Document Detail


Relationship between cervical mucus interleukin-8 concentrations and vaginal bacteria in pregnancy.
MedLine Citation:
PMID:  15274649     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
PROBLEM: High interleukin (IL)-8 concentration in cervical mucus in the second trimester is a risk factor for premature birth. We investigated the relationship between vaginal pathogens and IL-8 in cervical mucus. METHOD OF STUDY: In 501 women with single pregnancy, vaginal secretions were cultured for bacteria and cervical mucus IL-8 concentrations were measured between 20 and 24 gestational weeks. RESULTS: Lactobacillus species were detected in 56.0% of 84 subjects with high IL-8 (> or =377 ng/mL), significantly less often than in 417 subjects with IL-8 below 377 ng/mL (84.7%; P < 0.0001). Anaerobic pathogens were detected in 83.3% of high IL-8 subjects, significantly more often than in normal IL-8 subjects (43.9%; P < 0.0001). By multivariate analysis, cervical IL-8 was significantly high only in subjects without Lactobacillus species; they showed a significantly higher prematurity rate than Lactobacillus-positive subjects. CONCLUSIONS: Absence of vaginal Lactobacilli was associated with increased cervical IL-8 and increased risk of premature delivery.
Authors:
Masatoshi Sakai; Akihiko Ishiyama; Mika Tabata; Yasushi Sasaki; Satoshi Yoneda; Arihiro Shiozaki; Shigeru Saito
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  American journal of reproductive immunology (New York, N.Y. : 1989)     Volume:  52     ISSN:  1046-7408     ISO Abbreviation:  Am. J. Reprod. Immunol.     Publication Date:  2004 Aug 
Date Detail:
Created Date:  2004-07-27     Completed Date:  2005-02-10     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  8912860     Medline TA:  Am J Reprod Immunol     Country:  United States    
Other Details:
Languages:  eng     Pagination:  106-12     Citation Subset:  IM    
Affiliation:
Department of Obstetrics and Gynecology, Toyama Medical and Pharmaceutical University, Toyoma, Japan.
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MeSH Terms
Descriptor/Qualifier:
Adult
Cervix Mucus / metabolism*,  microbiology
Female
Humans
Interleukin-8 / metabolism*
Lactobacillus / metabolism
Pregnancy
Premature Birth / etiology*,  metabolism,  microbiology
Vagina / metabolism,  microbiology*
Chemical
Reg. No./Substance:
0/Interleukin-8

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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