Antimicrobial peptides in the pathogenesis of infectious complications in obstetrics and gynecology

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Abstract

Antimicrobial peptides (AMP) are cationic peptides of innate immune system with antiviral, antibacterial and antiprotozoal activity. AMP act as immunomodulators, promote bacterial opsonization, inhibit proteases activity, have anti-endotoxic and angiogenic effect. The review describes main types of AMPs, features of their expression in female reproductive tract depending from menstrual cycle and during pregnancy. Data about the role of AMPs in defending from sexually transmitted infections (HIV, genital herpes, HPV, gonorrhea), in pathogenesis of extrauterine pregnancy and preterm birth are described. Possibility of practical application of AMPs as alternative to antibiotics and as contraceptives is estimated.

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About the authors

Olesya Nikolaevna Ivashova

Belgorod State National Research University

Email: ivashovao2@yandex.ru
MD, postgraduate student of the department of obstetrics and gynaecology

Olga Petrovna Lebedeva

Belgorod State National Research University

Email: safonova2@yandex.ru
MD, PhD, associate professor of the department of obstetrics and gynaecology

Sergey Petrovich Pakhomov

Belgorod State National Research University

Email: pachomw@yandex.ru
MD, PhD, professor, head of the department of obstetrics and gynaecology

Natal’ya Alexandrovna Rudyh

Belgorod State National Research University

Email: rudyh@bsu.edu.ru
MD, PhD, associate professor of the department of medical biology

Marina Sergeevna Seliverstova

Belgorod State National Research University

Email: seliverstovams@yandex.ru
MD, an assistant of the department of propaedevtics of internal diseases and clinical information technologies

