Skip to main content
Log in

Relationships of Differential Leukocyte and Lymphocyte Subpopulations with Carotid Atherosclerosis in Elderly Men

  • Published:
Journal of Clinical Immunology Aims and scope Submit manuscript

Abstract

To examine the relationship between systemic immune status and carotid atherosclerosis in elderly men, differential leukocyte counts and lymphocyte subpopulations were measured in 557 apparently healthy Japanese men aged 60–75 years. Each individual also underwent high-resolution ultrasonography for measurement of intima-media thickness (IMT) of the common carotid arteries. The increased numbers of circulating lymphocyte subpopulations, including memory T cells (CD4+CD45RO+T cells) and late-phase activated B cells (CD19+CD80+B cells) correlated significantly and positively with the mean IMT of the common carotid artery after adjustment for age, smoking, and other cardiovascular risk factors. The positive associations of CD19+CD80+B and CD4+CD45RO+ T cell counts with mean IMT were more evident among nonsmokers, hypertensives, and men with lower HDL-cholesterol levels. The present epidemiological study provided the evidence that alterations in lymphocyte subpopulations, in particular memory T cells and late-phase activated B cells concur with carotid atherosclersosis among free-living elderly men.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Similar content being viewed by others

References

  1. Ross R: Atherosclerosis: An inflammatory disease. N Engl J Med 340:115–126, 1999

    Google Scholar 

  2. Hansson GK: Immune mechanisms in atherosclerosis. Arterioscler Thromb Vasc Biol 21:1876–1890, 2001

    Google Scholar 

  3. Emeson EE, Robertson AL: T lymphocytes in aortic and coronary intimas. Their potential role in atherogenesis. Am J Pathol 130:369–376, 1988

    Google Scholar 

  4. Hansson GK, Jonasson L, Lojisthed B, Stemme S, Kocher O,Gabbiani G: Localization of T lymphocytes and macrophages in fibrous and complicated human atherosclerotic plaques. Atherosclerosis 72:135–141, 1988

    Google Scholar 

  5. Hansson GK, Holm J, Jonasson L: Detection of activated T lymphocytes in the human atherosclerotic plaque. Am J Pathol 135:169–175, 1989

    Google Scholar 

  6. Stemme S, Holm J, Hansson GK: T lymphocytes in human atherosclerotic plaques are memory cells expressing CD45RO and the integrin VLA-1. Arterioscler Thromb 12:206–211, 1992

    Google Scholar 

  7. Grimm RH, Neaton JD, Ludwing W: Prognostic importance of the white blood cell count for coronary, cancer, and all-cause mortality. JAMA 254:1932–1937, 1985

    Google Scholar 

  8. Lee CD, Folsom AR, Nieto FJ, Chambless LE, Shahar E, Wolfe DA: White blood cell count and incidence of coronary heart disease and ischemic stroke and mortality from cardiovascular disease in African-American and White men and women: atherosclerosis risk in communities study. Am J Epidemiol 154:758–764, 2001

    Google Scholar 

  9. Danesh J, Collins R, Appleby P, Peto R: Association of fibrinogen, C-reactive protein, albumin, or leukocyte count with coronary heart disease: Meta-analyses of prospective studies. JAMA 279:1477–1482, 1998

    Google Scholar 

  10. Folsom AR, Rosamond WD, Shahar E, Cooper LS, Aleksic N, Niero FJ, Rasmussen ML, Wu KK: Prospective study of markers of hemostatic function with risk of ischemic stroke. Circulation 100:736–742, 1999

    Google Scholar 

  11. Olivares R, Ducimetière P, Claude JR. Monocyte count: A risk factor for coronary heart disease? Am J Epidemiol 137:49–53, 1993

    Google Scholar 

  12. Ridker PM, Cushman M, Stampfer MJ, Tracy RP, Hennekens CH: Inflammation, aspirin, and the risk of cardiovascular disease in apparently healthy men. N Engl J Med 336:973–979, 1997

    Google Scholar 

  13. Tracy RP, Lemaitre RN, Psaty BM, Ives DG, Evans RW, Cushman M, Meilahn EN, Kuller LH: Relationship of C-reactive protein to risk of cardiovascular disease in the elderly results from the Cardiovascular Health Study and the Rural Health Promotion Project. Arterioscl Throm Vas Biol 17:1121–1127, 1997

    Google Scholar 

  14. O'Leary DH, Polak JF, Kronmal RA, Manolio TA, Burke GL, Wolfson SK Jr: Carotid-artery intima and media thickness as a risk factor for myocardial infarction and stroke in older adults. N Engl J Med 340:14–22, 1999

