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Infection and Immunity, July 2000, p. 3840-3847, Vol. 68, No. 7
Specialist Allergist, Mt.
Waverley,1 Department of Immunology,
Royal Children's Hospital, Parkville,2
Melbourne Sexual Health Centre,
Carlton,3 and Family Planning Victoria
Inc., Box Hill,5 Melbourne, Australia, and
Department of Pathology, University of Connecticut Health
Center, Farmington, Connecticut4
Received 13 September 1999/Returned for modification 17 November
1999/Accepted 5 April 2000
Immunoglobulin G (IgG) and T-cell-derived antigen binding molecules
(TABM) specific to whole Candida extract and to
Candida-derived mannans prepared by both the
cetryltrimethylammonium bromide (CTAB) and alkaline degradation (PEAT)
methods were measured in the sera of women with vulvovaginal
candidiasis and controls. In the patients there were significantly
higher levels of IgG to both CTAB and PEAT mannans and of TABM to CTAB
mannan. TABM specific to CTAB mannan was purified from the serum of a
patient with a high titer of this TABM. The purified TABM bound
specifically to CTAB mannan and to other yeast and mold extracts. This
TABM preparation was associated with transforming growth factor
0019-9567/00/$04.00+0
Copyright © 2000, American Society for Microbiology. All rights reserved.
Measurement of T-Cell-Derived Antigen Binding
Molecules and Immunoglobulin G Specific to Candida albicans
Mannan in Sera of Patients with Recurrent Vulvovaginal
Candidiasis
2
(TGF-
2), and on specific binding to mannan there was a marked
increase in the level of detectable TGF-
2. This increase in TGF-
2
level was critically dependent on the relative concentrations of the
purified TABM and mannan, being smallest when either was in excess. The TABM specific to CTAB mannan was also shown to inhibit
Candida-stimulated gamma interferon production. The results
suggest that CTAB mannan-specific TABM may increase susceptibility to
vulvovaginal candidiasis in association with a shift in the immune
response to the Th2 type.
*
Corresponding author. Mailing address: 324 Stephensons
Rd., Mt. Waverley, Melbourne, Victoria 3149, Australia. Phone: 61 3 9888 1345. Fax: 61 3 9888 1369. E-mail: littlec{at}bluep.com.
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