title: Potential effects of midcycle cervical mucus on mediators of immune reactivity.
abstract: OBJECTIVE
  To examine the effect of cervical mucus (CM) on immune mediators in cervicovaginal lavage fluid.
  
  
  METHODS
  The stability of cytokines and immunoglobulins (Ig) within cervicovaginal lavage fluid was determined during 18-hour contact with unsolubilized midcycle CM in vitro.
  
  
  METHODS
  In vitro experiment.
  
  
  METHODS
  Healthy female volunteers from whom cervicovaginal lavage fluid and periovulatory CM were obtained.
  
  
  METHODS
  Changes in cytokine and Ig concentration in cervicovaginal lavage fluid after incubation with CM.
  
  
  METHODS
  Interleukin (IL)-4, IgA, and IgG concentrations were determined by ELISA. Interleukin-2 concentration was determined by bioassay using the IL-2-dependent cytotoxic T-lymphocyte cell line and ELISA. Results were expressed as percent antibody or cytokine recovery remaining after mucus contact, with differences over time evaluated by analysis of variance.
  
  
  RESULTS
  During 18-hour mucus contact, significant changes were detected for IL-4, IgA, and IgG concentration. Interleukin-2 was stable in mucus-associated cervicovaginal lavage fluid as determined by functional bioassay and ELISA.
  
  
  CONCLUSIONS
  Immunoglobulins and cytokines differ in their recovery from aqueous media after CM contact, suggesting that midcycle CM could alter immune reactivity within the reproductive tract by modifying the availability or function of immunomodulatory substances.
authors.affiliation: Department of Obstetrics and Gynecology, Hutzel Hospital/Wayne State University School of Medicine, Detroit, Michigan 48201, USA.
authors.forename: K A
authors.initials: KA
authors.lastname: Ginsburg
authors.forename: N A
authors.initials: NA
authors.lastname: Wolf
authors.forename: P L
authors.initials: PL
authors.lastname: Fidel
mesh_terms: D002582:Cervix Mucus / Q000502:physiology*; D002584:Cervix Uteri / Q000276:immunology; D016207:Cytokines / Q000032:analysis*; D004797:Enzyme-Linked Immunosorbent Assay; D005260:Female; D006801:Humans; D007136:Immunoglobulins / Q000032:analysis*; D007376:Interleukin-2 / Q000032:analysis; D015847:Interleukin-4 / Q000032:analysis; D014621:Vagina / Q000276:immunology
chemical_list: D016207:Cytokines; D007136:Immunoglobulins; D007376:Interleukin-2; D015847:Interleukin-4