruction. J Vascul Surg 26: 29–31

    Article  CAS  Google Scholar 

  52. Maass M, Krause E, Engel PM, Kruger S. (1997) Endovascular presence of C. pneumoniae in patients with hemodynamically effective carotid artery stenosis. Angiology 48: 699–706

    Article  PubMed  CAS  Google Scholar 

  53. Maass M, Bartels C, Engel PM, Mamat U, Sievers HH. (1998) Endovascular presence of viable Chlamydia pneumoniae is a common phenomenon in coronary artery disease. J Am Coll Cardiol 31: 827–832

    Article  PubMed  CAS  Google Scholar 

  54. Nyström-Rosander C, Thelin S, Hjelm E, Lindquist O, Pahlson C, Friman G. (1997) High incidence of Chlamydia pneumoniae in sclerotic heart valves of patients undergoing aortic valve replacement. Scand J Infect Dis 29: 361–365

    Article  PubMed  Google Scholar 

  55. Petersen E, Boman J, Persson K, Arnerlov C, Wadell G, Juto P, Eriksson A, Dahlen G, Angquist KA. (1998) Chlamydia pneumoniae in human abdominal aortic aneurysms. Eur J Vase Endovasc Surg 15: 138–142

    Article  CAS  Google Scholar 

  56. Taylor-Robinson D, Ong G, Thomas BJ, Rose ML, Yacoub MH. (1998) Chlamydia pneumoniae in vascular tissue from heart transplant donors. Lancet 351: 1255

    Article  PubMed  CAS  Google Scholar 

  57. Yamashita K, Ouchi K, Shirai M, Gondo T, Nakazawa T, Ito H. (1998) Distribution of Chlamydia pneumoniae infection in the atherosclerotic carotid artery. Stroke 29: 773–778

    Article  PubMed  CAS  Google Scholar 

  58. Lindholt JS, Ostergard L, Henneberg EW, Fasting H, Andersen P. (1998) Failure to demonstrate Chlamydia pneumoniae in symptomatic abdominal aortic aneurysms by a nested polymerase chain reaction. Eur J Vase Endovasc Surg 15: 161–164

    Article  CAS  Google Scholar 

  59. Bartels C, Maass M, Bein G, Malisius R, Brill N, Bechtel JFM, Sayk F, Feller AC, Sievers HH. (1999) Detection of Chlamydia pneumoniae but not cytomegalovirus in occluded saphenous vein coronary artery bypass grafts. Circulation 99: 879–882

    Article  PubMed  CAS  Google Scholar 

  60. Gupta S, Leatham EW, Carrington D, Mendall MA, Kaski JC, Camm AJ. (1997) Elevated Chlamydia pneumoniae antibodies, cardiovascular events, and azithromycin in male survivors of myocardial infarction. Circulation 96: 404–407

    Article  PubMed  CAS  Google Scholar 

  61. Gurfinkel E, Bozovich G, Daroca A, Beck E, Mautner B., Roxis Study Group. (1997) Randomised trial of roxithromycin in non-Q-wave coronary syndromes: ROXIS pilot study. Lancet 350: 404–407

    Article  PubMed  CAS  Google Scholar 

  62. Gurfinkel E, Bozovich G, Beck E, Testa E, Livellara B, Mautner B. (1999) Treatment with the antibiotic roxithromycin in patients with acute non-Q-wave coronary syndromes-The final report of the ROXIS study. Eur Heart J 20: 121–127

    Article  PubMed  CAS  Google Scholar 

  63. Sinisalo J, Mattila K, Nieminen MS, Valtonen V, Syrjälä M, Sundberg S, Saikku P. (1998) The effect of prolonged doxycycline therapy on Chlamydia pneumoniae serologie al markers, coronary heart disease risk factors and forearm basal nitric oxide production. J Antimicrob Chemother 41: 85–92

