Differences in the composition of vaginal microbial communities found in healthy Caucasian and black women
Xia Zhou,Celeste J. Brown,Zaid Abdo,Catherine C. Davis,Melanie A. Hansmann,Paul Joyce,James A. Foster,Larry J. Forney +7 more
TL;DR: It is postulate that because of differences in composition, not all vaginal communities are equally resilient, and that differences in the vaginal microbiota of Caucasian and black women may at least partly account for known disparities in the susceptibility of women in these racial groups to bacterial vaginosis and sexually transmitted diseases.
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Abstract: The maintenance of a low pH in the vagina through the microbial production of lactic acid is known to be an important defense against infectious disease in reproductive age women. Previous studies have shown that this is largely accomplished through the metabolism of lactic acid bacteria, primarily species of Lactobacillus. Despite the importance of this defense mechanism to women's health, differences in the species composition of vaginal bacterial communities among women have not been well defined, nor is it known if and how these differences might be linked to differences in the risk of infection. In this study, we defined and compared the species composition of vaginal bacterial communities in 144 Caucasian and black women in North America. This was carried out based on the profiles of terminal restriction fragments of 16S rRNA genes, and phylogenetic analysis of 16S rRNA gene sequences of the numerically dominant microbial populations. Among all the women sampled, there were eight major kinds of vaginal communities ('supergroups') that occurred in the general populace at a frequency of at least 0.05 (P=0.99). From the distribution of these supergroups among women, it was possible to draw several conclusions. First, there were striking, statistically significant differences (P=0.0) in the rank abundance of community types among women in these racial groups. Second, the incidence of vaginal communities in which lactobacilli were not dominant was higher in black women (33%) as compared to Caucasian women (7%). Communities not dominated by lactobacilli had Atopobium and a diverse array of phylotypes from the order Clostridiales. Third, communities dominated by roughly equal numbers of more than one species of Lactobacillus were rare in black women, but common in Caucasian women. We postulate that because of these differences in composition, not all vaginal communities are equally resilient, and that differences in the vaginal microbiota of Caucasian and black women may at least partly account for known disparities in the susceptibility of women in these racial groups to bacterial vaginosis and sexually transmitted diseases.
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Importance of vaginal microbes in reproductive health.
TL;DR: Over 250 species of bacteria have been detected in the vagina using genomic sequencing, indicating this is a complex condition, yet one that is treated with essentially 2 antimicrobial agents which were never designed for eradicating these organisms in dense biofilms.
Additional file 1 of The association between the pre-pregnancy vaginal microbiome and time-to-pregnancy: a Chinese pregnancy-planning cohort study
Hong Xiang,Zhao Jun,Zhao fanqi,Wang Wei,Ding Xiao-ling,Yu Hong,Ma Xu,Wang Bei +7 more
- 01 Aug 2022
Abstract: Additional file 1. Supplementary information.
The role of neighborhood deprivation in the cervicovaginal microbiota.
Heather H Burris,Valerie Riis,Linda Valeri,Eugenia C South,Jacques Ravel,Michal Elovitz +5 more
TL;DR: Neighborhood deprivation was associated with a Lactobacillus-deficient cervicovaginal microbiota and may partially explain Black-White disparities in the cervicovaginal microbiota.
The Relationship Between the Vaginal Microbiota and the Ovarian Cancer Microenvironment: A Journey from Ideas to Insights
Stefano Restaino,Giulia Pellecchia,Martina Arcieri,Eva Pericolini,Giorgio Bogani,Alice Poli,Federico Paparcura,Sara Pregnolato,Doriana Armenise,Barbara Frossi,Gianluca Tell,Carlo Tascini,Lorenza Driul,Anna Biasioli,Vito Andrea Capozzi,Carlo Ronsini,Luigi Della Corte,Canio Martinelli,Alfredo Ercoli,Francesco De Seta,Giuseppe Vizzielli,Giulia Pellecchia,Alice Poli,Federico Paparcura,Sara Pregnolato,Doriana Armenise,Lorenza Driul,Canio Martinelli,Alfredo Ercoli,Giuseppe Vizzielli +29 more
Abstract: Background: The tumor microenvironment offers a new perspective in gynecologic oncology. In ovarian cancer, numerous preclinical studies, especially organoid models, have highlighted cellular, immune, and biochemical mechanisms. Beyond these sophisticated findings, more practical aspects require attention, such as the role of vaginal microbiota, which represents an interplay between external agents and internal genitalia, and its potential profiling role in early detection beyond the promise of microbiota-targeted therapies. Objectives: This review aims to assess whether such a correlation is speculative or scientifically grounded. Methods: A focused literature search was conducted on vaginal microbiota and its correlation with ovarian cancer to define the current state of knowledge. Results: Mixed outcomes have been reported, yet there is a rational and scientific basis supporting further investigation. Clinical approaches increasingly consider vaginal microbiota as relevant. However, we have to say that most available evidence is still preliminary and largely preclinical to set realistic expectations for readers. Although additional studies are needed, emerging insights highlight its importance and practical implications. We present a diagnostic–therapeutic management flowchart summarizing current evidence). Discussion: Most links between the vaginal microbiota and ovarian cancer are correlational rather than causal. The idea that microbes ascend from the vagina to the ovaries is proposed but still definitely not demonstrated. Confounding factors like age, hormones, and BRCA status complicate interpretation, and ovarian cancer itself could secondarily alter the microbiota. Mechanistic studies and longitudinal data are still needed to clarify whether dysbiosis contributes to carcinogenesis or is merely a consequence. As gynecologists, we summarize key aspects and emphasize to colleagues the importance of incorporating these findings into daily clinical practice. Vaginal dysbiosis should be considered not only a local imbalance but also a potential strategy for primary cancer prevention. Conclusions: Future research on the tumor microenvironment and vaginal microbiota will expand scientific knowledge and guide innovative preventive and therapeutic strategies.
Behavioral Predictors of Colonization with Lactobacillus crispatus or Lactobacillus jensenii after Treatment for Bacterial Vaginosis: A Cohort Study
Caroline M. Mitchell,Lisa E. Manhart,Kathy K. Thomas,Tina L. Fiedler,David N. Fredricks,David N. Fredricks,Jeanne M. Marrazzo +6 more
TL;DR: Few women with BV were colonized with L. crispatus or L. jensenii one month after BV treatment, and few behaviors were associated with colonization.
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