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Test cavities to characterize superconductor samples are of great interest for the development of materials suitable for superconducting radio frequency (SRF) accelerator systems. They can be used to investigate fundamental SRF loss mechanisms and to study the material limitations for accelerator applications. Worldwide, this research is based on only few systems that differ in operating frequency, sample size and shape, and the accessible parameter space of frequency, temperature, and RF field strength. For useful performance predictions in future accelerators, it is important that the operating parameter range is close to that employed in accelerating systems. Since 2014, the Helmholtz-Zentrum Berlin has operated such a system built around a redesigned Quadrupole Resonator (QPR). It is based on a system originally developed at CERN. Important new design modifications were developed, along with new measurement techniques and insight into their limitations. In the meantime, an increasing number of laboratories are adopting the QPR for their measurement campaigns. This paper provides a comprehensive overview of the state-of-the-art, the wide spectrum of measurement capabilities, and a detailed analysis of measurement uncertainties, as well as the limitations one should be aware of to maximize the effectiveness of the system. In the process, we provide examples of measurements performed with Nb3Sn and bulk niobium.
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The photoluminescence intensity of group III nitrides, nanowires, and heterostructures (NWHs) strongly depends on the environmental H(2) and O(2) concentration. We used this opto-chemical transducer principle for the realization of a gas detector. To make this technology prospectively available to commercial gas-monitoring applications, a large-scale laboratory setup was miniaturized. To this end the gas-sensitive NWHs were integrated with electro-optical components for optical addressing and read out within a compact and robust sensor system. This paper covers the entire realization process of the device from its conceptual draft and optical design to its fabrication and assembly. The applied approaches are verified with intermediate results of profilometric characterizations and optical performance measurements of subsystems. Finally the gas-sensing capabilities of the integrated detector are experimentally proven and optimized.
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An innovative optical system for trapping particles in air is presented. We demonstrate an optical system specifically optimized for high precision positioning of objects with a size of several micrometers within a nanopositioning and nanomeasuring machine (NPMM). Based on a specification sheet, an initial system design was calculated and optimized in an iterative design process. By combining optical design software with optical force simulation tools, a highly efficient optical system was developed. Both components of the system, which include a refractive double axicon and a parabolic ring mirror, were fabricated by ultra-precision turning. The characterization of the optical elements and the whole system, especially the force simulations based on caustic measurements, represent an important interim result for the subsequently performed trapping experiments. The caustic of the trapping beam produced by the system was visualized with the help of image processing techniques. Finally, we demonstrated the unique efficiency of the configuration by reproducibly trapping fused silica spheres with a diameter of 10 µm at a distance of 2.05 mm from the final optical surface.
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Transplant-accelerated arteriosclerosis in coronary arteries is the major limitation to long-term survival of patients with heart transplantation. The pathogenesis of this disease is not fully understood. Herein, we describe a simplified model of artery allografts in the mouse that allows us to take advantage of transgenic, knockout, or mutant animals. Common carotid arteries or aortic vessels were end-to-end allografted into carotid arteries between C57BL/6J and BALB/c mice. Neointimal lesions were observed as early as 2 weeks after surgery and had progressed at 4 and 6 weeks postoperatively. The lumen of grafted arteries was significantly narrowed due to neointima hyperplasia 4 weeks after transplantation. Using this model, we studied the role of intercellular adhesion molecule-1 (ICAM-1) in the development of transplant arteriosclerosis in ICAM-1-deficient mice. Neointimal lesions of artery grafts from ICAM-1 -/- C57BL/6J to BALB/c mice were reduced up to 60% compared with wild-type controls. MAC-1 (CD11b/18)-positive cells adhering to the surface of ICAM-1 -/- artery grafts were significantly less as identified by en face immunofluorescence, and these positive cells were more abundant in intimal lesions of artery grafts in wild-type mice. Furthermore, the major cell component of neointimal lesions 4 weeks after surgery was found to be alpha-actin-positive smooth muscle cells, which were significantly reduced in lesions of ICAM-1 -/- artery grafts. Thus, this model has been proven to be useful for understanding the mechanism of transplant arteriosclerosis. Our findings demonstrate that ICAM-1 is critical in the development of allograft arteriosclerosis via mediation of leukocyte adhesion to, and infiltration into, the vessel wall.