    Article  PubMed  CAS  Google Scholar 

  64. Anderson JL, Muhlestein JB, Carlquist J, Allen A, Trehan S, Nielson C, Hall S, Brady J, Egger M, Horne B, Lim T. (1999) Randomized secondary prevention trial of azithromycin in patients with coronary artery disease and serologie evidence for Chlamydia pneumoniae infection. The azithromycin in coronary artery disease: elimination of myocardial infection with chlamydia (ACADEMIC) study. Circulation 99: 1540–1547

    Article  PubMed  CAS  Google Scholar 

  65. Grayston JT. (1998) Antibiotic treatment of Chlamydia pneumoniae for secondary prevention of cardiovascular events. Circulation 97: 1669–1670

    Article  PubMed  CAS  Google Scholar 

  66. Änestad G, Scheel O, Hungnes O, Marchioli R, di Pasquale A, Marfisis RM, Tognoni G, GISSI investigators, Gurfinkel E, Mautner B, Vaughan CJ, Hallwell B, Constans J, Seigner M, Blann A, Corri C. (1997) Chronic infections and coronary heart disease (correspondence). Lancet 350: 1028–1030

    Article  PubMed  Google Scholar 

  67. Stille W, Dittmann R, Justnubling G. (1997) Atherosclerosis due to chronic arteritis caused by Chlamydia pneumoniae-a tentative hypothesis. Infection 25: 281–285

    Article  PubMed  CAS  Google Scholar 

  68. Meier CR, Derby LE, Jick SS, Vasilakis C, Jick H. (1999) Antibiotics and risk of subsequent first-time acute myocardial infarction. JAMA 281: 427–431

    Article  PubMed  CAS  Google Scholar 

  69. Vaughan CJ, Murphy MB, Buckley BM. (1996) Statins do more than just lower cholesterol. Lancet 348: 1079–1082

    Article  PubMed  CAS  Google Scholar 

  70. Fryer RH, Schwobe EP, Woods ML, Rodgers GM. (1997) Chlamydia species infect human vascular endothelial cells and induce procoagulant activity. J Investig Med 45: 168–174

    PubMed  CAS  Google Scholar 

  71. Gaydos CA, Summersgill JT, Sahney NN, Ramirez JA, Quinn TC. (1996) Replication of Chlamydia pneumoniae in vitro in human macrophages, endothelial cells, and aortic artery smooth muscle cells. Infect Immun 64: 1614–1620

    PubMed  CAS  Google Scholar 

  72. Godzik KL, O’Brien ER, Wang SK, Kuo CC. (1995) In vitro susceptibility of human vascular wall cells to infection with Chlamydia pneumoniae. J Clin Microbiol 33: 2411–2414

    PubMed  CAS  Google Scholar 

  73. Heinemann M, Susa M, Simnacher U, Marre R, Essig A. (1996) Growth of Chlamydia pneumoniae induces cytokine production and expression of CD14 in a human monocytic cell line. Infect Immun 64: 4872–4875

    Google Scholar 

  74. Kaukoranta-Tolvanen SS, Ronni T, Leinonen M, Saikku P, Laitinen K. (1996) Expression of adhesion molecules on endothelial cells stimulated by Chlamydia pneumoniae. Microb Pathog 21: 407–411

    Article  PubMed  CAS  Google Scholar 

  75. Kaukoranta-Tolvanen SS, Teppo AM, Laitinen K, Saikku P, Linnavuori K, Leinonen M. (1996) Growth of Chlamydia pneumoniae in cultured human peripheral blood mononuclear cells and induction of a cytokine response. Microb Pathog 21: 215–221

    Article  PubMed  CAS  Google Scholar 

  76. Molestina RE, Dean D, Miller RD, Ramirez JA, Summersgill JT. (1998) Characterization of a strain of Chlamydia pneumoniae isolated from a coronary atheroma by analysis of the ompl gene and biological activity in human endothelial cells. Infect Immun 66: 1370–1376

    PubMed  CAS  Google Scholar 

  77. Knoebel E, Vijayagopal P, Figueroa JE II, Martin DH. (1997) In vitro infection of smooth muscle cells by Chlamydia pneumoniae. Infect Immun 65: 503–506

