Chlamydia pneumoniae IgA titres and coronary heart disease; prospective study and meta-analysis.

AIMS: To examine associations between Chlamydia pneumoniae IgA titres and incident coronary heart disease, and to compare them with associations previously reported between C. pneumoniae IgG titres and coronary heart disease. METHODS AND RESULTS: We measured serum concentrations of C. pneumoniae IgA...

Descripción completa

Detalles Bibliográficos
Autores principales: Danesh, J, Whincup, P, Lewington, S, Walker, M, Lennon, L, Thomson, A, Wong, Y, Zhou, X, Ward, M
Formato: Journal article
Lenguaje:English
Publicado: 2002
_version_ 1826285001314926592
author Danesh, J
Whincup, P
Lewington, S
Walker, M
Lennon, L
Thomson, A
Wong, Y
Zhou, X
Ward, M
author_facet Danesh, J
Whincup, P
Lewington, S
Walker, M
Lennon, L
Thomson, A
Wong, Y
Zhou, X
Ward, M
author_sort Danesh, J
collection OXFORD
description AIMS: To examine associations between Chlamydia pneumoniae IgA titres and incident coronary heart disease, and to compare them with associations previously reported between C. pneumoniae IgG titres and coronary heart disease. METHODS AND RESULTS: We measured serum concentrations of C. pneumoniae IgA antibodies in 502 coronary heart disease cases and in 1005 age- and town-matched controls 'nested' in a community-based prospective study of 5661 British men (mean follow-up in controls, 16 years), and conducted a meta-analysis of published prospective studies to place our findings in context. Two hundred and twenty-one (44%) of the cases were in the top third of C. pneumoniae IgA titres compared with 336 (33%) of the controls, yielding an odds ratio for coronary heart disease of 1.84 (95% confidence interval 1.40-2.43) which was largely unchanged after adjustment. In aggregate, the present study and nine previously reported prospective studies of C. pneumoniae IgA titres involved 2283 cases, yielding a combined odds ratio for coronary heart disease of 1.25 (1.03-1.53), with no significant heterogeneity among the ten studies (chi(2)9=7.8; P>0.1). This combined odds ratio is compatible with that previously reported for C. pneumoniae IgG titres and coronary heart disease (1.15, 0.97-1.36). CONCLUSION: Neither C. pneumoniae IgA titres nor IgG titres are strongly predictive of coronary heart disease in the general population.
first_indexed 2024-03-07T01:22:18Z
format Journal article
id oxford-uuid:90c5a69d-f8ff-4f46-a4df-0483ec314f4c
institution University of Oxford
language English
last_indexed 2024-03-07T01:22:18Z
publishDate 2002
record_format dspace
spelling oxford-uuid:90c5a69d-f8ff-4f46-a4df-0483ec314f4c2022-03-26T23:14:00ZChlamydia pneumoniae IgA titres and coronary heart disease; prospective study and meta-analysis.Journal articlehttp://purl.org/coar/resource_type/c_dcae04bcuuid:90c5a69d-f8ff-4f46-a4df-0483ec314f4cEnglishSymplectic Elements at Oxford2002Danesh, JWhincup, PLewington, SWalker, MLennon, LThomson, AWong, YZhou, XWard, MAIMS: To examine associations between Chlamydia pneumoniae IgA titres and incident coronary heart disease, and to compare them with associations previously reported between C. pneumoniae IgG titres and coronary heart disease. METHODS AND RESULTS: We measured serum concentrations of C. pneumoniae IgA antibodies in 502 coronary heart disease cases and in 1005 age- and town-matched controls 'nested' in a community-based prospective study of 5661 British men (mean follow-up in controls, 16 years), and conducted a meta-analysis of published prospective studies to place our findings in context. Two hundred and twenty-one (44%) of the cases were in the top third of C. pneumoniae IgA titres compared with 336 (33%) of the controls, yielding an odds ratio for coronary heart disease of 1.84 (95% confidence interval 1.40-2.43) which was largely unchanged after adjustment. In aggregate, the present study and nine previously reported prospective studies of C. pneumoniae IgA titres involved 2283 cases, yielding a combined odds ratio for coronary heart disease of 1.25 (1.03-1.53), with no significant heterogeneity among the ten studies (chi(2)9=7.8; P>0.1). This combined odds ratio is compatible with that previously reported for C. pneumoniae IgG titres and coronary heart disease (1.15, 0.97-1.36). CONCLUSION: Neither C. pneumoniae IgA titres nor IgG titres are strongly predictive of coronary heart disease in the general population.
spellingShingle Danesh, J
Whincup, P
Lewington, S
Walker, M
Lennon, L
Thomson, A
Wong, Y
Zhou, X
Ward, M
Chlamydia pneumoniae IgA titres and coronary heart disease; prospective study and meta-analysis.
title Chlamydia pneumoniae IgA titres and coronary heart disease; prospective study and meta-analysis.
title_full Chlamydia pneumoniae IgA titres and coronary heart disease; prospective study and meta-analysis.
title_fullStr Chlamydia pneumoniae IgA titres and coronary heart disease; prospective study and meta-analysis.
title_full_unstemmed Chlamydia pneumoniae IgA titres and coronary heart disease; prospective study and meta-analysis.
title_short Chlamydia pneumoniae IgA titres and coronary heart disease; prospective study and meta-analysis.
title_sort chlamydia pneumoniae iga titres and coronary heart disease prospective study and meta analysis
work_keys_str_mv AT daneshj chlamydiapneumoniaeigatitresandcoronaryheartdiseaseprospectivestudyandmetaanalysis
AT whincupp chlamydiapneumoniaeigatitresandcoronaryheartdiseaseprospectivestudyandmetaanalysis
AT lewingtons chlamydiapneumoniaeigatitresandcoronaryheartdiseaseprospectivestudyandmetaanalysis
AT walkerm chlamydiapneumoniaeigatitresandcoronaryheartdiseaseprospectivestudyandmetaanalysis
AT lennonl chlamydiapneumoniaeigatitresandcoronaryheartdiseaseprospectivestudyandmetaanalysis
AT thomsona chlamydiapneumoniaeigatitresandcoronaryheartdiseaseprospectivestudyandmetaanalysis
AT wongy chlamydiapneumoniaeigatitresandcoronaryheartdiseaseprospectivestudyandmetaanalysis
AT zhoux chlamydiapneumoniaeigatitresandcoronaryheartdiseaseprospectivestudyandmetaanalysis
AT wardm chlamydiapneumoniaeigatitresandcoronaryheartdiseaseprospectivestudyandmetaanalysis