Cervical Local Immune Response for High-Risk Human Papillomavirus Infection

Author:

Sahin Erdem1,Madendag Yusuf2ORCID,Sahin Mefkure Eraslan1,Madendag Ilknur Col3,Acmaz Gokhan2,Karakukcu Cıgdem4,Karaman Hatice5,Muderris Iptisam Ipek2

Affiliation:

1. Department of Obstetrics and Gynecology, Sivas Sarkısla Government Hospital, Sivas, Turkey

2. Department of Obstetrics and Gynecology, Erciyes University Medicine Faculty, Kayseri, Turkey

3. Department of Obstetrics and Gynecology, Health Sciences University, Kayseri Education and Research Hospital, Kayseri, Turkey

4. Department of Biochemistry Clinic, Health Sciences University, Kayseri Education and Research Hospital, Kayseri, Turkey

5. Department of Pathology Clinic, Health Sciences University, Kayseri Education and Research Hospital, Kayseri, Turkey

Abstract

Purpose: To evaluate cervical mucus secretory leukocyte protease inhibitor (SLPI) concentrations in patients with high-risk human papillomavirus (hrHPV) 16 or 18 positive and low-grade squamous intraepithelial lesions (LGSIL) or high-grade squamous intraepithelial lesions (HGSIL). Method: Patients with HPV 16 or 18 positive from 30 to 45 years of age whose cervical cancer screening results reported cytologically LGSIL or HGSIL were included in the study. In the control group, we included participants in the same age with cytology negative and HPV-negative healthy women. All cytological LGSIL or HGSIL results were histopathologically confirmed with colposcopic biopsy specimens. Finally, the study consisted of a total of 3 groups each containing 25 participants as follows: (1) Pap smear and HPV-negative control group, (2) HPV 16 or HPV 18 and LGSIL-positive participants, and (3) HPV 16 or 18 and HGSIL-positive participants. Cervical mucus SLPI levels were analyzed using the enzyme-linked immunosorbent assay method. Results: The mean cervical mucus SLPI levels were 32.94 ng/mL (range: 23-41.29 ng/mL) in the hrHPV + LGSIL group, 29.40 ng/mL (range: 21.03-38.95 ng/mL) in the hrHPV + HGSIL, and 18.75 ng/mL (range: 13.58-29.24 ng/mL) in the healthy control group. Cervical mucus SLPI levels were found to be significantly higher in the hrHPV + LGSIL and hrHPV + HGSIL groups compared to the control group ( P < .001). Conclusions: The data from the present study indicate that SLPI seems to be one of the important immunomodulatory proteins that provide local immune response in cervical mucosa.

Publisher

SAGE Publications

Subject

Oncology,Hematology,General Medicine

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