    PubMed  CAS  Google Scholar 

  78. Xu Q, Willeit J, Marosi M, Kleindienst R, Oberhollenzer F, Kiechl S, Stulning T, Luef G, Wick G. (1993) Association of serum antibodies to heat-shock protein 65 with carotid atherosclerosis. Lancet 341: 255–259

    Article  PubMed  CAS  Google Scholar 

  79. Ward ME. (1995) The immunobiology and immunopathology of chlamydial infection. APMIS 103: 769–796

    Article  PubMed  CAS  Google Scholar 

  80. Cook PJ, Lip GYH, Davies P, Beevers DG, Wise R, Honeyborne D. (1998) Chlamydia pneumoniae antibodies in severe essential hypertension. Hypertension 31: 589–594

    Article  PubMed  CAS  Google Scholar 

  81. Laurila AL, Bloigu A, Näyhä S, Hassi J, Leinonen M, Saikku P. (1997) Chlamydia pneumoniae antibodies and serum lipids in Finnish men: cross-sectional study. Br Med J 314: 1456–1457

    Article  CAS  Google Scholar 

  82. Laurila A, Bloigu A, Näyhä S, Hassi J, Leinonen M, Saikku P. (1997) Chronic Chlamydia pneumoniae infection is associated with a serum lipid profile known to be a risk factor for atherosclerosis. Arterioscler Thromb Vasc Biol 17: 2910–2913

    Article  PubMed  CAS  Google Scholar 

  83. Murray LJ, O’Reilly DPJ, Ong GML, O’Neill C, Evans AE, Bamford KB. (1999) Chlamydia pneumoniae antibodies are associated with an atherogenic lipid profile. Heart 81: 239–244

    PubMed  CAS  Google Scholar 

  84. Kalayoglu MV, Byrne GI. (1998) Induction of macrophage foam cell formation by Chlamydia pneumoniae. J Infect Dis 177: 725–729

    Article  PubMed  CAS  Google Scholar 

  85. Karvonen M, Tuomilehto J, Pitkäniemi J, Naukkarinen A, Saikku P. (1994) Importance of smoking for Chlamydia pneumoniae seropositivity. Int J Epidemiol 23: 1315–1321

    Article  PubMed  CAS  Google Scholar 

  86. Hertzen L von, Surcel HM, Kaprio J, Koskenvuo M, Bloigu A, Leinonen M, Saikku P. (1998) Immune responses to Chlamydia pneumoniae in twins in relation to gender and smoking. J Med Microbiol 47(5): 441–446

    Article  Google Scholar 

  87. Freidank HM, Billing H. (1997) Influence of iron restriction on the growth of Chlamydia pneumoniae TWAR and Chlamydia trachomatis. J Clin Microbiol Infect 3(Suppl 2): 193

    Google Scholar 

  88. Halme S, Syrjälä H, Bloigu A, Saikku P, Leinonen M, Airaksinen J, Surcel HM. (1997) Lymphocyte responses to chlamydia antigens in patients with coronary heart disease. Eur Heart J 18: 1095–1101

    Article  PubMed  CAS  Google Scholar 

  89. Mosorin M, Surcel HM, Laurila A, Saikku P, Juvonen T. (1998) Chlamydia pneumoniae reactive T lymphocytes in atherosclerotic plaque of carotid artery. In: Stephens RS, Byrne GI, Christiansen G, Clarke IN, Grayston JT, Rank RG, Ridgway GL, Saikku P, Schachter J, Stamm WE (eds) Chlamydia infections. Proceedings of the Ninth International Symposium on Human Chlamydia Infections. University of California, San Francisco, pp 423–425

    Google Scholar 

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Saikku, P. (2000). Chlamydia pneumoniae in atherosclerosis. In: L’age-Stehr, J. (eds) Chlamydia pneumoniae and Chronic Diseases. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-57195-4_12

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