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Enfermedad de la Arteria Coronaria/etiología , Trasplante de Corazón/efectos adversos , Molécula 1 de Adhesión Intercelular/fisiología , Actinas/metabolismo , Anastomosis Quirúrgica/efectos adversos , Animales , Aorta/patología , Aorta/cirugía , Arterias Carótidas/patología , Arterias Carótidas/cirugía , Enfermedad de la Arteria Coronaria/patología , Modelos Animales de Enfermedad , Molécula 1 de Adhesión Intercelular/genética , Antígeno de Macrófago-1/metabolismo , Ratones , Ratones Endogámicos BALB C , Ratones Endogámicos C57BL , Ratones Noqueados/genética , Músculo Liso Vascular/metabolismo , Músculo Liso Vascular/patología , Túnica Íntima/patologíaRESUMEN
OBJECTIVE: While atherosclerosis is associated with high titers of autoantibodies to bacterial hsp65 crossreacting with human hsp60 (anti-hsp60 autoantibodies), myocardial infarction entails decreased humoral immune response to hsp65. We previously hypothesized that myocardial ischemia and subsequent infarction not only induce myocardial hsp60 expression, but also trigger release of myocardial hsp60 into the circulation, influencing the systemic hsp immune response via immune complex formation. METHODS: In the present study, organ culture of rat hearts under circulatory arrest provided a model of myocardiocyte injury due to ischemia. RESULTS: Reperfusion of ischemic hearts confirmed the occurrence of myocardial injury by a rise of heart enzymes. Myocardial hsp60 expression was induced up to threefold in response to ischemia, and most of hsp60 expression was localized to the muscle fibers. Analysis of coronary eluate revealed release of hsp60 from myocardium. In addition, hsp60-containing, but not hsp60-free, coronary eluate was recognized by anti-hsp65 serum antibodies and induced proliferation of hsp65-specific T cells. When hsp60-containing coronary eluate was reinjected into an hsp65-primed rat, both humoral and cellular hsp65-immune responses were strongly downregulated. CONCLUSION: Our findings demonstrate the release of highly immunogenic and crossreactive hsp60 into the circulation in response to myocardial ischemia and myocardiocyte injury.
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Chaperonina 60/metabolismo , Isquemia Miocárdica/metabolismo , Miocardio/metabolismo , Animales , Formación de Anticuerpos , Chaperonina 60/análisis , Chaperonina 60/inmunología , Ensayo de Inmunoadsorción Enzimática , Femenino , Técnica del Anticuerpo Fluorescente , Isquemia Miocárdica/inmunología , Miocardio/inmunología , Técnicas de Cultivo de Órganos , Ratas , Ratas Endogámicas Lew , Linfocitos T/inmunologíaRESUMEN
We report on a case of bronchiolitis obliterans organizing pneumonia (BOOP) associated with Pneumocystis carinii pneumonia (PCP) after liver transplantation and tacrolimus based immunosuppression. Radiologically, bilateral diffuse interstitial shadowing and patchy alveolar infiltrates developed after switching the patient from cyclosporin A to tacrolimus for persistent rejection. Bronchoalveolar lavage (BAL) fluid showed inflammatory cells but no pathogenic organisms. Open lung biopsy revealed BOOP with granulomatous PCP. Thus, even in the case of negative BAL the possibility of an atypical P. carinii infection has to be considered for differential diagnosis of pneumonia in immunocompromised patients after organ transplantation. The combination of BOOP with PCP after liver transplantation and tacrolimus medication has not been reported previously.
