Genetic regulation of cervical antiinflammatory cytokine concentrations during pregnancy

OBJECTIVE: The purpose of this study was to evaluate the contribution of maternal genotype to the concentration of interleukin (IL)-4, -10, and -13 in the cervix during the first trimester in the context of bacterial vaginosis and cigarette smoking. STUDY DESIGN: In this prospective cohort of 116 pregnant women, we examined 72 single nucleotide polymorphisms (SNPs) in 6 genes: IL-4, IL-4 receptor, IL-10, IL-10 receptor alpha, IL-10 receptor beta, and IL-13. RESULTS: Among black women, an IL-10 receptor beta SNP (rs6517158) demonstrated significant association with IL-10 concentration (P = .04), adjusted for bacterial vaginosis. Among white women, there were 4 SNPs in IL-10 receptor alpha with a highly significant association with IL-10 concentration, adjusted for bacterial vaginosis and smoking. CONCLUSION: Our data demonstrate a significant relation between cervical concentrations of IL-10 and SNPs in the IL-10 receptor alpha and beta genes. The contribution of genotype to IL-10 concentration is significant, even in the consideration of bacterial vaginosis and smoking.