{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,5]],"date-time":"2026-10-05T05:33:17Z","timestamp":1791178397866,"version":"4.1.0"},"reference-count":23,"publisher":"Wiley","issue":"4","license":[{"start":{"date-parts":[[2002,4,5]],"date-time":"2002-04-05T00:00:00Z","timestamp":1017964800000},"content-version":"vor","delay-in-days":4,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Arthritis &amp; Rheumatism"],"published-print":{"date-parts":[[2002,4]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Objective<\/jats:title><jats:p>To examine the reported correlation between the presence of <jats:italic>Chlamydia pneumoniae<\/jats:italic> in temporal artery biopsy specimens and the diagnosis of temporal arteritis (TA).<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Among 90 possible cases of TA identified at our institution between 1968 and 2000, 79 of the positive biopsy specimens (88%) demonstrated giant cells and the other 11 cases (12%) had other histopathologic features compatible with TA; by chart review, all 90 patients were confirmed to have met the American College of Rheumatology classification criteria for TA. Controls had negative temporal artery biopsy specimens during the same 32\u2010year time period and their postbiopsy disease courses were not compatible with TA. Controls were matched with each case by sex, year of biopsy, and age within 10 years. The biopsy specimens from all cases and controls were reevaluated and readings were confirmed in a masked manner by an experienced eye pathologist. Polymerase chain reaction (PCR) analyses for <jats:italic>C pneumoniae<\/jats:italic> were performed on the 180 samples using 2 different sets of PCR primers (which target 2 different genes). A primer set targeting the <jats:italic>ompA<\/jats:italic> gene (CP1\u2010CP2\/CPC\u2010CPD) was used to perform a nested PCR, followed by confirmation of the findings with primers targeting the 16S ribosomal RNA (rRNA) gene (Cpn90\/Cpn91) in a touchdown\u2010enzyme time\u2010release PCR. We used positive and negative controls, as well as controls made from infected and noninfected HEp\u20102 cells, suspended in a formalin\u2010fixed, paraffin\u2010embedded matrix.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Seventy\u2010six percent of the 180 cases and controls were women. The mean age of the cases was 72.0 years (range 53\u201390), and that of the controls was 70.4 years (range 51\u201386). Eighty percent of the control samples were obtained by temporal artery biopsy performed within 1 year of the biopsies performed on the matched cases. Using the CP1\u2010CP2\/CPC\u2010CPD primer set, only 1 TA case sample (1% of all case samples) was positive for the <jats:italic>ompA<\/jats:italic> gene. One control sample was also positive using these primers. With the Cpn90\/Cpn91 primers, none of the cases and none of the controls were positive for the 16S rRNA gene.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>The results of this study using sensitive and specific PCR analyses do not support a role for <jats:italic>C pneumoniae<\/jats:italic> in the pathogenesis of TA.<\/jats:p><\/jats:sec>","DOI":"10.1002\/art.517","type":"journal-article","created":{"date-parts":[[2002,8,25]],"date-time":"2002-08-25T23:44:07Z","timestamp":1030319047000},"page":"1056-1060","source":"Crossref","is-referenced-by-count":49,"title":["Temporal arteritis and <i>Chlamydia pneumoniae<\/i>: Failure to detect the organism by polymerase chain reaction in ninety cases and ninety controls"],"prefix":"10.1002","volume":"46","author":[{"given":"Michael J.","family":"Regan","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Billie Jo","family":"Wood","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yu\u2010Hsiang","family":"Hsieh","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mellisa L.","family":"Theodore","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Thomas C.","family":"Quinn","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"David