Chlamydia trachomatis serotype G is most strongly associated with subsequent development of cervical SCC. Increasing numbers of exposures to different C trachomatis serotypes also increases risk. Our results strengthen the evidence that there is a link between past C trachomatis infection and cervical SCC.
Twenty-four multiparous Ayrshire cows were used in an experiment to test the effect of body fatness and glucogenic supplement, fed during the transition period, on lipid and protein mobilization and plasma hormone concentrations. Eight weeks before their expected calving date, the cows were divided into blocks of 4. Two cows with the highest body condition score within each block were then allocated to a test (T) group and the other 2 cows to a control (C) group. To scale up the differences between fatter and thinner cows, the estimated energy allowance was 40% higher in group T than in group C between d 56 and 21 prepartum. For the final 3 wk before calving, all the cows were fed according to energy recommendations for pregnant cows. Within C and T groups and blocks, cows were randomly assigned into groups with (G1) or without (G0) glucogenic supplement. Division to G0 and G1 groups was made 2 wk before the expected calving and continued for 56 d postpartum. After calving, all the cows received grass silage ad libitum and a common daily concentrate allowance. No significant differences were detected in feed intake and milk yield between C and T. The T groups showed an earlier rise of nonesterified fatty acids as calving approached and had higher plasma nonesterified fatty acids during the final week of pregnancy and lactation wk 1 to 3. At the same time, adipose tissue samples from fatter cows tended to show higher in vitro lipolytic responses to added norepinephrine, as monitored by glycerol release. Protein mobilization was elevated during the final week of pregnancy and tended to be more increased in fatter cows. Glucogenic supplement did not decrease lipid or protein mobilization. Fatter cows had higher plasma leptin concentration prepartum, showed a more pronounced decrease in leptin concentration near calving, and had higher plasma leptin concentration after calving. In conclusion, fatter cows initiated more extensive mobilization of body fat before calving and this continued during the first lactation weeks. Plasma leptin concentration in early-lactation cows was associated with body fatness and not with estimated energy balance.
Epidemiological evidence suggests that airway obstruction is an independent risk factor for lung cancer and that this cannot be explained by active or passive smoking alone. Chlamydia pneumoniae infection has been associated with chronic bronchitis and its exacerbates. Our aim was to evaluate the association between chronic C. pneumoniae infection and risk of lung cancer among male smokers. Smoking males with lung cancer (n 5 230) and their age-and locality-matched controls were selected among participants of the Alpha-Tocopherol, Beta-Carotene Cancer Prevention Study. The presence of C. pneumoniae infection was assessed by analyzing specific antibodies and immune complexes in 2 serum samples collected with a 3-year interval before the lung cancer diagnosis. The diagnosis of chronic infection was based on stable levels of positive specific IgA antibody (titer H 16) and immune complex (titer H 4). Relative risks were estimated by odds ratios (OR) adjusted for age, locality and smoking history by a conditional logistic regression model. Markers suggesting chronic C. pneumoniae infection were present in 52% of cases and 45% of controls and hence were positively associated with the incidence of lung cancer (OR 1.6; 95% confidence interval [CI] 1.0-2.3). The incidence was especially increased in men younger than 60 years (OR 2.9; 95% CI 1.5-5.4) but not in the older age group (OR 0.9; 95% CI 0.5-1.6). Before concluding that C. pneumoniae infection is a new independent risk factor for lung cancer, corroboration from other studies with larger number of cases and longer follow-up is needed. Int. J. Cancer 74:31-34.Chlamydia pneumoniae is a common intracellular bacterium that causes pneumonia and other respiratory infections world-wide. Like all Chlamydia organisms, it has a tendency to cause persistent and chronic infections. C. pneumoniae has been serologically associated with chronic lung diseases such as chronic bronchitis (von Hertzen et al., 1995) and adult onset asthma (Hahn et al., 1991), as well as and with atherosclerosis (Saikku et al., 1988), in which the organism has been demonstrated in atherosclerotic plaques (Kuo et al., 1993). Chronic bronchitis has been suggested as an independent etiologic factor in lung cancer (Osann, 1991), the effect of which cannot be explained by either active or passive exposure to cigarette smoke. Smoking does, however, appear to promote chronic C. pneumoniae infection, probably through immunosuppression (Karvonen et al., 1994a).In Finland, nearly 30,000 male smokers were followed for 5-8 years in 1985-1993 in the Alpha-Tocopherol, Beta-Carotene Cancer Prevention Study (ATBC Study Group, 1994). We analyzed baseline and 3-year follow-up serum samples from 230 men diagnosed with lung cancer after the third year and their age-, timeand locality-matched controls for C. pneumoniae-specific IgG and IgA antibodies and immune complexes to study the association between markers suggestive of chronic C. pneumoniae infection and lung cancer. MATERIAL AND METHODS Base population and follow-u...
Persistent human papillomavirus (HPV) infection is an established cause of cervical cancer, but the role of other sexually transmitted agents, most notably Chlamydia trachomatis, has not been well defined. The women participating in the population-based cervical cancer screening program in Västerbotten county of Northern Sweden were followed up for up to 26 years to identify 118 women who developed cervical cancer after having had a normal Pap smear (on average 5.6 years later; range 0.5 months-26 years). As controls, we selected another 118 women who were matched by birth cohort, time-point of sampling of the baseline normal smear and who had a normal smear at the time when the corresponding case was diagnosed with cancer. The Pap smears and cervical cancer biopsies were analyzed by PCR for C. trachomatis DNA and for HPV DNA. At baseline, C. trachomatis DNA was present in 8% of cases but not among any one of the controls. The relative risk for cervical cancer associated with past C. trachomatis infection, adjusted for concomitant HPV DNA positivity, was 17.1 (95% CI 2.6 -ؕ).The presence of C. trachomatis and of HPV were not interrelated. Whereas C. trachomatis was primarily found in specimens taken many years before cancer diagnosis, HPV DNA was associated with a short lag time before cancer diagnosis. Whereas most women who were HPV DNA-positive in the prediagnostic smear were also positive for the same virus in the cervical cancer biopsy, none of the women were positive for C. trachomatis in both the prediagnostic smear and in the subsequent cervical cancer. In conclusion, a prior cervical C. trachomatis infection was associated with an increased risk for development of invasive cervical cancer.
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