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Infection and Immunity, November 1999, p. 5820-5826, Vol. 67, No. 11
Department of Microbiology, Immunology, and
Parasitology, Louisiana State University Medical Center, New Orleans,
Louisiana,1 and Department of Pathology,
University of Michigan Medical School, Ann Arbor,
Michigan2
Received 17 May 1999/Returned for modification 28 June
1999/Accepted 2 September 1999
Recurrent vulvovaginal candidiasis, caused by Candida
albicans, is a significant problem in women of
childbearing age. Although cell-mediated immunity (CMI) due to T
cells and cytokines is the predominant host defense mechanism against
C. albicans at mucosal tissue sites, host defense
mechanisms against C. albicans at the vaginal mucosa are
poorly understood. Based on an estrogen-dependent murine model of
vaginal candidiasis, our data suggest that systemic CMI is
ineffective against C. albicans vaginal infections. Thus, we have postulated that local immune mechanisms are critical for protection against infection. In the present study, the kinetic production of chemokines normally associated with the chemotaxis of T
cells, macrophages (RANTES, MIP-1
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Copyright © 1999, American Society for Microbiology. All rights reserved.
Local Production of Chemokines during Experimental
Vaginal Candidiasis
, MCP-1), and polymorphonuclear neutrophils (MIP-2) was examined following intravaginal inoculation of
C. albicans in estrogen-treated or untreated mice. Results showed significant increases in MCP-1 protein and mRNA in vaginal tissue of infected mice as early as 2 and 4 days postinoculation, respectively, that continued through a 21-day observation period, irrespective of estrogen status. No significant changes were
observed with RANTES, MIP-1
, or MIP-2, although relatively high
constitutive levels of RANTES mRNA and MIP-2 protein were observed.
Furthermore, intravaginal immunoneutralization of MCP-1 with
anti-MCP-1 antibodies resulted in a significant increase in vaginal
fungal burden early during infection, suggesting that MCP-1 plays some
role in reducing the fungal burden during vaginal infection. However,
the lack of changes in leukocyte profiles in vaginal lavage fluids
collected from infected versus uninfected mice suggests that MCP-1
functions to control vaginal C. albicans titers in a manner
independent of cellular chemotactic activity.
*
Corresponding author. Mailing address: Department of
Microbiology, Immunology, and Parasitology, Louisiana State University Medical Center, 1901 Perdido St., New Orleans, LA 70112. Phone and Fax:
(504) 568-4066. E-mail: pfidel{at}lsumc.edu.
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