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心血管改变患者的广义血清学状态。

Serologic Status of sensu lato in Patients with Cardiovascular Changes.

机构信息

Students Scientific Association at the Chair and Department of Medical Microbiology, Medical University of Lublin, 20-093 Lublin, Poland.

Chair and Department of Medical Microbiology, Medical University of Lublin, 20-093 Lublin, Poland.

出版信息

Int J Environ Res Public Health. 2023 Jan 27;20(3):2239. doi: 10.3390/ijerph20032239.

DOI:10.3390/ijerph20032239
PMID:36767604
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9915009/
Abstract

Cardiovascular diseases, particularly coronary heart disease (CHD) caused by atherosclerosis, have the highest worldwide incidence and mortality rate of any type of disease. Aside from risk factors associated with lifestyle and comorbidities, infectious agents such as sensu lato spirochetes, which cause Lyme disease, may also play a role in the development of cardiovascular disease. A growing number of scientific papers have mentioned Lyme carditis. The aim of this study was to find the level of anti- IgG antibodies in the blood serum of patients with advanced coronary heart disease. Materials and methods: The study group included 70 patients undergoing coronary artery bypass grafting (CABG) and off-pump coronary artery bypass (OPCAB) surgery aged 50 to 82 (average 68.26). The ELISA test was used to detect anti-/IgG antibodies in the blood serum. Serological testing revealed seropositivity in 34.29% of patients and 'borderline results' in 17.14% of patients. We found a link between antibody levels and tick bites but not with other risk factors for the development of CHD. Conclusions: These findings support the idea that, as one of many factors, the contact with spirochetal antigens may indicate a potential positive correlation with the formation of cardiovascular changes. More research, not only at the diagnostic level but also at the advanced research level, is needed.

摘要

心血管疾病,特别是动脉粥样硬化引起的冠心病(CHD),是全球发病率和死亡率最高的疾病。除了与生活方式和合并症相关的危险因素外,传染性病原体,如引起莱姆病的广义螺旋体,也可能在心血管疾病的发展中起作用。越来越多的科学论文提到了莱姆心脏病。本研究旨在寻找晚期冠心病患者血清中抗 IgG 抗体的水平。

材料和方法

研究组包括 70 名年龄在 50 至 82 岁(平均 68.26 岁)的接受冠状动脉旁路移植术(CABG)和非体外循环冠状动脉旁路移植术(OPCAB)的患者。采用 ELISA 试验检测血清中的抗-/IgG 抗体。血清学检测显示 34.29%的患者呈血清阳性,17.14%的患者呈“边界结果”。我们发现抗体水平与蜱虫叮咬之间存在关联,但与 CHD 发展的其他危险因素无关。

结论

这些发现支持这样一种观点,即作为众多因素之一,与螺旋体抗原的接触可能表明与心血管变化形成的潜在正相关。需要进行更多的研究,不仅是在诊断水平上,而且在高级研究水平上。

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1
Serologic Status of sensu lato in Patients with Cardiovascular Changes.心血管改变患者的广义血清学状态。
Int J Environ Res Public Health. 2023 Jan 27;20(3):2239. doi: 10.3390/ijerph20032239.
2
Seroprevalence of antibodies against Borrelia burgdorferi sensu lato in healthy blood donors in Romania: an update.罗马尼亚健康献血者中伯氏疏螺旋体血清流行率:最新研究。
Parasit Vectors. 2021 Dec 4;14(1):596. doi: 10.1186/s13071-021-05099-1.
3
Risk of heart failure among individuals tested for Borrelia burgdorferi sensu lato antibodies, and serum Borrelia burgdorferi sensu lato seropositive individuals; a nationwide population-based, registry-based matched cohort study.人群中进行伯氏疏螺旋体抗体检测者和血清伯氏疏螺旋体抗体阳性者的心力衰竭风险:一项全国范围内基于人群、基于登记的匹配队列研究。
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Eur J Clin Microbiol Infect Dis. 2005 Jul;24(7):457-63. doi: 10.1007/s10096-005-1348-0.
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Seroprevalence of Lyme disease in Eastern Slovakia.斯洛伐克东部莱姆病的血清阳性率。
Cent Eur J Public Health. 2018 Dec;26 Suppl:S67-S71. doi: 10.21101/cejph.a5442.
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Blood donor Borrelia burgdorferi sensu lato seroprevalence and history of tick bites at a northern limit of the vector distribution.在媒介分布北界的献血者莱姆病疏螺旋体广义血清阳性率及蜱叮咬史
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Seroprevalence of Borrelia IgG antibodies among individuals from Eastern Slovakia.斯洛伐克东部个体中伯氏疏螺旋体 IgG 抗体的血清流行率。
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Ticks Tick Borne Dis. 2018 Mar;9(3):594-597. doi: 10.1016/j.ttbdis.2017.12.014. Epub 2017 Dec 24.

本文引用的文献

1
European Society of Cardiology: cardiovascular disease statistics 2021.欧洲心脏病学会:2021年心血管疾病统计数据
Eur Heart J. 2022 Feb 22;43(8):716-799. doi: 10.1093/eurheartj/ehab892.
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Estimating the Frequency of Lyme Disease Diagnoses, United States, 2010-2018.估计 2010-2018 年美国莱姆病诊断的频率。
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Lyme Carditis: A Rare Presentation of Sinus Bradycardia Without Any Conduction Defects.莱姆病性心肌炎:一种罕见的窦性心动过缓表现,无任何传导缺陷。
Cureus. 2019 Sep 2;11(9):e5554. doi: 10.7759/cureus.5554.
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Distinction between Borrelia and Borreliella is more robustly supported by molecular and phenotypic characteristics than all other neighbouring prokaryotic genera: Response to Margos' et al. "The genus Borrelia reloaded" (PLoS ONE 13(12): e0208432).与所有其他相邻的原核生物属相比,基于分子和表型特征,区分伯氏疏螺旋体属和伯氏包柔螺旋体属更为可靠:Margos 等人的回应“重新加载伯氏疏螺旋体属”(PLoS ONE 13(12): e0208432)。
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Cardiovascular Risks Associated with Gender and Aging.与性别和衰老相关的心血管风险。
J Cardiovasc Dev Dis. 2019 Apr 27;6(2):19. doi: 10.3390/jcdd6020019.
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Diagnosis and Treatment of Lyme Carditis: JACC Review Topic of the Week.莱姆心炎的诊断与治疗:美国心脏病学会杂志(JACC)本周专题
J Am Coll Cardiol. 2019 Feb 19;73(6):717-726. doi: 10.1016/j.jacc.2018.11.035.
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Significance of Obstetrical History with Future Cardiovascular Disease Risk.产科病史与未来心血管疾病风险的意义。
Am J Med. 2019 May;132(5):567-571. doi: 10.1016/j.amjmed.2018.11.029. Epub 2018 Dec 11.
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Clinical spectrum of Lyme disease.莱姆病的临床谱。
Eur J Clin Microbiol Infect Dis. 2019 Feb;38(2):201-208. doi: 10.1007/s10096-018-3417-1. Epub 2018 Nov 19.
9
Interaction between gut microbiome and cardiovascular disease.肠道微生物组与心血管疾病的相互作用。
Life Sci. 2018 Dec 1;214:153-157. doi: 10.1016/j.lfs.2018.10.063. Epub 2018 Oct 29.
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Lyme Carditis: A Case Report and Review of Management.莱姆病性心肌炎:一例病例报告及治疗综述
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