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Neumonía en Organización Criptogénica/etiología , Huésped Inmunocomprometido , Inmunosupresores/uso terapéutico , Trasplante de Hígado , Neumonía por Pneumocystis/etiología , Tacrolimus/uso terapéutico , Neumonía en Organización Criptogénica/diagnóstico , Neumonía en Organización Criptogénica/terapia , Diagnóstico Diferencial , Humanos , Masculino , Persona de Mediana Edad , Neumonía por Pneumocystis/diagnóstico , Neumonía por Pneumocystis/inmunología , Neumonía por Pneumocystis/terapiaRESUMEN
Levels of specific salivary IgA antibodies against mycobacterial heat shock protein (hsp) 65 are significantly increased in patients with gingivitis when compared to clinically healthy subjects. The process of identifying the hsp65 epitopes recognized by the salivary antibodies, binding to overlapping 15-mer-hsp65 peptides, was assessed. Time-resolved fluorescence immunoassays using 15-mer overlapping peptides spanning the whole hsp65 molecule revealed six distinct sequences recognized by anti-hsp65 IgA antibodies. Due to the high degree of sequence homology between mycobacterial hsp65, cognates of the hsp60 family of oral bacterial flora and human hsp60, these six epitopes may serve as cross-reactive autoantigens in certain circumstances in vivo and could incite an autoimmune response that contributes to the initiation of gingivitis.
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Arteriosclerosis/patología , Autoanticuerpos , Proteínas Bacterianas/inmunología , Chaperoninas/inmunología , Gingivitis/diagnóstico , Inmunoglobulina A Secretora , Saliva/inmunología , Adulto , Anciano , Biomarcadores , Chaperonina 60/inmunología , Enfermedad Crónica , Ensayo de Inmunoadsorción Enzimática , Epítopos/inmunología , Femenino , Fluoroinmunoensayo , Humanos , Masculino , Persona de Mediana Edad , Periodontitis/diagnósticoRESUMEN
Current data suggest that nitric oxide (NO) is a double-edged sword that could result in relaxation and/or cytotoxicity of vascular smooth muscle cells (SMCs) via cGMP- dependent or -independent signal pathways. Stress or heat shock proteins (hsps) have been shown to be augmented in arterial SMCs during acute hypertension and atherosclerosis, both conditions that are believed to correlate with disturbed NO production. In the present study, we demonstrate that NO generated from sodium nitroprusside (SNP), S-nitroso-N-acetylpenicillamine, and spermine/nitric oxide complex leads to hsp70 induction in cultured SMCs. Western blot analysis demonstrated that hsp70 protein expression peaked between 6 and 12 h after treatment with SNP, and elevated protein levels were preceded by induction of hsp70 mRNA within 3 h. Induction of hsp70 mRNA was associated with the activation of heat shock transcription factor 1 (HSF1), suggesting that the response was regulated at the transcriptional level. HSF1 activation was completely blocked by hemoglobin, dithiothreitol, and cycloheximide, suggesting that the protein damage and nascent polypeptide formation induced by NO may initiate this activation. Furthermore, SMCs pretreated with heat shock (42 degrees C) for 30 min were significantly protected from death induced by NO. Thus, we provide evidence that NO induces hsp70 expression in SMCs via HSF1 activation. Induction of hsp70 could be important in protecting SMCs from injury resulting from NO stimulation.
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Proteínas de Unión al ADN/fisiología , Proteínas HSP70 de Choque Térmico/biosíntesis , Músculo Liso Vascular/metabolismo , Óxido Nítrico/fisiología , Animales , Células Cultivadas , Ditiotreitol/farmacología , Proteínas HSP70 de Choque Térmico/genética , Factores de Transcripción del Choque Térmico , Calor , Nitroprusiato/farmacología , ARN Mensajero/análisis , Ratas , Factores de TranscripciónRESUMEN
Levels of specific antibodies (Ab) against mycobacterial and human heat shock protein (hsp) 65/60 are increased in the sera of patients with atherosclerotic lesions and have been demonstrated to be capable of mediating endothelial cytotoxicity. To clarify the antigen epitopes recognized by these serum Abs, Ab binding to hsp65 deletion mutants (Dms), as well as to overlapping 15-mer and 8-mer hsp65 peptides, was assessed. Western blotting of hsp65 Dms indicated the presence of at least one epitope between amino acid (aa) residues 171 and 276, recognized by both high-titer sera and affinity-purified anti-hsp65/60 Ab. Fluorescence immunoassays using 53 15-mer peptides and Pin ELISA using 526 7-mer peptides demonstrated three distinct, conserved sequences with high affinity to high-titer sera and purified anti-hsp65/60 Ab. Two N-terminal sequences, aa 97-109 and aa 179-187, and one C-terminal sequence, aa 504-512, were identified. These three epitopes recognized by anti-hsp65/60 Ab may serve as autoantigens in certain circumstances in vivo. This phenomenon could contribute to the initiation of atherosclerosis by an autoimmune reaction.
