持续感染和人类遗传变异对 C 反应蛋白水平的综合影响。
The combined impact of persistent infections and human genetic variation on C-reactive protein levels.
机构信息
Global Health Institute, School of Life Sciences, EPFL, Lausanne, Switzerland.
Swiss Institute of Bioinformatics, Lausanne, Switzerland.
出版信息
BMC Med. 2022 Nov 1;20(1):416. doi: 10.1186/s12916-022-02607-7.
Multiple human pathogens establish chronic, sometimes life-long infections. Even if they are often latent, these infections can trigger some degree of local or systemic immune response, resulting in chronic low-grade inflammation. There remains an incomplete understanding of the potential contribution of both persistent infections and human genetic variation on chronic low-grade inflammation. We searched for potential associations between seropositivity for 13 persistent pathogens and the plasma levels of the inflammatory biomarker C-reactive protein (CRP), using data collected in the context of the UK Biobank and the CoLaus|PsyCoLaus Study, two large population-based cohorts. We performed backward stepwise regression starting with the following potential predictors: serostatus for each pathogen, polygenic risk score for CRP, and demographic and clinical factors known to be associated with CRP. We found evidence for an association between Chlamydia trachomatis (P-value = 5.04e - 3) and Helicobacter pylori (P-value = 8.63e - 4) seropositivity and higher plasma levels of CRP. We also found an association between pathogen burden and CRP levels (P-value = 4.12e - 4). These results improve our understanding of the relationship between persistent infections and chronic inflammation, an important determinant of long-term morbidity in humans.
多种人类病原体引发慢性感染,有时甚至是终身感染。尽管这些感染通常处于潜伏状态,但它们会引发一定程度的局部或全身免疫反应,导致慢性低度炎症。对于持续性感染和人类遗传变异对慢性低度炎症的潜在影响,我们的理解仍不完整。我们在 UK Biobank 和 CoLaus|PsyCoLaus 研究这两个大型人群队列中,搜索了 13 种持续性病原体的血清阳性与炎症生物标志物 C 反应蛋白(CRP)血浆水平之间的潜在关联。我们从以下潜在预测因子开始进行逐步回归:每种病原体的血清状态、CRP 的多基因风险评分以及已知与 CRP 相关的人口统计学和临床因素。我们发现沙眼衣原体(P 值=5.04e-3)和幽门螺杆菌(P 值=8.63e-4)血清阳性与 CRP 血浆水平升高之间存在关联。我们还发现病原体负担与 CRP 水平之间存在关联(P 值=4.12e-4)。这些结果提高了我们对持续性感染与慢性炎症之间关系的理解,慢性炎症是人类长期发病的一个重要决定因素。