Mycobacterium bovis Bacille-Calmette-Guérin Infection Aggravates Atherosclerosis

Tuberculosis has been associated with increased risk of atherosclerotic cardiovascular disease. To examine whether mycobacterial infection exacerbates atherosclerosis development in experimental conditions, we infected low-density lipoprotein receptor knockout (Ldlr-/-) mice with Mycobacterium bovis...

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Main Authors: Moises A. Huaman, Joseph E. Qualls, Shinsmon Jose, Stephanie M. Schmidt, Anissa Moussa, David G. Kuhel, Eddy Konaniah, Ravi K. Komaravolu, Carl J. Fichtenbaum, George S. Deepe, David Y. Hui
Format: Article
Language:English
Published: Frontiers Media S.A. 2020-12-01
Series:Frontiers in Immunology
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Online Access:https://www.frontiersin.org/articles/10.3389/fimmu.2020.607957/full
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author Moises A. Huaman
Joseph E. Qualls
Shinsmon Jose
Stephanie M. Schmidt
Anissa Moussa
David G. Kuhel
Eddy Konaniah
Ravi K. Komaravolu
Carl J. Fichtenbaum
George S. Deepe
David Y. Hui
author_facet Moises A. Huaman
Joseph E. Qualls
Shinsmon Jose
Stephanie M. Schmidt
Anissa Moussa
David G. Kuhel
Eddy Konaniah
Ravi K. Komaravolu
Carl J. Fichtenbaum
George S. Deepe
David Y. Hui
author_sort Moises A. Huaman
collection DOAJ
description Tuberculosis has been associated with increased risk of atherosclerotic cardiovascular disease. To examine whether mycobacterial infection exacerbates atherosclerosis development in experimental conditions, we infected low-density lipoprotein receptor knockout (Ldlr-/-) mice with Mycobacterium bovis Bacille-Calmette-Guérin (BCG), an attenuated strain of the Mycobacterium tuberculosis complex. Twelve-week old male Ldlr-/- mice were infected with BCG (0.3–3.0x106 colony-forming units) via the intranasal route. Mice were subsequently fed a western-type diet containing 21% fat and 0.2% cholesterol for up to 16 weeks. Age-matched uninfected Ldlr-/- mice fed with an identical diet served as controls. Atherosclerotic lesions in aorta were examined using Oil Red O staining. Changes induced by BCG infection on the immunophenotyping profile of circulating T lymphocytes and monocytes were assessed using flow cytometry. BCG infection increased atherosclerotic lesions in en face aorta after 8 weeks (plaque ratio; 0.021±0.01 vs. 0.013±0.01; p = 0.011) and 16 weeks (plaque ratio, 0.15±0.13 vs. 0.06±0.02; p = 0.003). No significant differences in plasma cholesterol or triglyceride levels were observed between infected and uninfected mice. Compared to uninfected mice, BCG infection increased systemic CD4/CD8 T cell ratio and the proportion of Ly6Clow non-classical monocytes at weeks 8 and 16. Aortic plaque ratios correlated with CD4/CD8 T cell ratios (Spearman’s rho = 0.498; p = 0.001) and the proportion of Ly6Clow non-classical monocytes (Spearman’s rho = 0.629; p < 0.001) at week 16. In conclusion, BCG infection expanded the proportion of CD4+ T cell and Ly6Clow monocytes, and aggravated atherosclerosis formation in the aortas of hyperlipidemic Ldlr-/- mice. Our results indicate that mycobacterial infection is capable of enhancing atherosclerosis development.