References

  1. Алешина Г. М., Кокряков В. Н., Шамова О. В., Орлов Д. С., Андреева Ю. В. Современная концепция об антимикробных пептидах как молекулярных факторах иммунитета. Медицинский академический журнал. 2010; № 4: 149-60.
  2. Будихина А. С., Пинегин Б. В. α-дефензины - антимикробные пептиды нейтрофилов: свойства и функции. Иммунология. 2008; № 5: 317-20.
  3. Краснопольский В. И., Логутова Л. С., Буянова С. Н., Новикова Е. Г., Попов А. А., Чечнева М. А., Краснопольская К. В., Федоров А. А. Репродуктивные проблемы оперированной матки. Российский вестник акушера-гинеколога. 2013; Т. (13), № 1: 78-81.
  4. Макаров О. В., Ковальчук Л. В., Ганковская Л. В. Невынашивание беременности, инфекция, врожденный иммунитет. «Гэотар-медицина». 2008; 176.
  5. Сельков С. А., Павлов О. В., Соколов Д. И. Механизмы иммунорегуляции развития плаценты. Журнал акушерства и женских болезней. 2011; Т. (60), № 3: 136-40.
  6. Aflatoonian B., Ruban L., Jones M., Aflatoonian R., Fazeli A., Moore H. D. In vitro post-meiotic germ cell development from human embryonic stem cells. Hum Reprod. 2009 Dec; 24 (12): 3150-9.
  7. Akinbi H. T., Narendran V., Pass A. K., Markart P., Hoath S. B. Host defense proteins in vernix caseosa and amniotic fluid. American Journal of Obstetrics and Gynecology. 2004; 191: 2090-6.
  8. Barton G. R., Sibai B. M. Severe sepsis and septic shock in pregnancy. Obstet. Gynecol. 2012; Vol. (120): 689-706.
  9. Beagley K. W., Gockel C. M. Regulation of innate and adaptive immunity by the female sex hormones oestradiol and progesterone. FEMS Immunol Med Microbiol. 2003 Aug 18; 38 (1): 13-22.
  10. Beck S., Wojdyla D., Say L., Betran A. P., Merialdi M., Requejo J. H., Rubens C., Menon R., Van Look P. F. The worldwide incidence of preterm birth: a systematic review of maternal mortality and morbidity. Bulletin of the World Health Organization. 2010; 88: 31-8.
  11. Beisswenger C., Bals R. Antimicrobial peptides in lung inflammation. Chemical Immunology Allergy. 2005; Vol. (86): 57-71.
  12. Buck C. B., Day P. M., Thompson C. D., Lubkowski J., Lu W., Lowy D. R., Schiller J. T. Human alpha-defensins block papillomavirus infection. Proc Natl Acad Sci U S A. 2006 Jan 31; 103 (5): 1516-21.
  13. Bucki R., Leszczynska K., Namiot A., Sokolowski W. Cathelicidin LL-37: a multitask antimicrobial peptide. Archivum Immunologiae et Therapiae Experimentalis. 2010; 58: 15-25.
  14. Caberg J. H., Hubert P., Herman L., Herfs M., Roncarati P., Boniver J., Delvenne P. Increased migration of Langerhans cells in response to HPV16 E6 and E7 oncogene silencing: role of CCL20. Cancer Immunol Immunother. 2009; 58: 39-47.
  15. Cole A. M., Lehrer R. I. Minidefensins: antimicrobial peptides with activity against HIV-1. Current Pharmaceutical Design. 2003; 9: 1463-73.
  16. Dalgetty D. M., Sallenave J. M., Critchley H. O., Williams A. R., Tham W. Y., King A. E., Horne A. W. Altered secretory leukocyte protease inhibitor expression in the uterine decidua of tubal compared with intrauterine pregnancy. Hum Reprod. 2008 Jul; 23 (7): 1485-90.
  17. Doss M., White M. R., Tecle T., Hartshorn K. L. Human defensins and LL-37 in mucosal immunity. J Leukoc Biol. 2010; 87: 79-92.
  18. Frew L., Stock S. J. Antimicrobial peptides and pregnancy. Reproduction. 2011 Jun; 141 (6): 725-35.
  19. Ghosh M., Fahey J., Wira C. Differential susceptability of HIV strains to innate immune factors inhuman cervical-vaginal secretions. Virus Adapt Treat. 2010; 20 10: 63-71.
  20. Ghosh M., Fahey J. V., Shen Z., Lahey T., Cu-Uvin S., Wu Z., Mayer K., Wright P. F., Kappes J. C., Ochsenbauer C., Wira C. R. Anti-HIV activity in cervical-vaginal secretions from HIV-positive and -negative women correlate with innate antimicrobial levels and IgG antibodies. PLoS ONE. 2010 Jun; 29, 5 (6): e11366. doi: 10.1371/journal.pone.0011366.
  21. Ghosh M., Shen Z., Fahey J. V., Cu-Uvin S., Mayer K., Wira C. R. Trappin-2/Elafin: a novel innate antihuman immunodeficiency virus-1 molecule of the human female reproductive tract. Immunology. 2010; 129: 207-19.
  22. Han J. H., Kim M. S., Lee M. Y., Kim T. H., Lee M-K, Kim H. R., Myung S. C. Modulation of human [beta]-defensin-2 expression by 17 [beta]-estradiol and progesterone in vaginal epithelial cells. Cytokine. 2010; 49: 209-14.
