Evidence of a TH1-shift of local vaginal inflammatory response during bacterial vaginosis

被引:23
作者
Anton, G. [2 ]
Rid, J. [2 ]
Mylonas, I. [1 ]
Friese, K. [1 ,2 ]
Weissenbacher, E. -R. [2 ]
机构
[1] Univ Munich, Klinikum Innenstadt, Dept Obstet & Gynecol 1, D-8000 Munich, Germany
[2] Univ Munich, Klinikum Innenstadt, Dept Obstet & Gynecol, D-8000 Munich, Germany
关键词
D O I
10.1007/s15010-007-7152-2
中图分类号
R51 [传染病];
学科分类号
100401 ;
摘要
Objective: To determine the levels of pro-inflammatory and anti-inflammatory cytokines in the vagina of healthy women and in bacterial vaginosis (BV) patients. Methods: Interleukin (IL)-1 alpha, 1 beta, 5 and 10 were analyzed by ELISA in vaginal wash fluids from 50 non-pregnant patients with BV and 112 healthy women. Results: Levels of IL-1 beta were higher and those of IL-10 lower in BV-patients than in healthy women. There was a tendency towards higher levels of IL-1 alpha in BV patients, but these data were not statistically significant. Conclusion: We found evidence for a shift towards a TH1-dominated vaginal cytokine profile in the pathogenesis of BV. Levels of a TH1-cytokine were elevated and those of a TH2-cytokine lowered in BV-patients as compared to healthy controls. This points to a vaginal TH1-response during BV and to the importance of cell-mediated immunity in local vaginal infections.
引用
收藏
页码:147 / 152
页数:6
相关论文
共 33 条
[1]   NONSPECIFIC VAGINITIS - DIAGNOSTIC-CRITERIA AND MICROBIAL AND EPIDEMIOLOGIC ASSOCIATIONS [J].
AMSEL, R ;
TOTTEN, PA ;
SPIEGEL, CA ;
CHEN, KCS ;
ESCHENBACH, D ;
HOLMES, KK .
AMERICAN JOURNAL OF MEDICINE, 1983, 74 (01) :14-22
[2]   Correlation of local interleukin-1 beta levels with specific IgA response against Gardnerella vaginalis cytolysin in women with bacterial vaginosis [J].
Cauci, S ;
Driussi, S ;
Guaschino, S ;
Isola, M ;
Quadrifoglio, F .
AMERICAN JOURNAL OF REPRODUCTIVE IMMUNOLOGY, 2002, 47 (05) :257-264
[3]   Association between acquisition of herpes simplex virus type 2 in women and bacterial vaginosis [J].
Cherpes, TL ;
Meyn, LA ;
Krohn, MA ;
Lurie, JG ;
Hillier, SL .
CLINICAL INFECTIOUS DISEASES, 2003, 37 (03) :319-325
[4]   Increased interleukin-10 in the endocervical secretions of women with non-ulcerative sexually transmitted diseases: a mechanism for enhanced HIV-1 transmission? [J].
Cohen, CR ;
Plummer, FA ;
Mugo, N ;
Maclean, I ;
Shen, CX ;
Bukusi, EA ;
Irungu, E ;
Sinei, S ;
Bwayo, J ;
Brunham, RC .
AIDS, 1999, 13 (03) :327-332
[5]   Relationship of bacterial vaginosis and mycoplasmas to the risk of spontaneous abortion [J].
Donders, GGG ;
Van Bulck, B ;
Caudron, J ;
Londers, L ;
Vereecken, A ;
Spitz, B .
AMERICAN JOURNAL OF OBSTETRICS AND GYNECOLOGY, 2000, 183 (02) :431-437
[6]   Pathogenesis of abnormal vaginal bacterial flora [J].
Donders, GGG ;
Bosmans, E ;
Dekeersmaecker, A ;
Vereecken, A ;
Van Bulck, B ;
Spitz, B .
AMERICAN JOURNAL OF OBSTETRICS AND GYNECOLOGY, 2000, 182 (04) :872-878
[7]   HISTORY AND REVIEW OF BACTERIAL VAGINOSIS [J].
ESCHENBACH, DA .
AMERICAN JOURNAL OF OBSTETRICS AND GYNECOLOGY, 1993, 169 (02) :441-445
[8]   Association between vaginal 70-kd heat shock protein, interteukin-1 receptor antagonist, and microbial flora in mid trimester pregnant women [J].
Genç, MR ;
Karasahin, E ;
Onderdonk, AB ;
Bongiovanni, AM ;
Delaney, ML ;
Witkin, SS .
AMERICAN JOURNAL OF OBSTETRICS AND GYNECOLOGY, 2005, 192 (03) :916-921
[9]   Vaginal heat shock protein expression in symptom-free women with a history of recurrent vulvovaginitis [J].
Giraldo, P ;
Neuer, A ;
Korneeva, IL ;
Ribeiro, A ;
Simöes, JA ;
Witkin, SS .
AMERICAN JOURNAL OF OBSTETRICS AND GYNECOLOGY, 1999, 180 (03) :524-529
[10]   Local and systemic cytokine levels in relation to changes in vaginal flora [J].
Hedges, SR ;
Barrientes, F ;
Desmond, RA ;
Schwebke, JR .
JOURNAL OF INFECTIOUS DISEASES, 2006, 193 (04) :556-562