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绝经后黑人和白人女性阴道微生物组的比较。

Comparison of the Vaginal Microbiota in Postmenopausal Black and White Women.

机构信息

Department of Obstetrics and Gynecology, Massachusetts General Hospital, Boston, Massachusetts, USA.

Vincent Center for Reproductive Biology, Massachusetts General Hospital, Boston, Massachusetts, USA.

出版信息

J Infect Dis. 2021 Dec 1;224(11):1945-1949. doi: 10.1093/infdis/jiaa780.

DOI:10.1093/infdis/jiaa780
PMID:33367735
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8825215/
Abstract

BACKGROUND

We compared vaginal microbial communities in postmenopausal black and white women.

METHODS

Shotgun sequencing of vaginal swabs from postmenopausal women self-identified as black or white was compared using MiRKAT.

RESULTS

Vaginal community dominance by Lactobacillus crispatus or Lactobacillusgasseri was more common in 44 postmenopausal black women (n = 12, 27%) than among 44 matched white women (n = 2, 5%; P = .01). No individual taxa were significantly more abundant in either group.

CONCLUSIONS

We identified small overall differences in vaginal microbial communities of black and white postmenopausal women. L. crispatus dominance was more common in black women.

CLINICAL TRIALS REGISTRATION

NCT02516202 (MsFLASH05) and NCT01418209 (MsFLASH03).

摘要

背景

我们比较了绝经后黑人和白人女性的阴道微生物群落。

方法

使用 MiRKAT 比较了自我认定为黑人和白人的绝经后女性阴道拭子的鸟枪法测序结果。

结果

44 名绝经后黑人女性(n=12,27%)阴道群落以乳酸杆菌crispatus 或乳酸杆菌gasseri 为主,明显多于 44 名匹配的白人女性(n=2,5%;P=0.01)。两组中没有任何一种分类群的丰度明显更高。

结论

我们发现绝经后黑人和白人女性阴道微生物群落存在微小的总体差异。L. crispatus 优势在黑人女性中更为常见。

临床试验注册

NCT02516202(MsFLASH05)和 NCT01418209(MsFLASH03)。

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本文引用的文献

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Defining characteristics of genital health in South African adolescent girls and young women at high risk for HIV infection.定义南非感染艾滋病毒风险较高的青少年女孩和年轻妇女的生殖健康特征。
PLoS One. 2019 Apr 4;14(4):e0213975. doi: 10.1371/journal.pone.0213975. eCollection 2019.
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Association between obesity and bacterial vaginosis as assessed by Nugent score.Nugent 评分评估肥胖与细菌性阴道病的相关性。
Am J Obstet Gynecol. 2019 May;220(5):476.e1-476.e11. doi: 10.1016/j.ajog.2019.01.229. Epub 2019 Jan 29.
3
Efficacy of Vaginal Estradiol or Vaginal Moisturizer vs Placebo for Treating Postmenopausal Vulvovaginal Symptoms: A Randomized Clinical Trial.阴道用雌激素或阴道润滑剂与安慰剂治疗绝经后外阴阴道症状的疗效:一项随机临床试验。
JAMA Intern Med. 2018 May 1;178(5):681-690. doi: 10.1001/jamainternmed.2018.0116.
4
Vaginal microbiota and genitourinary menopausal symptoms: a cross-sectional analysis.阴道微生物群与泌尿生殖系统更年期症状:一项横断面分析
Menopause. 2017 Oct;24(10):1160-1166. doi: 10.1097/GME.0000000000000904.
5
Lactobacillus-Deficient Cervicovaginal Bacterial Communities Are Associated with Increased HIV Acquisition in Young South African Women.缺乏乳酸杆菌的宫颈阴道细菌群落与南非年轻女性感染艾滋病毒的风险增加有关。
Immunity. 2017 Jan 17;46(1):29-37. doi: 10.1016/j.immuni.2016.12.013. Epub 2017 Jan 10.
6
Prevalence and correlates of vaginal estrogenization in postmenopausal women in the United States.美国绝经后女性阴道雌激素化的患病率及其相关因素
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Reduced levels of genital tract immune biomarkers in postmenopausal women: implications for HIV acquisition.绝经后女性生殖道免疫生物标志物水平降低:对获得性HIV感染的影响。
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