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Arteriosclerosis/inmunología , Autoanticuerpos/inmunología , Proteínas Bacterianas , Chaperoninas/inmunología , Mapeo Epitopo , Secuencia de Aminoácidos , Especificidad de Anticuerpos , Arteriosclerosis/sangre , Autoanticuerpos/sangre , Chaperonina 60 , Chaperoninas/genética , Eliminación de Gen , Humanos , Datos de Secuencia MolecularRESUMEN
Previous studies in our laboratory have shown that arteriosclerotic changes can be induced in normocholesterolemic rabbits by immunization with mycobacterial heat shock protein 65 (hsp 65). To investigate the possible regression of such vascular lesions, 63 male New Zealand White rabbits were treated either by triple immunization with fortified Freund's complete adjuvant containing 5 mg/ml Mycobacterium tuberculosis, a hsp 65-rich material, by administration of a 0.2% cholesterol-rich diet only or by a combination of both immunization and cholesterol-rich diet. Sixteen weeks after the first immunization, half of the animals of each group were sacrificed, and as expected arteriosclerotic lesions in the intima of the aortic arch were found in 8 of 10 immunized animals. The remaining animals were sacrificed 16 weeks thereafter, having been maintained on a normal, non-cholesterol-enriched diet from week 16 to 32. Only 3 of 10 rabbits immunized showed moderate lesions in their aortae 32 weeks after the first immunization. On the other hand, atherosclerotic lesions induced by cholesterol-rich diet, or by immunization plus cholesterol-rich diet, showed no significant regression between 16 and 32 weeks. In conclusion, the early inflammatory stages of arteriosclerotic lesions induced by immunization with hsp 65 can regress in the absence of additional risk factors for atherosclerosis, such as a cholesterol rich diet.
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Antígenos Bacterianos/toxicidad , Arteriosclerosis/fisiopatología , Proteínas Bacterianas , Chaperoninas/toxicidad , Colesterol en la Dieta/toxicidad , Colesterol/sangre , Dieta Aterogénica , Hipercolesterolemia/complicaciones , Animales , Antígenos Bacterianos/inmunología , Aorta/química , Aorta/patología , Arteriosclerosis/sangre , Arteriosclerosis/etiología , Chaperonina 60 , Chaperoninas/inmunología , Células Espumosas/patología , Inflamación , Lípidos/análisis , Masculino , Mycobacterium tuberculosis/inmunología , Conejos , Remisión Espontánea , Factores de RiesgoRESUMEN
Bacterial cell-wall lipopolysaccharide (LPS) is the main endotoxin contributing to local inflammation and systemic toxicity during Gram-negative infections and induces aortic endothelial injury with or without cell death and replication followed by increased leukocyte adhesion. Heat-shock protein (hsp) 60 is under study in our laboratory as a potential antigen inducing immunologic attack to endothelial cells in atherogenesis. To investigate the mechanism of LPS-induced endothelial injury and the phenotypes of adhering cells, Lewis rats were treated in vivo or, in aortic organ cultures, with LPS to determine the expression of intercellular-adhesion molecule-1 (ICAM-1) and hsp60 on aortic endothelium and to characterize phenotypes of adhering leukocytes. Increased ICAM-1 expression by aortic endothelium was observed as early as 3 hr after LPS injection and persisted up to 72 hr, whereas elevated levels of hsp60 were found between 6 and 48 hr. In vitro application of various types of stress, such as LPS, H2O2, and high temperature, not only stimulated endothelial expression of hsp60 but, concomitantly, that of ICAM-1. The number of adhering leukocytes was significantly increased on aortic endothelium 6 hr after LPS administration, and the predominant leukocytes adhering to stressed endothelium were monocytes (80%) and T lymphocytes (8 to 20%). In organ cultures of rat aortic intimal, LPS, and H2O2 evoked increased leukocyte adhesion, which proved to be selective, because adherent leukocytes were mostly Ia+ monocytes and T cells, i.e., activated. Adhering T cells were gamma/delta antigen-receptor positive in 8 to 16% after LPS stress, whereas these cells amount to only 2 to 4% of peripheral blood T cells. Blocking of adhesion molecules ICAM-1, LFA-1 alpha, and/or LFA-1 beta reduced adhesion up to 34%. Increased coordinated LPS-dependent expression of hsp60 and ICAM-1 correlates with monocyte and T-cell adhesion to aortic endothelium. These observations may be significant for elucidating the mechanism of the initiating events in the development of atherosclerosis.
