We have previously isolated two extracellular cysteine proteases (60 a
nd 30 kDa, respectively) from the cell filtrate of an isolate of Trich
omonas vaginalis. In this study the clinical presentation of 12 clinic
al isolates of T. vaginalis was correlated with their protease activit
y. All 12 isolates produced a 60-kDa protease as demonstrated by immun
oblotting. However, only 5 of 12 isolates produced a 30-kDa protease i
n the extracellular filtrate. Protease activity did not differentiate
between isolates obtained from symptomatic versus asymptomatic women.
The 60-kDa protease, which breaks down into a 43- and 23-kDa subunit,
was detected by immunoblotting with anti-23-kDa cross-reacting rabbit
serum in the vaginal washes of 3/3 women with active T. vaginalis infe
ction, 0/1 woman cured of T. vaginalis and 0/2 control women with vagi
nal candidiasis. These results suggest that the 60-kDa protease is fou
nd in all isolates testes in vitro, is present in active disease and m
ay be important in the pathogenesis of T. vaginalis infection.