Detection of Chlamydia pneumoniae in atherosclerotic plaques of patients in Tehran, Iran.

Persistent infection of arteries with organisms such as Chlamydia pneumoniae was previously found to contribute to the development of atherosclerosis. We investigate the presence of C. pneumoniae in atherosclerotic plaque by polymerase chain reaction and direct immunofluorescence assay, and we examine the correlation between clinical status and the presence of this bacterium in Iran. The study group consisted of 33 atherosclerotic plaque specimens from the arteries (26 coronary and 7 abdominal aorta) of patients who had undergone coronary artery bypass grafting surgery (CABG). The control group consisted of 31 specimens: 12 from biopsies of macroscopically healthy regions of the ascending aorta in patients who had undergone CABG and 19 autopsy specimens of normal coronary arteries. C. pneumoniae DNA and antigen were found in 6 (18%) and 7 (21%) of 33 endarterectomy specimens, respectively. C. pneumoniae was not detected in the control group by either method. The presence of C. pneumoniae in atherosclerotic plaques and its absence in healthy vessels supports the idea that C. pneumoniae may have a role in the development of atherosclerosis, especially in countries where infection is prevalent and where conventional risk factors fail to explain the exact reason for the high prevalence of atherosclerotic vascular disease.

Fibrogenic cytokine levels in bronchoalveolar lavage aspirates 15 years after exposure to sulfur mustard.

Over 100,000 Iranian war veterans suffer from chronic effects of mustard gas exposure. Sulfur mustard was used by Iraq during the Iraqi-imposed war on Iran (between 1980 and 1988). The major complaints of these patients are mild interstitial fibrosis and bronchiolitis. We aimed to determine the state of fibrosis progression and assessed transforming growth factor (TGF)-beta1 levels in pulmonary samples and in bronchoalveolar lavage (BAL) aspirates. A total of 126 war veterans confirmed for lung disease were assessed and compared with three control groups: 1) 64 veterans not exposed to chemical agents, 2) 12 idiopathic pulmonary fibrosis civilian patients, and 3) 33 normal persons. BAL was performed via a flexible fiber-optic bronchoscope and the standard manual method. Total protein was measured by Bradford assay, and samples were corrected with regard to coefficients. Samples were concentrated 15-fold by lyophilization and resolubilization. Samples were double-checked using an ELISA test kit. The Mann-Whitney test was used for the data analysis using commercial software. We detected that significant differences between TGF-beta1 levels between the case group and control group 1 (P = 0.001) and control group 3 (P = 0.003). No significant differences were found between the case group and control group 2 (P = 0.57). Inflammation and fibrotic processes in lung tissue of patients exposed to sulfur mustard may be progressive so IFN-gamma may be a useful drug to these patients' treatment.