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Chaperonina 60/biosíntesis , Endotelio Vascular/fisiología , Molécula 1 de Adhesión Intercelular/biosíntesis , Lipopolisacáridos , Monocitos/fisiología , Linfocitos T/fisiología , Animales , Aorta , Adhesión Celular/efectos de los fármacos , Chaperonina 60/química , Endotelio Vascular/química , Endotelio Vascular/efectos de los fármacos , Femenino , Inmunofenotipificación , Molécula 1 de Adhesión Intercelular/química , Monocitos/efectos de los fármacos , Ratas , Ratas Endogámicas Lew , Linfocitos T/efectos de los fármacosRESUMEN
Atherosclerosis is a multifactorial vascular disorder responsible for the highest rate of mortality in the western world. During the last decades, research on this disease has primarily focused on the role of lipids, which are essential to the formation of lesions in the vascular intima that ultimately leads to clinically apparent atherosclerotic plaques. More recently, several anecdotal findings have indicated the possible involvement of the immune system in the process of atherogenesis. In particular, the appearance of immunocompetent cells as well as humoral antibodies in the intima in the early stages of disease development supports the view of an inflammatory component in this disorder. In addition to the search for lipid-associated antigens that might entail full-blown atherosclerosis, other candidate antigens capable of inducing an immune response in the vascular wall have also been explored. Within the probable group of antigens for immune responsiveness, heat shock protein (hsp) 60/65 became a serious candidate, upon observation that immunization of rabbits with this protein led to arteriosclerotic changes of the aortic intima. In the last few years we have established this rabbit model for immunologic investigations of atherosclerosis and, in parallel, examined the pathogenesis of human atherosclerosis with regard to hsp 60/65 immune reactivity. Currently available data point to an autoimmune induction of early inflammatory arteriosclerotic changes triggered by a cellular and humoral immune reaction to stress-induced hsp 60-expressing areas of the endothelial cells.
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Arteriosclerosis/inmunología , Autoinmunidad , Chaperonina 60/inmunología , Animales , Formación de Anticuerpos/inmunología , Humanos , ConejosRESUMEN
Investigations in rabbits and humans have provided experimental evidence that autoimmune reactions play a major role in the initial stages of the development of atherosclerosis. These involve the infiltration of the arterial intima with T cells reacting with heat shock protein (hsp) 65/60 and the occurrence of anti-hsp 65/60 antibodies. This early immunologically mediated stage of atherosclerosis is still reversible but if additional risk factors, such as high cholesterol levels, come into effect, severe mostly irreversible lesions develop.
