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Mycobacterium bovis Bacille-Calmette-Guerin Infection Aggravates Atherosclerosis.


ABSTRACT: 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.

SUBMITTER: Huaman MA 

PROVIDER: S-EPMC7775372 | biostudies-literature | 2020

REPOSITORIES: biostudies-literature

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<i>Mycobacterium bovis</i> Bacille-Calmette-Guérin Infection Aggravates Atherosclerosis.

Huaman Moises A MA   Qualls Joseph E JE   Jose Shinsmon S   Schmidt Stephanie M SM   Moussa Anissa A   Kuhel David G DG   Konaniah Eddy E   Komaravolu Ravi K RK   Fichtenbaum Carl J CJ   Deepe George S GS   Hui David Y DY  

Frontiers in immunology 20201218


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 (<i>Ldlr</i><sup>-/-</sup>) mice with <i>Mycobacterium bovis</i> Bacille-Calmette-Guérin (BCG), an attenuated strain of the <i>Mycobacterium tuberculosis</i> complex. Twelve-week old male <i>Ldlr</i><sup>-/-</sup> mice were infected with B  ...[more]

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