2019
DOI: 10.1093/infdis/jiz087
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Cervical Cytokines Associated With Chlamydia trachomatis Susceptibility and Protection

Abstract: Background. Chlamydia trachomatis can cause reproductive morbidities after ascending to the upper genital tract of women, and repeated infection can lead to worse disease. Data related to protective immune responses at the cervical mucosa that could limit chlamydial infection to the cervix and/or prevent reinfection inform vaccine approaches and biomarkers of risk. Methods. We measured 48 cytokines in cervical secretions from women having chlamydial cervical infection alone (n = 92) or both cervical and endome… Show more

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Cited by 39 publications
(34 citation statements)
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“…CXCL10, CXCL11 and RANTES are chemoattractants for multiple immune cell types, including T cells (52)(53)(54)(55). We have previously detected these proteins in cervical secretions from C. trachomatis-infected women (6) and CXCL10 mRNA in endometrial biopsy specimens of women with endometrial infection (56). Multiple studies have established that an adaptive CD4 Th1 T-cell response is essential to combat chlamydial infection (57)(58)(59)(60)(61)(62).…”
Section: Muc5b Muc4 Muc16 and Muc1 (See Tablementioning
confidence: 99%
“…CXCL10, CXCL11 and RANTES are chemoattractants for multiple immune cell types, including T cells (52)(53)(54)(55). We have previously detected these proteins in cervical secretions from C. trachomatis-infected women (6) and CXCL10 mRNA in endometrial biopsy specimens of women with endometrial infection (56). Multiple studies have established that an adaptive CD4 Th1 T-cell response is essential to combat chlamydial infection (57)(58)(59)(60)(61)(62).…”
Section: Muc5b Muc4 Muc16 and Muc1 (See Tablementioning
confidence: 99%
“…Moreover, CXCL10 and related chemokines have recently been found to promote immune-mediated pathology during C. trachomatis infection in mice 29 . Similarly, a recent study of women with C. trachomatis infection found elevated levels of CXCL10 in cervical secretions to be associated with endometrial chlamydial infection 23 .…”
Section: Discussionmentioning
confidence: 87%
“…Infection can remain asymptomatic, present as acute infection, or lead to pelvic inflammatory disease (PID) and infertility [19][20][21] . CXCL10 is produced after C. trachomatis infection in humans 22,23 and mice [24][25][26] and regulates the recruitment of CD4 + and CD8 + T-cells through the CXCR3 chemokine receptor. Because CXCR3 + cells can promote C. trachomatis clearance 27,28 and immune-mediated pathology 29 , CXCL10 is a critical determinant of C. trachomatis disease.…”
mentioning
confidence: 99%
“…High c-hsp60 antibody titres in koalas have been associated with fibrous occlusion of the uterus or uterine tube, however their role in chlamydial pathogenesis in koalas remains unclear as they were also associated with lower levels of active inflammation and fewer chlamydial inclusions 28 . Human studies suggest that although the Class II MHC defined anti-chlamydial antibody response appears to be important for chlamydial clearance and c-hsp60 antibodies are protective, it does not always prevent pathology 29,30 .…”
Section: Discussionmentioning
confidence: 99%