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Arteriosclerosis/etiología , Proteínas Bacterianas , Chaperonina 60/fisiología , Chaperoninas/fisiología , Animales , Arteriosclerosis/epidemiología , Arteriosclerosis/inmunología , Arteriosclerosis/patología , Linfocitos T CD4-Positivos/inmunología , Linfocitos T CD4-Positivos/patología , Moléculas de Adhesión Celular/análisis , Chaperonina 60/inmunología , Chaperoninas/inmunología , Dieta Aterogénica , Humanos , Molécula 1 de Adhesión Intercelular/análisis , Conejos , Factores de Riesgo , Molécula 1 de Adhesión Celular VascularRESUMEN
In contrast to general beliefs, recent data from different laboratories have provided evidence that the first stages of atherosclerosis are of an inflammatory nature. Here, Georg Wick and colleagues suggest that an autoimmune reaction against heat shock protein 60 (Hsp60), expressed by endothelial cells in areas that are subject to increased haemodynamic stress, is the initiating event in atherogenesis. Humoral and T-cell-mediated immune responses against Hsp60 have both been demonstrated early in disease. This inflammatory stage, which is reversible and has even been found in children, may progress into fully developed atherosclerotic lesions, displaying all the classical pathohistological and functional consequences, if additional risk factors such as high blood cholesterol levels, smoking and obesity, are present.
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Arteriosclerosis/inmunología , Animales , Autoanticuerpos/inmunología , Enfermedades Autoinmunes/inmunología , Chaperonina 60/inmunología , Endotelio Vascular/inmunología , Humanos , Linfocitos T/inmunologíaRESUMEN
We have shown previously that atherosclerotic lesions can be induced in normocholesterolemic rabbits by immunization with mycobacterial heat shock protein 65 (hsp65), which has a high degree of sequence homology with mammalian hsp60. To investigate a possible relationship between hsp60 expression and the antigenic specificities of infiltrating T cells in the lesion, 38 New Zealand White rabbits were treated either by immunization with recombinant mycobacterial hsp65 or by administration of a 0.2% cholesterol diet. Atherosclerotic lesions were observed after 16 wk, particularly in the aortic arch and arterial bifurcations of rabbits immunized with hsp65 or fed with a cholesterol-rich diet. Hsp65 staining of aortas showed a heterogeneous distribution, and significantly increased staining intensity in atherosclerotic lesions compared to aortic media or adventitia. This abundantly expressed hsp65 was observed in atherosclerotic lesions induced by hsp65 immunization as well as those induced by cholesterol-rich diet alone. Interestingly, a population of the T lymphocytes isolated from all forms of atherosclerotic lesions specifically responded to hsp65 in vitro. IL-2-expanded T cell lines derived from atherosclerotic lesions showed a significantly higher hsp65 reactivity than those developed from peripheral blood of the same donor. Furthermore, levels of circulating antibodies and numbers of spleen cells specifically reacting against hsp65 were elevated in all experimental animals. Flow cytometric analysis of spleen cells showed elevated immune response-associated antigen expression in treated animals. In conclusion, increased hsp65 expression in intimal cells and the presence of hsp65-specific T cells in blood and in atherosclerotic lesions may be important in initiating the development of atherosclerosis and perpetuating the lesions.
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Aorta/química , Arteriosclerosis/inmunología , Proteínas Bacterianas , Chaperoninas , Endotelio Vascular/química , Proteínas de Choque Térmico/inmunología , Linfocitos T/inmunología , Animales , Formación de Anticuerpos , Aorta/citología , Arteriosclerosis/inducido químicamente , Arteriosclerosis/etiología , División Celular , Línea Celular , Movimiento Celular , Chaperonina 60 , Colesterol/sangre , Endotelio Vascular/citología , Técnica del Anticuerpo Fluorescente , Proteínas de Choque Térmico/análisis , Hipercolesterolemia/inmunología , Inmunohistoquímica , Leucocitos/citología , Masculino , Fenotipo , Conejos , Bazo/citologíaRESUMEN
