Incubation of human chorioamniotic membranes with Candida albicans induces differential synthesis and secretion of interleukin-1β, interleukin-6, prostaglandin E2, and 92 kDa type IV collagenase


  • This project was supported by a grant from the Consejo Nacional de Ciencia y Tecnología (CONACyT- 21117), Mexico.

Felipe Vadillo-Ortega, MD, PhD, Instituto Nacional de Perinatologia, Isidro Espinosa de los Reyes, Montes Urales 800, Lomas de Virreyes, D.F., 11000, Mexico. Tel.: 52 55 5202 9381. Fax: 52 55 5520 0034. E-mail:


Ascendant colonization of pathogenic microorganisms from the vagina to the uterus is strongly associated to preterm labour and premature rupture of membranes. This study evaluated the secretion of interleukin (IL)-1β, tumour necrosis factor (TNF)α, IL-6, prostaglandin E2 (PGE2), and metalloproteinases 9 and 2 by the human chorioamnion stimulated with Candida albicans. Chorioamniotic membranes were obtained after delivery by elective Cesarean section from women at 37–40 weeks of gestation without evidence of active labour. The membranes were mounted in Transwell devices that form two independent compartments, which allow testing the individual responses and contributions of the amnion and choriodecidua. One million CFU ml−1 of C. albicans was added to either the amniotic or choriodecidual surface and secretions of the markers were measured in both compartments using specific enzyme-linked immunosorbent assay and zymography. Fetal membranes followed different secretion patterns of proinflammatory cytokines depending on the side to which the stimulus was applied. IL-1β was produced in higher amounts in the presence of C. albicans when applied to the choriodecidual side; TNFα and IL-6 secretion did not change in either the amnion or choriodecidual region. PGE2 synthesis depicted a different pattern, the amniotic tissue was more responsive than the choriodecidual tissue, and this response tended to be higher even when only the amniotic side was stimulated. Matrix metalloproteinases (MMP)-9 increased after stimulation, being the choriodecidua its main source. Selective stimulation with C. albicans induced a differential secretion of IL-1β, PGE2, and MMP-9, resulting from a cooperative and bidirectional communication between the amnion and the choriodecidua.