  23. Horne A., Stock S., King A. Innate immunity and disorders of female reproductive tract. Reproduction. 2008; 135: 739-49.
  24. Ji Y. F., Chen L. Y., Xu K. H., Yao J. F., Shi Y. F. Locally elevated leukemia inhibitory factor in the inflamed Fallopian tube resembles that found in tubal pregnancy. Fertil Steril. 2009 Jun; 91 (6): 2308-14.
  25. Jones H. E., Harris K. A., Azizia M., Bank L., Carpenter B., Hartley J. C., Klein N., Peebles D. Differing prevalence and diversity of bacterial species in fetal membranes from very preterm and term labor. PLoS One. 2009 Dec 8; 4 (12): e8205. doi: 10.1371/journal.pone.0008205.
  26. Kaushic C. HIV-1 infection in the female reproductive tract: role of interactions between HIV-1 and genital epithelial cells. American Journal of Reproductive Immunology. 2011 Mar; 65 (3): 253-60.
  27. King A. E., Paltoo A., Kelly R. W., Sallenave J. M., Bocking A. D., Challis J. R. Expression of natural antimicrobials by human placenta and fetal membranes. Placenta. 2007; 28: 161-9.
  28. King A. E., Wheelhouse N., Cameron S., McDonald S. E., Lee K. F., Entrican G., Critchley H. O., Horne A. W. Expression of secretory leukocyte protease inhibitor and elafin in human fallopian tube and in an in-vitro model of Chlamydia trachomatis infection. Hum Reprod. 2009; 24: 679-86.
  29. Klotman M. E., Chang T. L. Defensins in innate antiviral immunity. Nature Reviews. Immunology. 2006; 6: 447-56.
  30. Klotman M. E., Rapista A., Teleshova N., et al. Neisseria gonorrhoeae-induced human defensins 5 and 6 increase HIV infectivity: role in enhanced ransmission. J. Immunol. 2008; Vol. (180): 6176-85.
  31. Koga K., Moor G. Toll-like receptors at the maternal-fetal interface in normal pregnancy and pregnancy disorders. Am J Reprod Immunol. 2010; Vol. (63): 587-600.
  32. Lai Y., Gallo R. L. AMPed Up immunity: how antimicrobial peptides have multiple roles in immune defense. Trends Immunol. 2009 Mar.; Vol. (30), № 3: 131-41.
  33. Land J. A., Van Bergen J. E., Morré S. A., Postma M. J. Epidemiology of Chlamydia trachomatis infection in women and the cost-effectiveness of screening. Hum Reprod Update. 2010 Mar-Apr; 16 (2): 189-204.
  34. Lee S. K., Lee S. S., Hirose S., Park S., Chi J., Chung S., Mori M. Elafin expression in human fetal and adult submandibular glands. Histochem Cell Biol 2002;117:423-30.
  35. Levinson P., Kaul R., Kimani J., Ngugi E., Moses S., MacDonald K. S., Broliden K., Hirbod T. Kibera. HIV Study Group. Levels of innate immune factors in genital fluids: association of alpha defensins and LL-37 with genital infections and increased HIV acquisition. AIDS. 2009; 23: 309-17.
  36. Levy O. Antimicrobial proteins and peptides: anti-infective molecules of mammalian leukocytes. Journal of Leukocyte Biology. 2004; 76: 909-26.
  37. Mandic Havelka A., Yektaei-Karin E., Hultenby K., Sørensen O. E., Lundahl J., Berggren V., Marchini G. Maternal plasma level of antimicrobial peptide LL37 is a major determinant factor of neonatal plasma LL37 level. Acta Paediatrica. 2010; 99: 836-41.
  38. Milanese M., Segat L., Arraes C., Garzino-Demo A. Copy number variation of defensins genes and HIV infection in Brazilian children. AIDS. 2009; 20: 1673-5.
  39. Moreau T., Baranger K., Dadé S., Dallet-Choisy S., Guyot N., Zani M-L. Multifaceted roles of human elafin and secretory leukocyte proteinase inhibitor (SLPI), two serine protease inhibitors of the chelonianin family. Biochimie. 2008; 90: 284-95.
  40. Mselle T. F., Howell A. L., Ghosh M., Wira C. R., Sentman C. L. Human uterine natural killer cells but not blood natural killer cells inhibit human immunodeficiency virus type 1 infection by secretion of CXCL12. J Virol. 2009; 83: 11188-95.
  41. Romero R., Friel L. A., Velez Edwards D. R., Kusanovic J. P., Hassan S. S., Mazaki-Tovi S., Vaisbuch E., Kim C. J., Erez O., Chaiworapongsa T. A. genetic association study of maternal and fetal candidate genes that predispose to preterm prelabor rupture of membranes (PROM). American Journal of Obstetrics and Gynecology. 2010 Oct; 203 (4): 361.
