Chlamydia pneumoniae Antibodies and C-Reactive Protein Levels in Patients with Abdominal Aortic Aneurysms

Introduction. The study aim was to assess the relationship between the presence of antibodies to Chlamydia pneumoniae and abdominal aortic aneurysm (AAA) incidence. Patients and Methods. Consecutive AAA patients and AAA-free controls were recruited prospectively. Serum samples from both groups were...

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Main Authors: M. A. Sharif, D. A. McDowell, S. A. Badger
Format: Article
Language:English
Published: Wiley 2013-01-01
Series:The Scientific World Journal
Online Access:http://dx.doi.org/10.1155/2013/212450
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author M. A. Sharif
D. A. McDowell
S. A. Badger
author_facet M. A. Sharif
D. A. McDowell
S. A. Badger
author_sort M. A. Sharif
collection DOAJ
description Introduction. The study aim was to assess the relationship between the presence of antibodies to Chlamydia pneumoniae and abdominal aortic aneurysm (AAA) incidence. Patients and Methods. Consecutive AAA patients and AAA-free controls were recruited prospectively. Serum samples from both groups were examined to determine Immunoglobulin (Ig) A and IgG titres against Chlamydia pneumoniae by ELISA and C-reactive protein (CRP) concentrations. Results were expressed as mean (SD) or median (IQR) and compared using χ2 and Mann-Whitney U tests. A P value of <0.05 was considered statistically significant. Results. Each study group (AAA/nAAA) comprised 250 patients. 196 (78.7%) AAA patients had positive IgA antichlamydial antibody titres, compared to 181 (72.4%) in the control group (P=0.008, OR 2.0, 95% CI 1.2–3.5). However, positive IgG antibody titres were similar (191 versus 203; P=0.222, OR 0.7, 95% CI 0.4–1.3). Average CRP concentrations were higher in AAA individuals. IgA or IgG antibody titres were not related to CRP concentrations. Conclusions. These results demonstrated that the frequent incidence of Chlamydia pneumoniae antibodies within the general population makes it difficult to relate its presence to AAA development, despite the high IgA antibody titres. In addition, raised CRP concentrations in AAA patients are not related to the presence of antichlamydial antibodies.
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spelling doaj-art-98d7b5f7ccef4e3ea73e5c80719e11042025-02-03T05:50:43ZengWileyThe Scientific World Journal1537-744X2013-01-01201310.1155/2013/212450212450Chlamydia pneumoniae Antibodies and C-Reactive Protein Levels in Patients with Abdominal Aortic AneurysmsM. A. Sharif0D. A. McDowell1S. A. Badger2Department of Vascular and Endovascular Surgery, Belfast City Hospital, Belfast BT9 7AB, UKSchool of Health Sciences, University of Ulster, Shore Road, Newtownabbey BT37 0QB, UKDepartment of Vascular and Endovascular Surgery, Belfast City Hospital, Belfast BT9 7AB, UKIntroduction. The study aim was to assess the relationship between the presence of antibodies to Chlamydia pneumoniae and abdominal aortic aneurysm (AAA) incidence. Patients and Methods. Consecutive AAA patients and AAA-free controls were recruited prospectively. Serum samples from both groups were examined to determine Immunoglobulin (Ig) A and IgG titres against Chlamydia pneumoniae by ELISA and C-reactive protein (CRP) concentrations. Results were expressed as mean (SD) or median (IQR) and compared using χ2 and Mann-Whitney U tests. A P value of <0.05 was considered statistically significant. Results. Each study group (AAA/nAAA) comprised 250 patients. 196 (78.7%) AAA patients had positive IgA antichlamydial antibody titres, compared to 181 (72.4%) in the control group (P=0.008, OR 2.0, 95% CI 1.2–3.5). However, positive IgG antibody titres were similar (191 versus 203; P=0.222, OR 0.7, 95% CI 0.4–1.3). Average CRP concentrations were higher in AAA individuals. IgA or IgG antibody titres were not related to CRP concentrations. Conclusions. These results demonstrated that the frequent incidence of Chlamydia pneumoniae antibodies within the general population makes it difficult to relate its presence to AAA development, despite the high IgA antibody titres. In addition, raised CRP concentrations in AAA patients are not related to the presence of antichlamydial antibodies.http://dx.doi.org/10.1155/2013/212450
spellingShingle M. A. Sharif
D. A. McDowell
S. A. Badger
Chlamydia pneumoniae Antibodies and C-Reactive Protein Levels in Patients with Abdominal Aortic Aneurysms
The Scientific World Journal
title Chlamydia pneumoniae Antibodies and C-Reactive Protein Levels in Patients with Abdominal Aortic Aneurysms
title_full Chlamydia pneumoniae Antibodies and C-Reactive Protein Levels in Patients with Abdominal Aortic Aneurysms
title_fullStr Chlamydia pneumoniae Antibodies and C-Reactive Protein Levels in Patients with Abdominal Aortic Aneurysms
title_full_unstemmed Chlamydia pneumoniae Antibodies and C-Reactive Protein Levels in Patients with Abdominal Aortic Aneurysms
title_short Chlamydia pneumoniae Antibodies and C-Reactive Protein Levels in Patients with Abdominal Aortic Aneurysms
title_sort chlamydia pneumoniae antibodies and c reactive protein levels in patients with abdominal aortic aneurysms
url http://dx.doi.org/10.1155/2013/212450
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AT damcdowell chlamydiapneumoniaeantibodiesandcreactiveproteinlevelsinpatientswithabdominalaorticaneurysms
AT sabadger chlamydiapneumoniaeantibodiesandcreactiveproteinlevelsinpatientswithabdominalaorticaneurysms