2015
Cervicovaginal Bacteria Are a Major Modulator of Host Inflammatory Responses in the Female Genital Tract
Abstract: Colonization by Lactobacillus in the female genital tract is thought to be critical for maintaining genital health. However, little is known about how genital microbiota influence host immune function and modulate disease susceptibility. We studied a cohort of asymptomatic young South African women and found that the majority of participants had genital communities with low Lactobacillus abundance and high ecological diversity. High diversity communities strongly correlated with genital pro-inflammatory cytoki…
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Cited by 770 publications
(966 citation statements)
References 50 publications
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“…This increases confidence that our findings are primarily age related and not driven by the microbiome. However, this does differ from other studies that have reported increased FGT inflammation with nLD microbiota [ 27 , 28 , 29 , 30 , 31 , 32 ]. The majority of these studies differ from our study in several key ways, including enrolling only pre‐menopausal women or focusing on women with clinically diagnosed bacterial vaginosis.…”
Section: Discussioncontrasting
confidence: 99%
“…This increases confidence that our findings are primarily age related and not driven by the microbiome. However, this does differ from other studies that have reported increased FGT inflammation with nLD microbiota [ 27 , 28 , 29 , 30 , 31 , 32 ]. The majority of these studies differ from our study in several key ways, including enrolling only pre‐menopausal women or focusing on women with clinically diagnosed bacterial vaginosis.…”
Section: Discussioncontrasting
confidence: 99%
“…When examining gene expression between the participant groups with higher and lower diversity bacterial communities, we did not confirm previous findings in the penis ( 4, 6, 12 ) and vagina ( 55 ) that high bacterial diversity, particularly with anaerobic taxa, is associated with increased inflammation. While we frequently identified anaerobic taxa, individual species showed lower prevalence than in studies using surface swabs.…”
Section: Discussioncontrasting
confidence: 99%
“…When examining gene expression between the participant groups with high versus low diversity bacterial communities, we did not confirm previous findings in penile swabs [ 4 , 6 , 12 ] and the vagina [ 64 ] that highly diverse, predominantly anaerobic communities are associated with increased inflammation. While we frequently identified anaerobic taxa, individual species found previously to be inflammatory were present across fewer specimens than in studies using surface swabs, possibly reducing our power to confirm prior associations.…”
Section: Discussioncontrasting
confidence: 97%
