Association of Seropositivity for Antibody to Chlamydia-Specific Lipopolysaccharide and Coronary Artery Disease in Japanese Men

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概要

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• Recent studies suggest an association between Chlamydia pneumoniae infection and coronary artery disease (CAD). To examine this relationship in Japanese men, serum IgA and IgG antibodies to Chlamydia-specific lipopolysaccharide were measured by enzyme-linked immunosorbent assay in 507 patients with CAD and 200 age-matched controls. CAD patients were divided into (1) 269 patients with myocardial infarction (MI) and (2) 238 patients with chronic coronary heart disease (CCHD). Compared with the control group, the CAD group did not differ in the prevalences of both antibodies (IgA: 23.7 vs 18.0%, p=0.10; IgG: 52.7 vs 51.0%, p=0.6).The index of IgG antibody was not significantly different between CAD and control groups (median 1.19 vs 1.18, p=0.3), whereas the index of IgA antibody was significantly higher in CAD than control group (median 0.60 vs 0.46, p<0.0001). Compared with the control group, the MI group had a significantly higher prevalence of IgA antibody (28.6 vs 18.0%, p=0.007);however, there was no difference in the prevalence of IgG antibody (58.0 vs 51.0%, p=0.13). The CCHD group did not differ in the prevalences of both antibodies (IgA: 18.1 vs 18.0%, p=0.9; IgG: 45.6 vs 51.0%, p=0.2). After the adjustment for coronary risk factors, odds ratios (ORs) of seropositive antibodies for CAD were 1.59 [95% confidence interval (CI): 0.88-2.87, p=0.12] for IgA seropositivity and 0.92 (95% CI: 0.58-1.47, p=0.7) for IgG seropositivity in all cases. In the MI and control groups, ORs of seropositive antibodies for MI were 2.67(95% CI: 1.32-5.38, p=0.007) for IgA seropositivity, and 1.36(95% CI: 0.79-2.36, p=0.2) for IgG seropositivity. This study discovered that IgA antibody to Chlamydia was significantly associated with CAD, especially with MI, in Japanese Men and the findings suggest that chronic infection of Chlamydia may be linked to the pathogenesis of MI.

• 社団法人日本循環器学会の論文
• 2001-02-20

著者

• DAIDA Hiroyuki

  Department of Cardiology, Juntendo University School of Medicine

• SATO Hitoshi

  Department of Clinical and Molecular Pharmacokinetics/Pharmacodynamics, School of Pharmaceutical Sci

• Shimada Kazunori

  Department of Cardiovascular Medicine, Juntendo University School of medicine

• Mokuno Hiroshi

  Department of Cardiovascular Medicine, Juntendo University School of medicine

• Miyauchi Katsumi

  Department of Cardiovascular Medicine, Juntendo University, School of Medicine

• Sato Hitoshi

  Sports Clinic Juntendo University Hospital

• Kurata Takeshi

  Department Of Cardiovascular Medicine Juntendo University School Of Medicine

• Yamaguchi Hiroshi

  Department Of Cardiology Juntendo University

• Makino H

  Department Of Medicine And Clinical Science Okayama University Graduate School Of Medicine And Denti

• Mokuno Hiroshi

  Department Of Clinical Pharmacology And Therapeutics Tohoku University Graduate School Of Pharmaceut

• IWAMA Yoshitaka

  Department of Cardiovascular Medicine, Juntendo University

• Miyauchi Katsumi

  Department Of Cardiology Juntendo University School Of Medicine

• Seki Eriko

  Department of Cardiology, Juntendo University, School of Medicine

• Watanabe Yoshiro

  Department of Cardiology, Juntendo University, School of Medicine

• Sawano Masato

  Department of Cardiology, Juntendo University

• Ohashi Satoshi

  Department of Cardiology, Juntendo University, School of Medicine, Tokyo, and Juntendo Urayasu Hospi

• Suzuki Hiromasa

  Department of Cardiology, Juntendo University, School of Medicine, Tokyo, and Juntendo Urayasu Hospi