    Google Scholar 

  15. Chambless LE, Heiss G, Folsom AR, Rosamond W, Szklo M, Sharrett AR, Clegg LX: Association of coronary heart disease incidence with carotid arterial wall thickness and major risk factors: The Atherosclerosis Risk in Communities (ARIC) Study, 1987—1993. Am J Epidemiol 146:483–494, 1997

    Google Scholar 

  16. Elkind MS, Cheng J, Boden-Albala B, Paik MC, Sacco RL: Elevated white blood cell count and carotid plaque thickness: The northern Manhattan stroke study. Stroke 32:842–849, 2001

    Google Scholar 

  17. Chambless LE, Folsom AR, Davis V, Sharrett R, Heiss G, Sorlie P, Szklo M, Howard G, Evans GW: Risk factors for progression of common carotid atherosclerosis: The atherosclerosis risk in communities study, 1987—1998. Am J Epidemiol 155:38–47, 2002

    Google Scholar 

  18. Tanigawa T, Araki S, Nakata A, Sakurai S, Miki A: Effects of Smoking and Japanese cedar pollinosis on lymphocyte subpopulations. Arch Environ Health 54:119–123, 1999

    Google Scholar 

  19. Sanders ME, Makgoba MW, Shaw S: Human naive and memory T cells: Reinterpretation of helper-inducer and suppressor-inducer subsets. Immunol Today 9:195–199, 1988

    Google Scholar 

  20. O'Leary DH, Polak JF, Xolfson SK Jr, Bond MG, Bommer X, Sheth S, Psaty BM, Sharrett AR, Manolio TA: Use of sonography to evaluate carotid atherosclerosis in the elderly. The cardiovascular health study. CHS Collaborative Research Group Stroke 22:1155–1163, 1991

    Google Scholar 

  21. Kitamura A, Iida M, Imano H, Shimamoto T: Prevalence and correlates of sonographically detected carotid atheroscleosis among elderly men in several Japanese populations. Jpn J Stroke 22:320-328, 2000 (in Japanese with English abstract)

    Google Scholar 

  22. Myers GL, Cooper GR, Henderson LO, Hassmer DJ, Kimberly MM: Standardization of lipid and lipoprotein measurements. In Handbook of Lipoprotein Testing, N Rifai, GR Warnick, MH Dominiczak (eds). Washington DC, AACC, 1997, pp. 223-250

    Google Scholar 

  23. SAS Institute. SAS User's guide: Statistics. Cary, NC: SAS Institute, 1994

    Google Scholar 

  24. Feldman DL, Mogelesky TC, Liptak BF, Gerrity RG: Leukocytosis in rabbits with diet-induced atherosclerosis. Arterioscler Thromb 11:985–994, 1991

    Google Scholar 

  25. Zhou X, Nicoletti A, Elhage R, Hansson GK: Transfer of CD4+ T cells aggravates atherosclerosis in immunodeficient apolipoprotein E knockout mice. Circulation 12(102):2919–2922, 2000

    Google Scholar 

  26. Edward AG, Khuong AN, Kuchroo VK: CD28/B7 costimulation. A review. Crit Rev Immunol 18:389–418, 1998

    Google Scholar 

  27. Bruunsgaard H, Pedersen AN, Schroll M, Skinhøj P, Pedersen BK: Decreased natural killer cell activity is associated with atherosclerosis in elderly humans. Exp Gerontol 37:127–136, 2001

    Google Scholar 

  28. Freedman DS, Flanders WD, Barboriak JJ, Malarcher AM, Gates L: Cigarette smoking and leukocyte subpopulations in men. Ann Epidemiol 6:299–306, 1996

    Google Scholar 

  29. Tanigawa T, Araki S, Nakata A, Kitamura F, Yasumoto M, Sakurai S: Increase in memory (CD4+CD29+ and CD4+CD45RO+) T and naïve (CD4+CD45RA+) T cell subpopulations in smokers. Arch Environ Health 53:378–383, 1998

    Google Scholar 

  30. Francus T, Klein RF, Staiano-Coico L, Becker CG, Siskind GW: Effects of tobacco glycoprotein (TGP) on the immune system II. TGP stimulates the proliferation of human T cells and the differentiation of human B cells into Ig secreting cells. J Immunol 140:1823–1829, 1988

    Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Takeshi Tanigawa.

Rights and permissions

Reprints and permissions

About this article

Cite this article

Tanigawa, T., Kitamura, A., Yamagishi, K. et al. Relationships of Differential Leukocyte and Lymphocyte Subpopulations with Carotid Atherosclerosis in Elderly Men. J Clin Immunol 23, 469–476 (2003). https://doi.org/10.1023/B:JOCI.0000010423.65719.e5

Download citation

  • Issue Date:

  • DOI: https://doi.org/10.1023/B:JOCI.0000010423.65719.e5

Navigation