PMID- 19397832 OWN - NLM STAT- MEDLINE DCOM- 20090806 LR - 20211020 IS - 1477-7827 (Electronic) IS - 1477-7827 (Linking) VI - 7 DP - 2009 Apr 28 TI - Host immune responses to chlamydial inclusion membrane proteins B and C in Chlamydia trachomatis infected women with or without fertility disorders. PG - 38 LID - 10.1186/1477-7827-7-38 [doi] AB - BACKGROUND: With an increase in the number of putative inclusion membrane proteins (incs) in chlamydial genomes, there is a need for understanding their contribution in host-pathogen interactions. Thus in this study we determined the host mucosal and peripheral immune responses to incs (IncB and IncC) of Chlamydia trachomatis (CT). METHODS: Female patients (n = 296) attending the gynaecology out patient department of Safdarjung hospital, New Delhi were enrolled for the study and were clinically characterized into two groups; CT-positive fertile women (n = 38) and CT-positive women with fertility disorders (n = 29). Uninfected healthy fertile women were enrolled as controls (n = 31). Gene specific PCRs were used for detection of incB and incC genes in endocervical samples of CT-positive patients. ELISA and Western blot assay were used for detection of IgA and IgG antibodies to IncB and IncC in cervical washes and sera. Effect of IncB and IncC stimulation of cervical cells and PBMCs on cellular proliferation and cytotoxity was determined using MTT assay and Lactate dehydrogenase (LDH)-cytotoxicity assay respectively. Modulation of cytokines (Interleukin (IL)-1 Beta, IL-4, IL-5, IL-6, IL-10, Interferon-gamma, IL-12, Tumor Necrosis Factor-alpha and Granulocyte macrophage colony-stimulating factor (GM-CSF)) in cervical cells and PBMCs upon stimulation with IncB and IncC was determined by real-time reverse-transcriptase (RT)-PCR and ELISA. Further, CD4 positive T cells were purified from cervical cells and peripheral blood mononuclear cells (PBMCs) and secreted cytokines (Interferon-gamma and IL-4) were evaluated by ELISPOT and real-time RT-PCR. RESULTS: Using MTT assay, significantly high proliferative responses (P < 0.05) were observed in inc-stimulated cervical cells and PBMCs from CT-positive fertile women compared to CT-positive women with fertility disorders and controls. Interferon-gamma, IL-12 and GM-CSF were found to be elevated in inc-stimulated cervical cells and PBMCs of CT-positive fertile women compared to CT-positive women with fertility disorders and controls (P < 0.05). In contrast, IL-1 Beta, IL-4, IL-5, IL-6 and IL-10 levels were found to be higher in CT-positive women with fertility disorders compared to CT-positive fertile women and controls (P < 0.05). Interferon-gamma secreting cells and mRNA expression in inc-stimulated cervical and peripheral CD4 positive T cells were significantly higher (P < 0.05) in CT positive fertile women compared to CT-positive women with fertility disorders. CONCLUSION: Our data overall suggests that CT incs, IncB and IncC modulate host immune responses and may have a role in protection/pathogenesis of genital chlamydial infection in women. FAU - Gupta, Rishein AU - Gupta R AD - Institute of Pathology-ICMR, Safdarjang Hospital Campus, New Delhi, India. rishein9@rediffmail.com FAU - Srivastava, Pragya AU - Srivastava P FAU - Vardhan, Harsh AU - Vardhan H FAU - Salhan, Sudha AU - Salhan S FAU - Mittal, Aruna AU - Mittal A LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20090428 PL - England TA - Reprod Biol Endocrinol JT - Reproductive biology and endocrinology : RB&E JID - 101153627 RN - 0 (Antibodies, Bacterial) RN - 0 (Cytokines) RN - 0 (Membrane Proteins) SB - IM MH - Antibodies, Bacterial/immunology MH - CD4-Positive T-Lymphocytes/cytology/immunology/microbiology MH - Cell Division/immunology MH - Cells, Cultured MH - Cervix Uteri/cytology/immunology/microbiology MH - Chlamydia Infections/epidemiology/*immunology/*microbiology MH - Chlamydia trachomatis/genetics/*immunology/pathogenicity MH - Cytokines/genetics/immunology MH - Female MH - Gene Expression Regulation, Bacterial/immunology MH - Humans MH - Infertility, Female/immunology/*microbiology MH - Leukocytes, Mononuclear/cytology/immunology/*microbiology MH - Membrane Proteins/genetics/*immunology MH - Polymerase Chain Reaction MH - Seroepidemiologic Studies MH - Virulence PMC - PMC2695819 EDAT- 2009/04/29 09:00 MHDA- 2009/08/07 09:00 PMCR- 2009/04/28 CRDT- 2009/04/29 09:00 PHST- 2009/02/16 00:00 [received] PHST- 2009/04/28 00:00 [accepted] PHST- 2009/04/29 09:00 [entrez] PHST- 2009/04/29 09:00 [pubmed] PHST- 2009/08/07 09:00 [medline] PHST- 2009/04/28 00:00 [pmc-release] AID - 1477-7827-7-38 [pii] AID - 10.1186/1477-7827-7-38 [doi] PST - epublish SO - Reprod Biol Endocrinol. 2009 Apr 28;7:38. doi: 10.1186/1477-7827-7-38.