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Hyaluronan in vaginal secretions: association with recurrent vulvovaginal candidiasis
Journal article   Peer reviewed

Hyaluronan in vaginal secretions: association with recurrent vulvovaginal candidiasis

Ahinoam Lev-Sagie, Paul Nyirjesy, Nicholas Tarangelo, Ann Marie Bongiovanni, Cynthia Bayer, Iara M. Linhares, Paulo C. Giraldo, William J. Ledger and Steven S. Witkin
American journal of obstetrics and gynecology, v 201(2), pp 206.e1-206.e5
2009
PMID: 19646572

Abstract

anti-Candida maintenance therapy hyaluronan recurrent vulvovaginal candidiasis vaginal lavage
We evaluated whether vaginal concentrations of hyaluronan were altered in women with recurrent vulvovaginal candidiasis (RVVC). Lavage samples from 17 women with acute RVVC, 27 women who were receiving a maintenance antifungal regimen, and 24 control women were tested for hyaluronan and interleukin (IL)-6, IL-12, and IL-23 by enzyme-linked immunosorbent assay. Median vaginal hyaluronan concentrations were 33.8 ng/mL (range, 21.6-66.3 ng/mL) in women with acute RVVC, 15.0 ng/mL (range, 11.2-50.6 ng/mL) in women who were receiving maintenance therapy, and 4.2 ng/mL (range, 3.6-12.0 ng/mL) in control subjects ( P ≤ .02). The vaginal hyaluronan concentration was 27.4 ng/mL (range, 15.4-37.7 ng/mL) when Candida was detected by microscopy and 9.5 ng/mL (range, 7.7-14.6 ng/mL) in microscopy-negative cases ( P = .0354). Elevated hyaluronan levels were associated with itching plus burning (40.7 ng/mL) or itching plus discharge (42.1 ng/mL), as opposed to itching only (6.2 ng/mL; P = .0152). Hyaluronan and IL-6 levels were correlated ( P = .0009). Hyaluronan release is a component of the host response to a candidal infection and may contribute to symptoms.

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Domestic collaboration
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Web of Science research areas
Obstetrics & Gynecology
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