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spelling doaj.art-bb4e7aeae6654bfcbd4ef24ab2d2321f2022-12-21T22:51:46ZengFrontiers Media S.A.Frontiers in Immunology1664-32242020-12-011110.3389/fimmu.2020.607957607957Mycobacterium bovis Bacille-Calmette-Guérin Infection Aggravates AtherosclerosisMoises A. Huaman0Joseph E. Qualls1Shinsmon Jose2Stephanie M. Schmidt3Anissa Moussa4David G. Kuhel5Eddy Konaniah6Ravi K. Komaravolu7Carl J. Fichtenbaum8George S. Deepe9David Y. Hui10Division of Infectious Diseases, Department of Internal Medicine, University of Cincinnati College of Medicine, Cincinnati, OH, United StatesDivision of Infectious Diseases, Cincinnati Children’s Hospital Medical Center, Department of Pediatrics, University of Cincinnati College of Medicine, Cincinnati, OH, United StatesDivision of Infectious Diseases, Department of Internal Medicine, University of Cincinnati College of Medicine, Cincinnati, OH, United StatesDivision of Infectious Diseases, Cincinnati Children’s Hospital Medical Center, Department of Pediatrics, University of Cincinnati College of Medicine, Cincinnati, OH, United StatesDivision of Infectious Diseases, Department of Internal Medicine, University of Cincinnati College of Medicine, Cincinnati, OH, United StatesMetabolic Diseases Research Center, Department of Pathology, University of Cincinnati College of Medicine, Cincinnati, OH, United StatesMetabolic Diseases Research Center, Department of Pathology, University of Cincinnati College of Medicine, Cincinnati, OH, United StatesMetabolic Diseases Research Center, Department of Pathology, University of Cincinnati College of Medicine, Cincinnati, OH, United StatesDivision of Infectious Diseases, Department of Internal Medicine, University of Cincinnati College of Medicine, Cincinnati, OH, United StatesDivision of Infectious Diseases, Department of Internal Medicine, University of Cincinnati College of Medicine, Cincinnati, OH, United StatesMetabolic Diseases Research Center, Department of Pathology, University of Cincinnati College of Medicine, Cincinnati, OH, United StatesTuberculosis has been associated with increased risk of atherosclerotic cardiovascular disease. To examine whether mycobacterial infection exacerbates atherosclerosis development in experimental conditions, we infected low-density lipoprotein receptor knockout (Ldlr-/-) mice with Mycobacterium bovis Bacille-Calmette-Guérin (BCG), an attenuated strain of the Mycobacterium tuberculosis complex. Twelve-week old male Ldlr-/- mice were infected with BCG (0.3–3.0x106 colony-forming units) via the intranasal route. Mice were subsequently fed a western-type diet containing 21% fat and 0.2% cholesterol for up to 16 weeks. Age-matched uninfected Ldlr-/- mice fed with an identical diet served as controls. Atherosclerotic lesions in aorta were examined using Oil Red O staining. Changes induced by BCG infection on the immunophenotyping profile of circulating T lymphocytes and monocytes were assessed using flow cytometry. BCG infection increased atherosclerotic lesions in en face aorta after 8 weeks (plaque ratio; 0.021±0.01 vs. 0.013±0.01; p = 0.011) and 16 weeks (plaque ratio, 0.15±0.13 vs. 0.06±0.02; p = 0.003). No significant differences in plasma cholesterol or triglyceride levels were observed between infected and uninfected mice. Compared to uninfected mice, BCG infection increased systemic CD4/CD8 T cell ratio and the proportion of Ly6Clow non-classical monocytes at weeks 8 and 16. Aortic plaque ratios correlated with CD4/CD8 T cell ratios (Spearman’s rho = 0.498; p = 0.001) and the proportion of Ly6Clow non-classical monocytes (Spearman’s rho = 0.629; p < 0.001) at week 16. In conclusion, BCG infection expanded the proportion of CD4+ T cell and Ly6Clow monocytes, and aggravated atherosclerosis formation in the aortas of hyperlipidemic Ldlr-/- mice. Our results indicate that mycobacterial infection is capable of enhancing atherosclerosis development.https://www.frontiersin.org/articles/10.3389/fimmu.2020.607957/fullmycobacteriumBacille-Calmette-GuérintuberculosisatherosclerosisinflammationT cells
spellingShingle Moises A. Huaman
Joseph E. Qualls
Shinsmon Jose
Stephanie M. Schmidt
Anissa Moussa
David G. Kuhel
Eddy Konaniah
Ravi K. Komaravolu
Carl J. Fichtenbaum
George S. Deepe
David Y. Hui
Mycobacterium bovis Bacille-Calmette-Guérin Infection Aggravates Atherosclerosis
Frontiers in Immunology
mycobacterium
Bacille-Calmette-Guérin
tuberculosis
atherosclerosis
inflammation
T cells
title Mycobacterium bovis Bacille-Calmette-Guérin Infection Aggravates Atherosclerosis
title_full Mycobacterium bovis Bacille-Calmette-Guérin Infection Aggravates Atherosclerosis
title_fullStr Mycobacterium bovis Bacille-Calmette-Guérin Infection Aggravates Atherosclerosis
title_full_unstemmed Mycobacterium bovis Bacille-Calmette-Guérin Infection Aggravates Atherosclerosis
title_short Mycobacterium bovis Bacille-Calmette-Guérin Infection Aggravates Atherosclerosis
title_sort mycobacterium bovis bacille calmette guerin infection aggravates atherosclerosis
topic mycobacterium
Bacille-Calmette-Guérin
tuberculosis
atherosclerosis
inflammation
T cells
url https://www.frontiersin.org/articles/10.3389/fimmu.2020.607957/full
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