Secretory IgA and secretory component in women affected by recidivant vaginal candidiasis
- 18 Downloads
- 6 Citations
Abstract
Local immunity was evaluated in 47 patients affected by recidivant vaginal candidiasis and 33 control women. IgG, IgA, IgM and secretory component (SC) were determined by single radial immunodiffusion in samples of cervicovaginal secretion. IgG in dosable levels was detected in 17/47 samples (36.2%) and IgA in 15/47 patients (31.9%) whereas in the controls, the incidence was 31/33 (93.9%) for IgG and 24/33 (72.7%) for IgA. The difference was significative (P< 0.001) for both immunoglobulins. Significant differences were not obtained for IgM. The SC was detected in 4/47 cervicovaginal secretions of patients affected by candidiasis (8.5%) whereas in the control samples the incidence was 21/33 (63.6%) (P<0.001). In only 2/15 patients with dosable levels of IgA (13%) the secretory nature of this immunoglobulin could be shown by its reaction with anti-SC serum. In the control group, secretory IgA was detected in 19/24 cases (79%) (P< 0.001). Serum immunoglobulins levels were normal. The lack of secretory IgA and SC in the secretion could be related to the adherence capacity of the Candida albicans to epithelial cells.
Keywords
Epithelial Cell Control Sample Candida Dosable Level Candida AlbicansPreview
Unable to display preview. Download preview PDF.
References
- 1.Ahearn, D. G., 1978. Medically important yeasts. Annu. Rev. Microbiol. 32: 59–68.Google Scholar
- 2.Emmons, G. W., C. H. Binford, J. P. Utz & K. J. Kwon-Chung (ed.), 1977. Candidiasis. In: Medical Mycology, 3rd. ed. Lea & Febiger, Philadelphia, PA, pp. 185–201.Google Scholar
- 3.Goldstein, E. & P. D. Hoeprich, 1977. Candidosis. In: P. D. Hoeprich (ed.), Infectious diseases. Harper & Row Publishers, Hagerstown, MD, pp. 372–382.Google Scholar
- 4.Gibbons, R. J. & J. van Houte, 1975. Bacterial adherence in oral microbial ecology. Annu. Rev. Microbiol. 29: 19–44.Google Scholar
- 5.Botta, G. A., 1981. Possible role of hormones in the observed changes in adhesion of several microorganisms to epithelial cells from different body sites. FEMS. Microbiol. Lett. 11: 69–72.Google Scholar
- 6.Kimura, L. H. & N. N. Pearsall, 1980. Relationship between germination of Candida albicans and increased adherence to human buccal epithelial cells. Infect. Immun. 28: 464–468.Google Scholar
- 7.Kimura, L. H. & N. N. Pearsall, 1978. Adherence of Candida albicans to human buccal epithelial cells. Infect. Immun. 21: 64–68.Google Scholar
- 8.King, R. D., J. C. Lee & A. L. Morris, 1980. Adherence of Candida albicans and other candida species to mucosal epithelial cells. Infect. Immun. 27: 667–674.Google Scholar
- 9.Lee, J. C. & R. D. King, 1983. Adherence mechanisms of Candida albicans. In: D. Schlessinger (ed.), Microbiology. American Society for Microbiology, Washington, DC, pp. 269–272.Google Scholar
- 10.Sanaranajake, L. P. & T. W. MacFarlane, 1981. The adhesion of the yeast Candida albicans epithelial cells of human origin in vitro. Arch. Oral Biol. 26: 815–820.Google Scholar
- 11.Sandin, R. L. & A. L. Rogers, 1982. Inhibition of adherence of Candida albicans to human epithelial cells. Mycopathologia 77: 23–26.Google Scholar
- 12.Sandin, R. L., A. L. Rogers, R. J. Patterson & E. S. Beneke, 1982. Evidence for mannose-mediated adherence of Candida albicans to human buccal cells in vitro. Infect. Immun. 35: 79–85.Google Scholar
- 13.Segal, E., N. Lehrer & I. Ofek, 1982. Adherence of Candida albicans to human vaginal epithelial cells: inhibition by amino sugars. Exp. Cell Biol. 50: 13–17.Google Scholar
- 14.Sobel, J. D., P. G. Myers, D. Kaye & M. E. Levison, 1981. Adherence of Candida albicans to human vaginal and buccal epithelial cells. J. Infect. Dis. 143: 76–82.Google Scholar
- 15.Lee, J. C. & R. D. King, 1983. Characterization of Candida albicans adherence to human vaginal epithelial cells in vitro. Infect. Immun. 41: 1024–1030.Google Scholar
- 16.Straus, E. K., 1969. Occurrence of antibody in human vaginal mucus. Proc. Soc. Exp. Biol. Med. 106: 617–621.Google Scholar
- 17.Hulka, J. F. & K. F. Omran, 1969. The uterine cervix as a potential local antibody secretor. Am. J. Obstet. Gynecol. 104: 440–442.Google Scholar
- 18.Tourville, D. R., S. S. Ogra, J. Lippes & T. B. Tomasi, Jr., 1970. The human female reproductive tract: immunohistological localization of γA, γG, γM, secretory piece and lactoferrin. Am. J. Obstet. Gynecol. 108: 1102–1108.Google Scholar
- 19.Brandtzaeg, P., 1981. Transport models for secretory IgA and secretory IgM. Clin. Exp. Imm. 44: 221.Google Scholar
- 20.Waldman, R. H., J. M. Cruz & D. S. Rowe, 1972. Immunoglobulin levels and antibody to Candida albicans in human cervicovaginal secretions. Clin. Exp. Imm. 10: 427–434.Google Scholar
- 21.O'Reilly, R. J., L. Lee & B. G. Welch, 1976. Secretory IgA antibody responses to Neisseria gonorrhoeae in the genital secretions of infected females. J. Infect. Dis. 133: 113–125.Google Scholar
- 22.Romero-Piffiguer, M. D. & C. M. Riera, 1979. A simple two-step method for purification of secretory IgA from human colostrum. J. Immunol. Methods 30: 153–159.Google Scholar
- 23.Mancini, G., A. O. Carbonara & J. F. Heremans, 1965. Immunochemical quantitation of antigen by single radial immunodiffusion. Immunochemistry 2: 235–254.Google Scholar
- 24.Scheidegger, J. J., 1955. Une microméthode de l'immune electrophoresis. Int. Arch. Allergy 7: 103–110.Google Scholar
- 25.Ouchterlony, A. O., 1958. Diffusion in gel methods for immunological analysis. Progr. Allergy 51: 1–78.Google Scholar
- 26.Guixa, L., A. Arrighi, E. Heer & E. García Traverso, 1975. Inmunoglobulinas en el moco cervical. Obstetricia y Ginecología Latinoamericanas 33: 214–218.Google Scholar