Cervical ripening is a cytokine-trigged process with substantial remodellin
g of the cervical extracellular matrix. Interleukin-8 (IL-8) is an importan
t cytokine in cervical maturation, Glycosaminoglycans are also included in
this process, but their role in not clearly understood. The effects of hepa
ran sulphate (HS), hyaluronic acid (HA), IL-8, HS + IL-8 and HA + IL-8 on b
iochemical properties of the cervix were examined in non-pregnant rabbits,
The changes in vascular pattern with collagen structure of the cervices and
immunohistochemical studies, together with the relative collagen concentra
tions, were determined. A reduction in relative collagen concentration was
significant after HS + IL-8,IL-8 and HA + IL-8 treatment (all P < 0.0001).
Gel electrophoresis analysis showed that IL-8 bound preferentially to HS th
an to HA. Neutrophils were significantly increased in number (P < 0.0001) a
nd located predominantly beneath the glandular epithelium and around the bl
ood vessels after HS + IL-8 treatment, HS + IL-8 treatment caused cervices
to increase their water content and become oedematous. The collagen fibres
were considerably dissociated, the interfibrillar spaces markedly dilated,
and the blood vessels notably increased and dilated. We conclude that bindi
ng to HS enhances the activity of IL-8 in inducing cervical maturation.