  42. Sheldon M., Cronin J., Goetze L., Donofrio G., Schuberth H. J. Defining postpartum uterine disease and the mechanisms of infection and immunity in the female reproductive tract in cattle. Biology of Reproduction. 2009; Vol. (81), № 6:1025-32.
  43. Shust G. F., Cho S., Kim M., Madan R. P., Guzman E. M., Pollack M., Epstein J., Cohen H. W., Keller M. J., Herold B. C. Female genital tract secretions inhibit herpes simplex virus infection: correlation with soluble mucosal immune mediators and impact of hormonal contraception. Am J Reprod. Immunol. 2010; 63: 110-9.
  44. Spellberg B. The epidemic of antibiotic resistant infections: a call to action for the medical community from the Infectious Diseases Society of America. Clin. Infect. Dis. 2008; Vol. (46): 155-64.
  45. Srakaew N., Young C. D., Sae-wu A. Antimicrobial host defence peptide, LL-37, as a potential vaginal contraceptive. Hum. Reprod. 2014; 29 (4): 683-96.
  46. Stock S. J., Duthie L., Tremaine T., Calder A. A., Kelly R. W., Riley S. C. Elafin (SLPI/Trappin-2/proteinase inhibitor-3) is produced by the cervix in pregnancy and cervicovaginal levels are diminished in bacterial vaginosis. Reproductive Sciences. 2009; 16: 1125-34.
  47. Tollin M., Bergsson G., Kai-Larsen Y., Lengqvist J., Sjovall J., Griffiths W., Skuladottir G. V., Haraldsson A., Jornvall H., Gudmundsson G. H. Vernix caseosa as a multi-component defence system based on polypeptides, lipids and their interactions. Cellular and Molecular Life Sciences. 2006; 62: 2390-9.
  48. Valore E. V., Park C. H., Igreti S. L., Ganz T. Antimicrobial components of vaginal fluid. Am J Obstet Gynecol. 2006; 187: 561-8.
  49. Venkataraman N., Cole A. L., Svoboda P., Pohl J., Cole A. M. Cationic polypeptides are required for anti-HIV-1 activity of human vaginal fluid. J Immunol. 2009; 175: 7560-7.
  50. Vucelic B. Inflammatory Bowel Diseases: Controversies in the Use of Diagnostic Procedures. Dig Dis. 2009; Vol. (27): 269-77.
  51. Wiesenfeld H. C., Hillier S. L., Meyn L. A., Amortegui A. J., Sweet R. L. Subclinical pelvic inflammatory disease and infertility. Obstet Gynecol. 2012 Jul; 120 (1): 37-43.
  52. Williams S. E., Brown T. I., Roghanian A., Sallenave J-M. SLPI and elafin: one glove, many fingers. Clinical Science. 2006; Vol. (110): 21-35.
  53. Xu J., Holzman C. B., Arvidson C. G., Chung H., Goepfert A. R. Midpregnancy vaginal fluid defensins, bacterial vaginosis, and risk of preterm delivery. Obstetrics and Gynecology. 2008; 112: 524-31.
  54. Yanagi S., Ashitani J., Imai K. Significance of human b-defensins in the epithelial lining fluid of patients with chronic lower respiratory tract infections. ClinMicrobiol Infect. 2007; Vol. (13): 63-9.
  55. Yang Z., Kong B., Mosser D. M., Zhang X. TLRs, macrophages, and NK cells: our understandings of their functions in uterus and ovary. Int Immunoph. 2011; Vol. (11): 1442-50.
  56. Yoshio H., Tollin M., Gudmundsson G. H., Lagercrantz H., Jornvall H., Marchini G., Agerberth B. Antimicrobial polypeptides of human vernix caseosa and amniotic fluid: implications for newborn innate defense. Pediatric Research. 2003; 53: 211-6.
  57. Yoshioka S., Mukae H., Ishii H. et al. Alpha-defensin enhances expression of HSP47 and collagen-1in human lung fibroblasts. Life Sci. 2007; Vol. 80(20):1839-1845.
  58. Yount N. Y., Yeaman M. R. Immunocontinuum: perspectives in antimicrobial peptide mechanisms of action and resistance. Protein Pept Lett. 2005 Jan; 12 (1): 49-67.

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Copyright (c) 2014 Ivashova O.N., Lebedeva O.P., Pakhomov S.P., Rudyh N.A., Seliverstova M.S.

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СМИ зарегистрировано Федеральной службой по надзору в сфере связи, информационных технологий и массовых коммуникаций (Роскомнадзор).
Регистрационный номер и дата принятия решения о регистрации СМИ: серия ПИ № ФС 77 - 66759 от 08.08.2016 г. 
СМИ зарегистрировано Федеральной службой по надзору в сфере связи, информационных технологий и массовых коммуникаций (Роскомнадзор).
Регистрационный номер и дата принятия решения о регистрации СМИ: серия Эл № 77 - 6389
от 15.07.2002 г.



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