B.","family":"Hellmann","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"W. Richard","family":"Green","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Charlotte A.","family":"Gaydos","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"John H.","family":"Stone","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2002,4,5]]},"reference":[{"key":"e_1_2_5_2_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0049-0172(95)80015-8"},{"key":"e_1_2_5_3_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0161-6420(93)31608-8"},{"key":"e_1_2_5_4_2","doi-asserted-by":"publisher","DOI":"10.7326\/0003-4819-123-3-199508010-00006"},{"key":"e_1_2_5_5_2","doi-asserted-by":"publisher","DOI":"10.1056\/NEJM199207303270501"},{"key":"e_1_2_5_6_2","doi-asserted-by":"publisher","DOI":"10.1056\/NEJM199012063232301"},{"key":"e_1_2_5_7_2","doi-asserted-by":"publisher","DOI":"10.1093\/infdis\/168.1.1"},{"key":"e_1_2_5_8_2","doi-asserted-by":"publisher","DOI":"10.1111\/j.1574-6968.2001.tb10574.x"},{"key":"e_1_2_5_9_2","doi-asserted-by":"publisher","DOI":"10.1056\/NEJM199901143400207"},{"key":"e_1_2_5_10_2","doi-asserted-by":"publisher","DOI":"10.1172\/JCI118959"},{"key":"e_1_2_5_11_2","doi-asserted-by":"crossref","first-page":"734","DOI":"10.1128\/CDLI.7.5.734-738.2000","article-title":"Prevalence of Chlamydia pneumoniae and Mycoplasma pneumoniae immunoglobulin G and A antibodies in a healthy Finnish population as analyzed by quantitative enzyme immunoassays","volume":"7","author":"Tuuminen T","year":"2000","journal-title":"Clin Diagn Lab Immunol"},{"key":"e_1_2_5_12_2","first-page":"37","article-title":"Reinfection with Chlamydiae pneumoniae may induce isolated and systemic vasculitis in small and large vessels","volume":"104","author":"Ljungstrom L","year":"1997","journal-title":"Scand J Infect Dis"},{"key":"e_1_2_5_13_2","first-page":"2718","article-title":"Temporal arteritis associated with Chlamydia pneumoniae DNA detected in an artery specimen","volume":"27","author":"Rimenti G","year":"2000","journal-title":"J Rheumatol"},{"key":"e_1_2_5_14_2","doi-asserted-by":"publisher","DOI":"10.1002\/1529-0131(200007)43:7<1543::AID-ANR19>3.0.CO;2-8"},{"key":"e_1_2_5_15_2","doi-asserted-by":"publisher","DOI":"10.1080\/030097400750001941"},{"key":"e_1_2_5_16_2","doi-asserted-by":"publisher","DOI":"10.1136\/jcp.46.4.313"},{"key":"e_1_2_5_17_2","doi-asserted-by":"publisher","DOI":"10.1086\/516492"},{"key":"e_1_2_5_18_2","doi-asserted-by":"publisher","DOI":"10.1128\/JCM.38.3.1085-1093.2000"},{"key":"e_1_2_5_19_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(97)03079-1"},{"key":"e_1_2_5_20_2","volume-title":"Statistical methods for rates and proportions","author":"Fleiss J","year":"1981"},{"key":"e_1_2_5_21_2","doi-asserted-by":"publisher","DOI":"10.1002\/art.1780330810"},{"key":"e_1_2_5_22_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(83)91269-2"},{"key":"e_1_2_5_23_2","doi-asserted-by":"publisher","DOI":"10.1086\/322632"},{"key":"e_1_2_5_24_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0021-9150(98)00116-6"}],"container-title":["Arthritis &amp; Rheumatism"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.wiley.com\/onlinelibrary\/tdm\/v1\/articles\/10.1002%2Fart.517","content-type":"unspecified","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/art.517","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,11,23]],"date-time":"2023-11-23T01:06:56Z","timestamp":1700701616000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1002\/art.517"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2002,4]]},"references-count":23,"journal-issue":{"issue":"4","published-print":{"date-parts":[[2002,4]]}},"alternative-id":["10.1002\/art.517"],"URL":"https:\/\/doi.org\/10.1002\/art.517","archive":["Portico"],"relation":{},"ISSN":["0004-3591","1529-0131"],"issn-type":[{"value":"0004-3591","type":"print"},{"value":"1529-0131","type":"electronic"}],"subject":[],"published":{"date-parts":[[2002,4]]}}}