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. 2008 Oct;103(1):50-4.
doi: 10.1016/j.ijgo.2008.05.020. Epub 2008 Jul 16.

Human defensins and cytokines in vaginal lavage fluid of women with bacterial vaginosis

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Human defensins and cytokines in vaginal lavage fluid of women with bacterial vaginosis

S R Fan et al. Int J Gynaecol Obstet. 2008 Oct.

Abstract

Objective: To measure the concentrations of interferon gamma (IFN-gamma), interleukin (IL)-2, IL-4, IL-5, human beta-defensin 2 (HBD-2), and human defensin 5 (HD-5) in the vaginal lavage fluid (VLF) of healthy women and women with bacterial vaginosis (BV).

Methods: VLF samples were obtained from 73 women with BV, 15 women with intermediate vaginal flora, 33 healthy women with vaginal pH greater than or equal to 4.5, and a control group of 39 healthy women with vaginal pH less than 4.5. The concentrations of IFN-gamma, IL-2, IL-4, IL-5, HBD-2, and HD-5 were measured using enzyme-linked immunosorbent assay kits.

Results: Concentrations of HBD-2 and HD-5 in the VLF of women with BV were significantly higher than in the control group (P<0.05). IL-4 concentration was significantly lower in the VLF of women with BV than in the control group (P<0.05).

Conclusions: HBD-2 and HD-5 may be involved in defending against invasion by BV-related microorganisms and the decrease in IL-4 concentration may increase susceptibility to BV.

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