Abstract

The mucosa of the female reproductive tract plays a pivotal role in host defence. Pregnancy must alter immunological mechanisms at this interface to protect the conceptus. We sought to determine how estradiol (E2) alters the immune-responsiveness of cervical epithelial cells to ligand stimulation of Toll-like receptor (TLR)-2 and -4. Human ectocervical epithelial cells (HECECs) were cultured and co-incubated with two concentrations of E2 and peptidoglycan (PGN) or lipopolysaccharide (LPS) over durations that ranged between 10 minutes and 18 hours. Cytometric Bead Array was performed to quantify eight cytokines in the supernatant fluid. In response to PGN, HECECs co-incubated with E2 released lesser quantities of IL-1ß and IFNγ, higher levels of RANTES, and variable levels of IL-6 and IL-8 than those not exposed to E2. In contrast, HECECs co-incubated with LPS and E2 secreted increased levels of IL-1ß, IL-6, IL-8, and IFNγ at 2 and 18 hours than HECECs not exposed to E2, and reduced levels of RANTES at same study time-points. Estradiol alters the immune-responsiveness of cultured HECECs to TLR2 and TLR4 ligands in a complex fashion that appears to vary with bacterial ligand, TLR subtype, and duration of exposure. Our observations are consistent with the functional complexity that this mucosal interface requires for its immunological roles.

Highlights

  • The epithelium of the female reproductive tract plays a pivotal role in host defence against pathogens

  • We have demonstrated that E2 alters the cytokine responses of cultured Human ectocervical epithelial cells (HECECs) when TLR2 and TLR4 signalling pathways are activated

  • Whilst E2 appears to reduce the release of three of the eight cytokines measured (IL-1β, IL-6, IFNγ) when TLR2 is stimulated by PGN, it enhances the release of the same cytokines as well as IL-8 when the TLR4 receptor is activated by LPS

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Summary

Introduction

The epithelium of the female reproductive tract plays a pivotal role in host defence against pathogens. It secrets specific mucosal proteins such as mucins and defensins [1,2], and recognises pathogen-associated molecular patterns (PAMPs) on microbes [3,4] through pattern recognition receptors (PRR) of the Toll-like receptor (TLR) family amongst others [5,6]. The epithelium provides a mechanical barrier against microbes, and secretes cytokines and antimicrobial peptides which coordinate the local innate and adaptive immune responses [7,8].

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