Abstract
Objective
The influence of functional polymorphisms in the genes coding for mannose-binding lectin (MBL) and interleukin-1 receptor antagonist (IL-1ra) on recurrent vulvovaginal candidiasis (RVVC) were examined in an urban Brazilian population.
Methods
DNA was isolated from buccal swabs of 100 women with RVVC and 100 control women and tested by gene amplification for a single nucleotide polymorphism in codon 54 of the MBL2 gene and for a length polymorphism in intron 2 of the IL1RN gene. Genotype and allele frequencies were compared between groups.
Results
The frequency of the variant MBL2 B allele, associated with reduced circulating and vaginal MBL concentrations, was 27.0% in RVVC and 8.5% in control women (p < .0001). The MBL2 B,B genotype was present in 12% of RVVC patients and 1% of controls (p = .0025). The IL1RN 2 allele frequency, associated with the highest level of unopposed IL-1β activity, was 24.0% in RVVC and 23.4% in controls. The IL1RN genotype distribution was also similar in both groups.
Conclusion
Carriage of the MBL2 codon 54 polymorphism, but not the IL1RN length polymorphism, predisposes to RVVC in Brazilian women.
Similar content being viewed by others
References
Sobel JD (1985) Epidemiology and pathogenesis of recurrent vulvovaginal candidiasis. Am J Obstet Gynecol 152:924–935
Fidel PL, Sobel JD (1996) Immunopathogenesis of recurrent vulvovaginal candidiasis. Clin Microbiol Rev 9:335–348
Duarte G, Landers DV (1998) Vulvovaginites: aspectos epidemiologicos. J Bras Doences SexTrans 10:4–14
Weissenbacher T, Witkin SS, Ledger WJ, Tolbert V, GingelMaier A, Scholz C, Weissenbacher ER, Friese K, Mylonas J (2009) Relationship between clinical diagnosis of recurrent vulvovaginal candidiasis and detection of Candida species by culture and polymerase chain reaction. Arch Gynecol Obstet 279:125–129
Fidel PL (2007) History and update on host defense against vaginal candidiasis. Am J Reprod Immunol 57:2–12
Witkin SS, Girlado PC, Linhares IM (2000) New insights into the immune pathogenesis of recurrent vulvovaginal candidiasis. It J Gynecol Obstet 3:114–118
Nawrot U, Grzybek-Hyrncewicz K, Zielska U, Czamy A, Podwinska J (2000) The study of cell-mediated immune response in recurrent vulvovaginal candidiasis. FEMS Immunol Microbiol 29:89–94
Fidel PL Jr (2004) History and new insights into host defense against vaginal candidiasis. Trends Microbiol 12:220–227
Babula O, Lazdane G, Kroica J, Ledger WJ, Witkin SS (2003) Relation between recurrent vulvovaginal candidiasis, vaginal concentrations of mannose binding lectin and a mannose binding lectin gene polymorphism in Latvian women. Clin Infect Dis 37:733–737
Babula O, Lazdane G, Kroica J, Linhares IM, Ledger WJ, Witkin SS (2005) Frequency of interleukin 4 (IL-4)-589 gene polymorphism and vaginal concentrations of IL-4, nitric oxide, and mannose binding lectin in women with recurrent vulvovaginal candidiasis. Clin Infect Dis 40:1258–1262
Dinarello CA (1996) Biologic basis for interleukin-1 in disease. Blood 87:2095–2147
Eisen DP, Minchinton RM (2003) Impact of mannose-binding lectin on susceptibility to infectious diseases. Clin Infect Dis 37:1496–1505
Lillegard JB, Sim RB, Thorkildson P, Gates MA, Kozel TR (2006) Recognition of Candida albicans by mannan-binding lectin in vitro and in vivo. J Infect Dis 193:1589–1597
Tarlow JK, Blakemore AI, Lennard A, Solari R, Hughes HN, Steinkasserer A, Duff GW (1993) Polymorphism in human IL-1 receptor antagonist gene intron 2 is caused by variable numbers of an 86-bp tandem repeat. Hum Genet 91:403–404
Vamvakopoulos J, Green C, Metcalfe S (2002) Genetic control of IL-1β bioactivity through differential regulation of the IL-1 receptor antagonist. Eur J Immunol 32:2988–2996
Madsen HO, Garred P, Kurtzhals JA, Lamm LU, Ryder LP, Thiel S et al (1994) A new frequent allele is the missing link in the structural polymorphism of the human mannan-binding protein. Immunogenetics 40:37–44
Genc MR, Gerber S, Nesin M, Witkin SS (2002) Polymorphism in the interleukin-1 gene complex and spontaneous preterm delivery. Am J Obstet Gynecol 187:157–163
Witkin SS, Linhares IM, Giraldo P, Jeremias J, Ledger WJ (2000) Individual immunity and susceptibility to female genital tract infection. Am J Obstet Gynecol 183:252–256
Witkin SS, Jeremias J, Ledger WJ (1988) A localized vaginal allergic response in women with recurrent vaginitis. J Allergy Clin immunol 81:412–416
Kalo-Klein A, Witkin SS (1990) Prostaglandin E2 enhances and gamma interferon inhibits germ tube formation in Candida albicans. Infect Immun 58:260–262
Donders GGG, Babula O, Bellen G, Linhares IM, Witkin SS (2008) Mannose-binding lectin gene polymorphism and resistance to therapy in women with recurrent vulvovaginal candidiasis. BJOG 115:1225–1231
Giraldo PC, Babula O, Goncalves AK, Linhares IM, Amaral RL, Ledger WJ et al (2007) Mannose-binding lectin gene polymorphism, vulvovaginal candidiasis and bacterial vaginosis. Obstet Gynecol 109:1123–1128
Babovic-Vuksanovic D, Snow K, Ten RM (1999) Mannose-binding lectin (MBL) deficiency. Variant alleles in a Midwestern population of the United States. Ann Allergy Asthma Immunol 82:134–143
Conflict of interest
We declare that none of the authors has a conflict of interest in relation to this article.
Author information
Authors and Affiliations
Corresponding author
Rights and permissions
About this article
Cite this article
Wojitani, M.D.K.H., de Aguiar, L.M., Baracat, E.C. et al. Association between mannose-binding lectin and interleukin-1 receptor antagonist gene polymorphisms and recurrent vulvovaginal candidiasis. Arch Gynecol Obstet 285, 149–153 (2012). https://doi.org/10.1007/s00404-011-1920-z
Received:
Accepted:
Published:
Issue Date:
DOI: https://doi.org/10.1007/s00404-011-1920-z