Immunoglobulin levels and phagocytes in the cervical mucus plug at term of pregnancy.

Acta Obstet Gynecol Scand

Department of Obstetrics and Gynecology, Aarhus University Hospital, DK-8200 Aarhus N, Denmark.

Published: August 2005

AI Article Synopsis

  • Scientists studied mucus plugs from pregnant women to see how they help protect against infections.
  • They found that there were higher levels of specific antibodies (called IgG and IgA) in these mucus plugs compared to those from non-pregnant women.
  • This indicates that mucus plugs might play an important role in defending against germs and keeping the baby safe from infections.

Article Abstract

Background: To characterize the potential for adaptive immune protection in cervical mucus plugs with respect to immunoglobulin isotypes and effector cells (phagocytes).

Methods: Thirty-one cervical mucus plugs were collected from healthy women in labor at term. The cervical mucus plugs were allocated either to analysis of immunoglobulins by enzyme-linked immunosorbent assay (ELISA), gel chromatography and Western blotting (n = 20) or to microscopical, including immunocytochemical, analyses. The levels of immunoglobulin in the plugs were compared to the levels in 10 samples of ovulatory cervical mucus from nonpregnant women.

Results: In the cervical mucus plugs, levels of immunoglobulin G (IgG) [median 3270 microg/mL (100-14 500)] and IgA [540 (22-2820)], but not IgM [30.5 (1.0-160)], were significantly elevated compared to cervical mucus from nonpregnant women (p < 0.02 for IgG and IgA). The IgG : IgA ratio in the plugs was also elevated (p < 0.02). The proportion of secretory immunoglobulin A (SIgA) relative to total IgA in the plugs ranged from 16 to 65% (n = 5). IgA and IgG were largely intact. Microscopically, the vagina-proximal part of the cervical mucus plugs contained bacteria and was rich in cells, mainly phagocytes. Conversely, the uterine part contained few cells.

Conclusion: The high immunoglobulin levels in combination with the presence of phagocytes suggest a potential for adaptive immune defense in the cervical mucus plug, which, together with innate immune factors, may act as an immunological gatekeeper protecting the fetomaternal unit against infection from the vagina.

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http://dx.doi.org/10.1111/j.0001-6349.2005.00525.xDOI Listing

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