Possibilities for therapeutic interventions in disrupting Chlamydophila pneumoniae involvement in atherosclerosis.

Abstract:

:Strong sero-epidemiologic, pathologic, and experimental evidence suggests that Chlamydophila pneumoniae (Cpn) infection may play a causative role in the development of atherosclerosis. Cpn is an obligate intracellular gram-negative bacterium that is responsible for 10% of cases of community-acquired pneumonia. In addition to its presence in the respiratory tract, live Cpn has been found within atherosclerotic plaques. Experimental findings have established Cpn's ability to infect vascular cells and elicit important atherogenic responses. Furthermore, Cpn infection can promote atherosclerotic development in different animal models. To date however, large-scale antibiotic clinical trials have not been effective in preventing major cardiovascular events. It is becoming apparent that Cpn undergoes a persistent state of infection, which is refractory to current chlamydial antibiotics. New treatment strategies that are effective toward acute and persistent forms of Cpn infection are needed in order to effectively eradicate the bacterium within the vascular wall. Possible therapeutics targets include Cpn-specific proteins and machinery directly involved in their survival, replication and maintenance. Alternatively, selectively targeting host cell pathways and machinery required for Cpn's actions in vascular cells also represent potential treatment strategies for atherosclerosis.

journal_name

Fundam Clin Pharmacol

authors

Deniset JF,Pierce GN

doi

10.1111/j.1472-8206.2010.00863.x

subject

Has Abstract

pub_date

2010-10-01 00:00:00

pages

607-17

issue

5

eissn

0767-3981

issn

1472-8206

pii

FCP863

journal_volume

24

pub_type

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