Document 0895 DOCN M9650895 TI Proinflammatory cytokine expression in cervicovaginal secretions of normal and HIV-infected women. DT 9605 AU Belec L; Gherardi R; Payan C; Prazuck T; Malkin JE; Tevi-Benissan C; Pillot J; Unite d'Immunologie Microbienne, Institut Pasteur, Paris,; France. SO Cytokine. 1995 Aug;7(6):568-74. Unique Identifier : AIDSLINE MED/96100024 AB Proinflammatory cytokines may stimulate replication and spread of HIV. To evaluate to what extent the female genital tract represents a source of these cytokines, we determined TNF-alpha, IL-1 beta and IL-6 concentrations in paired serum and cervicovaginal washings from 45 HIV-negative and 50 HIV-positive women, and then we looked for the relevant mRNAs in cervicovaginal secretions by RT-PCR. Cytokines were detected by ELISA in cervicovaginal fluid from most healthy women. Cervicovaginal washing levels of TNF-alpha were increased above the control value +2 SD in 11/50 HIV-positive women, those of IL-1 beta in 13/50, and those of IL-6 in 14/50. The prevalences of TNF-alpha, IL-1 beta and IL-6 increase and their levels in cervicovaginal washings were significantly higher in the 20 patients at stage IV than in the 30 patients at earlier stages of the disease. In HIV-infected patients, serum and cervicovaginal washing levels correlated positively for TNF-alpha and IL-6, but not for IL-1 beta. Nine of 15 cytokine mRNAs determinations were positive in HIV-infected women versus 1 of 15 in controls (P < 0.01). These findings could be relevant to bidirectional heterosexual transmission of HIV. DE Case-Control Studies Cervix Uteri/*SECRETION Cytokines/BLOOD/*SECRETION Female Human HIV Infections/BLOOD/*PHYSIOPATHOLOGY/TRANSMISSION Inflammation/*PHYSIOPATHOLOGY Interleukin-1/BLOOD/SECRETION Interleukin-6/BLOOD/SECRETION Reference Values RNA, Messenger/BIOSYNTHESIS Support, Non-U.S. Gov't Tumor Necrosis Factor/SECRETION Vagina/*SECRETION JOURNAL ARTICLE SOURCE: National Library of Medicine. NOTICE: This material may be protected by Copyright Law (Title 17, U.S.Code).