• Takaya Junshi

  Department of Cardiology, Juntendo University, School of Medicine, Tokyo, and Juntendo Urayasu Hospi

• Sakurai Hidehiko

  Department of Cardiology, Juntendo University, School of Medicine, Tokyo, and Juntendo Urayasu Hospi

• Yamaguchi Hiroshi

  Juntendo Urayasu Hospital

• SAKURAI Hidehiko

  the Departments of Cardiology

• Watanabe Yoshirou

  Department Of Cardiovascular Medicine Juntendo University School Of Medicine

• Sawano Masato

  Department Of Cardiology International Goodwill Hospital

• Sawano Masato

  Department Of Cardiology Juntendo University School Of Medicine Tokyo And Juntendo Urayasu Hospital

• Seki Eriko

  Department Of Cardiovascular Medicine Juntendo University School Of Medicine

• Iwama Yoshitaka

  Department Of Cardiovascular Medicine Juntendo University School Of Medicine

• Iwama Yoshitaka

  Department Of Cardiology

• Iwama Yoshitaka

  Department Of Cardiology Juntendo University

• YAMAGUCHI Hiroshi

  順天堂大学医学部 循環器内科

• Kurata Takeshi

  Department Of Cardiology Juntendo University School Of Medicine

• Sakurai Hidehiko

  Department Of Cardiology Juntendo University Shizuoka Hospital

• Miyauchi Katsumi

  Department Of Cardiovascular Medicine Juntendo University School Of Medicine

• Suzuki Hiromasa

  Department Of Cardiology Juntendo University

• Mokuno Hiroshi

  Department Of Cardiovascular Medicine Juntendo University School Of Medicine

• Daida Hiroyuki

  Department Of Cardiology

• Shimada Kazunori

  Department Of Cardiovascular Medicine Juntendo University School Of Medicine

• Ohashi Satoshi

  Department Of Cardiology Juntendo University School Of Medicine Tokyo And Juntendo Urayasu Hospital

• Sato Hitoshi

  Department Of Cardiovascular Medicine Tohoku University Graduate School Of Medicine

• Suzuki Hiromasa

  Department Of Cadiology Juntendo University School Of Medicine

• Takaya Junshi

  Department Of Cardiology Juntendo University School Of Medicine Tokyo And Juntendo Urayasu Hospital

• Takaya Junshi

  Department Of Int. Med. Juntendo Urayasu Hospita

• Takaya Junshi

  Division Of Cardiology Department Of Medicine Juntendo School Of Medicine

• Watanabe Yoshiro

  Department Of Cardiology Juntendo University School Of Medicine

• Yamaguchi Hiroshi

  Juntendo University School Of Medicine

• Sakurai Hidehiko

  Department Of Cardiology Juntendo University School Of Medicine

• Sakurai Hidehiko

  Department Of Cardiology Juntendo University School Of Medicine Tokyo And Juntendo Urayasu Hospital

• Sato Hitoshi

  Department Of Cardiology Juntendo University School Of Medicine

• Yamaguchi Hiroshi

  Departments Of Physiology Juntendo University

• Shimokawa Hiroaki

  Departments Of Cardiovascular Medicine And Evidence-based Cardiovascular Medicine Tohoku University

• Sakurai Hidehiko

  Cardiology Dept. Intern. Med. Juntendo University School Of Medicine Tokyo.

• Sakurai Hidehiko

  Department Of Cardiology Jnutendo University School Of Medicine

• Shimada Kazunori

  Department Of Cardiology Juntendo University Graduate School Of Medicine

• SHIMADA Kazunori

  Department of Biochemistry, Kumamoto University School of Medicine

• SATO Hitoshi

  Department of Animal Science, Faculty of Agriculture, Tohoku University

• SHIMADA Kazunori

  Department of Biochemistry, Kumamoto University Medical School

• MOKUNO Hiroshi

  Department of Cardiology, Juntendo University, School of Medicine

• Mokuno Hiroshi

  Department of Cardiology, Juntendo University

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