Mucosal Protection Laboratory, Thomas C, Jenkins Department of Biophysics, Johns Hopkins University, Baltimore, MD 21218, USA.
BMC Infect Dis. 2010 May 19;10:120. doi: 10.1186/1471-2334-10-120.
H2O2 produced by vaginal lactobacilli is believed to protect against infection, and H2O2-producing lactobacilli inactivate pathogens in vitro in protein-free salt solution. However, cervicovaginal fluid (CVF) and semen have significant H2O2-blocking activity.
We measured the H2O2 concentration of CVF and the H2O2-blocking activity of CVF and semen using fluorescence and in vitro bacterial-exposure experiments.
The mean H2O2 measured in fully aerobic CVF was 23 +/- 5 microM; however, 50 microM H2O2 in salt solution showed no in vitro inactivation of HSV-2, Neisseria gonorrhoeae, Hemophilus ducreyii, or any of six BV-associated bacteria. CVF reduced 1 mM added H2O2 to an undetectable level, while semen reduced 10 mM added H2O2 to undetectable. Moreover, the addition of just 1% CVF supernatant abolished in vitro pathogen-inactivation by H2O2-producing lactobacilli.
Given the H2O2-blocking activity of CVF and semen, it is implausible that H2O2-production by vaginal lactobacilli is a significant mechanism of protection in vivo.
阴道乳杆菌产生的 H2O2 被认为可以预防感染,并且在无蛋白盐溶液中,产 H2O2 的乳杆菌可以使病原体失活。然而,宫颈阴道液(CVF)和精液具有显著的 H2O2 阻断活性。
我们使用荧光和体外细菌暴露实验测量了 CVF 的 H2O2 浓度和 CVF 及精液的 H2O2 阻断活性。
完全需氧的 CVF 中的平均 H2O2 测量值为 23±5μM;然而,盐溶液中 50μM 的 H2O2 并未使 HSV-2、淋病奈瑟菌、杜克雷嗜血杆菌或六种 BV 相关细菌中的任何一种失活。CVF 将 1mM 加入的 H2O2 降低至无法检测的水平,而精液将 10mM 加入的 H2O2 降低至无法检测的水平。此外,只需添加 1%的 CVF 上清液即可消除产 H2O2 的乳杆菌对病原体的体外失活作用。
鉴于 CVF 和精液的 H2O2 阻断活性,阴道乳杆菌产生的 H2O2 不太可能是体内保护的重要机制。