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年轻瑞典女性的阴道微生物群和人乳头瘤病毒感染。

Vaginal microbiota and human papillomavirus infection among young Swedish women.

机构信息

Department of Microbiology, Tumor and Cell Biology, Centre for Translational Microbiome Research (CTMR), Karolinska Institutet, Stockholm, Sweden.

Department of Women's and Children's Health, Uppsala University, Uppsala, Sweden.

出版信息

NPJ Biofilms Microbiomes. 2020 Oct 12;6(1):39. doi: 10.1038/s41522-020-00146-8.

Abstract

Human papillomavirus (HPV) infection is one of the most common sexually transmitted diseases. To define the HPV-associated microbial community among a high vaccination coverage population, we carried out a cross-sectional study with 345 young Swedish women. The microbial composition and its association with HPV infection, including 27 HPV types, were analyzed. Microbial alpha-diversity was found significantly higher in the HPV-infected group (especially with oncogenic HPV types and multiple HPV types), compared with the HPV negative group. The vaginal microbiota among HPV-infected women was characterized by a larger number of bacterial vaginosis-associated bacteria (BVAB), Sneathia, Prevotella, and Megasphaera. In addition, the correlation analysis demonstrated that twice as many women with non-Lactobacillus-dominant vaginal microbiota were infected with oncogenic HPV types, compared with L. crispatus-dominated vaginal microbiota. The data suggest that HPV infection, especially oncogenic HPV types, is strongly associated with a non-Lactobacillus-dominant vaginal microbiota, regardless of age and vaccination status.

摘要

人乳头瘤病毒(HPV)感染是最常见的性传播疾病之一。为了定义在高疫苗接种率人群中与 HPV 相关的微生物群落,我们对 345 名瑞典年轻女性进行了一项横断面研究。分析了微生物组成及其与 HPV 感染的关系,包括 27 种 HPV 类型。与 HPV 阴性组相比,HPV 感染组的微生物 α多样性明显更高(尤其是与致癌 HPV 类型和多种 HPV 类型相关)。HPV 感染女性的阴道微生物群以更多的细菌性阴道病相关细菌(BVAB)、Sneathia、Prevotella 和 Megasphaera 为特征。此外,相关性分析表明,与以 L. crispatus 为主导的阴道微生物群相比,非乳杆菌主导的阴道微生物群中感染致癌 HPV 类型的女性数量增加了一倍。数据表明,HPV 感染,尤其是致癌 HPV 类型,与非乳杆菌主导的阴道微生物群密切相关,而与年龄和疫苗接种状态无关。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a431/7552401/29650396a3fc/41522_2020_146_Fig1_HTML.jpg

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