Evidence map›Paper›PMID 23398087›Full record

ArticleAmerican journal of reproductive immunology (New York, N.Y. : 1989)2013

Innate immunity in the vagina (part I): estradiol inhibits HBD2 and elafin secretion by human vaginal epithelial cells.

Mickey V Patel, John V Fahey, Richard M Rossoll, Charles R Wira

Abstract read
In one paragraph

Article in American journal of reproductive immunology (New York, N.Y. : 1989), 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 29 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
29citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

29 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Comparison of sampling methods to measure HIV RNA viral load in female genital tract secretions.American journal of reproductive immunology (New York, N.Y. : 1989) · 2017
    Trial
  3. Beyond the Barrier: Epithelial Cells as Immune Sentinels in the Female Genital Tract.American journal of reproductive immunology (New York, N.Y. : 1989) · 2026
    Review
  4. Estrogen and bacterial infection.Frontiers in immunology · 2025
    Review
  5. Article
  6. Review
  7. Article
  8. Review
  9. Review
  10. Article
  11. Article
  12. Article
  13. Article
  14. Review
  15. Estradiol-regulated innate antiviral responses of human endometrial stromal fibroblasts.American journal of reproductive immunology (New York, N.Y. : 1989) · 2018
    Article
  16. Review
  17. Article
  18. Review
  19. Immunomodulatory Effects of 17Journal of immunology research · 2018
    Review
  20. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors.

Mickey V PatelDepartment of Physiology and Neurobiology, Geisel School of Medicine at Dartmouth, Lebanon, NH 03756, USA. Mickey.V.Patel@Dartmouth.edu
John V Fahey
Richard M Rossoll
Charles R Wira

Funding

Innate Immune Protection Against HIV-1 by Reproductive Tract Epithelial CellsR01AI071761 · NIAID · DARTMOUTH COLLEGE · PI WIRA, CHARLES ROBERT · 2007 to 2014
$2.6M
Menstrual Cycle Control of HIV Infection in the Reproductive TractR01AI102838 · NIAID · DARTMOUTH COLLEGE · PI WIRA, CHARLES ROBERT · 2012 to 2016
$2.2M
SEX HORMONE REGULATION OF THE MUCOSAL IMMUNE SYSTEMR37AI013541 · NIAID · DARTMOUTH COLLEGE · PI WIRA, CHARLES ROBERT · 1997 to 2005
$2.1M
SEX HORMONE REGULATION OF THE MUCOSAL IMMUNE SYSTEMR01AI013541 · NIAID · DARTMOUTH COLLEGE · PI WIRA, CHARLES ROBERT · 1985 to 2011
$2.0M
Innate Immune Protection Against HIV-1 by Reproductive Tract Epithelial CellsR56AI071761 · NIAID · DARTMOUTH COLLEGE · PI WIRA, CHARLES ROBERT · 2007 to 2007
$167k
SEX HORMONE REGULATION OF THE MUCOSAL IMMUNE SYSTEMR55AI013541 · NIAID · DARTMOUTH COLLEGE · PI WIRA, CHARLES ROBERT · 1991 to 1991
–
NIAID NIH HHS AI013541NIAID NIH HHS AI071761NIAID NIH HHS AI102838NIAID NIH HHS R01 AI013541NIAID NIH HHS R01 AI071761NIAID NIH HHS R01 AI102838NIAID NIH HHS R37 AI013541NIAID NIH HHS R56 AI071761
6 · The paper itself

Abstract

problemVaginal epithelial cells (VEC) are the first line of defense against incoming pathogens in the female reproductive tract. Their ability to produce the anti-HIV molecules elafin and HBD2 under hormonal stimulation is unknown. METHOD OF STUDY: Vaginal epithelial cells were recovered using a menstrual cup and cultured overnight prior to treatment with estradiol (E₂), progesterone (P₄) or a panel of selective estrogen response modulators (SERMs). Conditioned media were recovered and analyzed for protein concentration and anti-HIV activity.

resultsE₂ significantly decreased the secretion of HBD2 and elafin by VEC over 48 hrs, while P4 and the SERMs (tamoxifen, PHTTP, ICI or Y134) had no effect. VEC conditioned media from E₂ -treated cells had no anti-HIV activity, while that from E₂ /P₄ -treated cells significantly inhibited HIV-BaL infection.

conclusionThe menstrual cup allows for effective recovery of primary VEC. Their production of HBD2 and elafin is sensitive to E₂, suggesting that innate immune protection varies in the vagina across the menstrual cycle.

Indexed as

AdultAnti-HIV Agentsbeta-DefensinsCells, CulturedCulture Media, ConditionedElafinEpithelial CellsEstradiolFemaleHumansImmunity, InnateMiddle AgedProgesteroneSelective Estrogen Receptor ModulatorsVaginaAnti-HIV Agentsbeta-DefensinsCulture Media, ConditionedDEFB4A protein, humanElafinEstradiolProgesteroneSelective Estrogen Receptor Modulators

Identifiers

PMID23398087
PMCPMC3837349

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.