Determination of Immunoglobulin A against Gardnerella vaginalis Hemolysin, Sialidase, and Prolidase Activities in Vaginal Fluid: Implications for Adverse Pregnancy Outcomes

Author:

Cauci Sabina1,Thorsen Poul2,Schendel Diana E.3,Bremmelgaard Annie4,Quadrifoglio Franco1,Guaschino Secondo5

Affiliation:

1. Department of Biomedical Sciences and Technologies, School of Medicine, University of Udine, Udine

2. Department of Epidemiology and Social Medicine and Danish Epidemiology Science Centre, Aarhus University, Aarhus

3. National Center on Birth Defects and Developmental Disabilities, Centers for Disease Control and Prevention, Atlanta, Georgia

4. Department of Clinical Microbiology, Frederiksberg Hospital, Copenhagen, Denmark

5. Obstetric and Gynecologic Unit, Department of Reproductive and Development Sciences, IRCCS Burlo Garofolo Hospital, University of Trieste, Trieste, Italy

Abstract

ABSTRACT A nested case-control study of low birth weight and preterm delivery was performed with singleton women. Immunoglobulin A (IgA) against the Gardnerella vaginalis hemolysin (anti-Gvh IgA) and sialidase and prolidase activities were determined in vaginal fluid at 17 weeks of gestation. Sialidase positivity and bacterial vaginosis with high prolidase activity were associated with 2- and 11-fold increased risks for low birth weight, respectively. No woman with bacterial vaginosis plus a strong anti-Gvh IgA response had an adverse outcome.

Publisher

American Society for Microbiology

Subject

Microbiology (medical)

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