Our previous work revealed the presence of a great number of activated T lymphocytes in early human atherosclerotic lesions, and we were able to induce atherosclerosis in normocholesterolemic rabbits by immunization with Mycobacterium tuberculosis heat-shock protein (HSP) 65. We hypothesized this latter phenomenon to arise from cross-reactivity of mycobacterial HSP 65 with the endogenously expressed homologous 60-kd form of this stress protein. To study HSP 60 expression and the phenotype of intima infiltrating T lymphocytes relative to the T cell receptor (TCR) in human atherosclerotic lesions, specimens of aorta, carotid arteries, and internal mammary arteries and veins, as well as saphenous veins and vena cava from 27 subjects, aged 23 to 80 years, were examined using immunohistochemical and immunofluorescence techniques on serial frozen tissue sections. HSP 60 was detected on endothelium, smooth muscle cells, and/or mononuclear cells of all carotid and aortic specimens, whereas vessels of smaller diameter, serving as reference specimens for normal intima without atherosclerotic lesions and mononuclear infiltration, showed no detectable expression of this stress protein. Furthermore, although the majority of CD3+ cells within the mononuclear cell infiltrates of atherosclerotic lesions bear the alpha/beta TCR, a considerable portion also consisted of gamma/delta TCR+ cells. Thus, 9.7% of T cells in the transition zone between normal intima and fatty streaks carry the gamma/delta TCR, a proportion that decreases to 6.6% and 4.3% in fatty streaks and atherosclerotic plaques, respectively. We conclude that the intensity of HSP 60 expression correlates positively with the atherosclerotic severity and that most lymphocytes participating in atherogenesis bear the alpha/beta TCR, although gamma/delta TCR+ cells are also enriched in atherosclerotic lesions. Expression of HSP 60 by intimal cells, caused, eg, by hemodynamic shear forces, may be responsible for recruitment of HSP-sensitized T cells, thus leading to the induction of an initiating inflammatory process in atherosclerosis. Other risk factors, such as high serum cholesterol levels, contribute to the final outcome of the disease.
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Arteriosclerosis/inmunología , Proteínas de Choque Térmico/análisis , Receptores de Antígenos de Linfocitos T alfa-beta/análisis , Receptores de Antígenos de Linfocitos T gamma-delta/análisis , Adulto , Anciano , Anciano de 80 o más Años , Anticuerpos Monoclonales , Aorta/química , Aorta/metabolismo , Aorta/patología , Arteriosclerosis/metabolismo , Arteriosclerosis/patología , Arterias Carótidas/química , Arterias Carótidas/metabolismo , Arterias Carótidas/patología , Chaperonina 60 , Endotelio Vascular/química , Endotelio Vascular/metabolismo , Endotelio Vascular/patología , Ensayo de Inmunoadsorción Enzimática , Femenino , Técnica del Anticuerpo Fluorescente , Proteínas de Choque Térmico/metabolismo , Humanos , Inmunohistoquímica , Masculino , Persona de Mediana Edad , Músculo Liso Vascular/química , Músculo Liso Vascular/metabolismo , Músculo Liso Vascular/patología , Fenotipo , Linfocitos T/química , Linfocitos T/patología , Túnica Íntima/química , Túnica Íntima/metabolismo , Túnica Íntima/patologíaRESUMEN
Arteriosclerotic lesions can be induced in normocholesterolaemic rabbits by immunisation with heat-shock protein (hsp) 65, a stress protein expressed in high concentrations in human atherosclerotic lesions. If an immune reaction to hsp65 also plays a part in human atherogenesis, it should be possible to detect anti-hsp65 antibodies in patients with atherosclerotic lesions. To study the possible relation between immune reaction to hsp65 and atherosclerosis, 867 normal inhabitants of South Tyrol, aged 40-79 years, were selected randomly for determination of serum antibodies against hsp65, simultaneous sonographic assessment of carotid atherosclerotic lesions, and evaluation of established risk factors--ie, blood cholesterol, hypertension, smoking, diabetes mellitus, and obesity. Autoantibodies to nuclear antigens, thyroid antigens, and rheumatoid factors were also measured. Serum anti-hsp65 antibodies were significantly (p < 0.05) increased in subjects aged 60-79 years with carotid atherosclerosis compared with those without lesions, and increased antibody concentration was independent of age, sex, and other established risk factors. On the other hand, the incidence and titres of autoantibodies did not correlate with carotid atherosclerotic lesions. Our data provide the first evidence of a strong correlation between anti-hsp65 antibodies and carotid atherosclerosis, suggesting that hsp65 might be involved in the pathogenesis of atherosclerosis.