Variation in vaginal immune parameters and microbial hydrolytic enzymes in bacterial vaginosis positive pregnant women with and without Mobiluncus species.
OBJECTIVE
This study was undertaken to assess if levels of interleukin-1beta (IL-1beta), IL-8, sialidase, prolidase and immunoglobulin A against Gardenerella vaginalis hemolysin (anti-Gvh IgA) in vaginal secretions differ between BV+ women with (M+) and without (M-) Mobiluncus spp.


METHODS
Vaginal secretions were obtained from 265 women at their first prenatal care visit and assessed for all study parameters. Gram stain evaluation using Nugent criteria was performed and coinfection with sexually transmitted infections determined. Differences between BV+/M+ and BV+/M- women were evaluated using the chi2 statistic or Mann-Whitney test.


RESULTS
Of the 265 BV+ women, 43% (n = 113) were M+ of which 97% (n = 110) had Nugent scores of 9 or 10 . BV+/M+ women had elevated levels of sialidase (median value: 4.11 nmol vs 1.91 nmol of converted substrate; P = .003) but no difference in prolidase, anti-Gvh IgA, IL-1beta, IL-8, levels were found between the two groups. BV+/M- women had significantly higher rates of coinfection with Trichomonas vaginalis.


CONCLUSIONS
BV+/M+ women have higher vaginal concentrations of sialidase and lower rates of T. vaginalis compared with BV+/M- women. Further research is needed to assess the association of this, and other, microbiologic profiles to risk of adverse pregnancy outcome.
Culhane
Jennifer F
JF
Department of Obstetrics and Gynecology, Drexel University College of Medicine, Philadelphia, PA 19102, USA. jennifer.culhane@drexelmed.edu
Nyirjesy
Paul
P
McCollum
Kelly
K
Goldenberg
Robert L
RL
Gelber
Shari E
SE
Cauci
Sabina
S
D000193:Actinomycetales Infections / Q000453:epidemiology / Q000276:immunology*; D000328:Adult; D004150:Dipeptidases / Q000032:analysis; D005260:Female; D006194:Gardnerella vaginalis; D006801:Humans; D007070:Immunoglobulin A / Q000032:analysis; D007375:Interleukin-1 / Q000032:analysis; D016209:Interleukin-8 / Q000032:analysis; D017904:Mobiluncus / Q000201:enzymology; D009439:Neuraminidase / Q000032:analysis; D011247:Pregnancy; D011251:Pregnancy Complications, Infectious / Q000453:epidemiology / Q000276:immunology* / Q000382:microbiology*; D014247:Trichomonas Vaginitis; D014621:Vagina / Q000201:enzymology / Q000276:immunology* / Q000382:microbiology*; D014626:Vaginal Smears; D016585:Vaginosis, Bacterial / Q000201:enzymology / Q000453:epidemiology / Q000276:immunology*
D007070:Immunoglobulin A; D007375:Interleukin-1; D016209:Interleukin-8; D009439:Neuraminidase; D004150:Dipeptidases; C022449:proline dipeptidase