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解析人类胃肠道微生物群在阴道感染和宫颈癌发病机制中的作用。

Deciphering the Role of Human Gastrointestinal Microbiota in the Pathogenesis of Vaginal Infection and Cervical Cancer.

机构信息

Department of Obstetrics and Gynecology, The Second Affiliated Hospital of Chengdu Medical College, China National Nuclear Corporation 416 Hospital, Chengdu, 610051, Sichuan, China.

出版信息

J Environ Pathol Toxicol Oncol. 2020;39(4):365-373. doi: 10.1615/JEnvironPatholToxicolOncol.2020035637.

Abstract

The human microbiota typically contains symbionts and supports the host, although it can be commensal or reciprocal and pathogenic in its host function, immunity, and diet. Modern studies indicate that perturbations in the microbiome may be present in quite a few diseases, including inflammation and cancer. To be more specific, changes in the microbiomes of the gut and vagina may be related to various gynecologic cancers (cervical, uterine, and ovarian). Furthermore, the gastrointestinal microbiota can be altered by environmental factors and pre-existing morbidities and may cause nausea, vomiting, diarrhea, constipation, bloating, and abdominal pain. A healthy female gut microbiome is dominated by Bifidobacterium, Lactobacillus, Bacteroides, Clostridium, Escherichia, Streptococcus, and Ruminococcus; the vaginal microbiome includes Firmicutes, specifically Lactobacilli spp. However, the gram-variable coccobacillus Gardnerella vaginalis (previously known as Haemophilus vaginalis) dominates the microbiota of biological vaginosis (BV) and includes several anaerobic organisms. Vaginal microbiota perturbations can cause vaginal pain, sexual dysfunction, and urinary symptoms. In the current review paper, we explore recent research along with existing gaps in knowledge related to the association of changes in microbiota diversity and the pathogenesis of vaginal infection-associated cervical cancer.

摘要

人类微生物群通常包含共生体并支持宿主,但它在宿主功能、免疫和饮食方面可以是共生的、互惠的或致病的。现代研究表明,微生物组的紊乱可能存在于相当多的疾病中,包括炎症和癌症。更具体地说,肠道和阴道微生物组的变化可能与各种妇科癌症(宫颈癌、子宫癌和卵巢癌)有关。此外,胃肠道微生物群可以被环境因素和预先存在的疾病所改变,并可能导致恶心、呕吐、腹泻、便秘、腹胀和腹痛。健康女性的肠道微生物群主要由双歧杆菌、乳杆菌、拟杆菌、梭菌、大肠杆菌、链球菌和真杆菌组成;阴道微生物群包括厚壁菌门,特别是乳杆菌属。然而,革兰氏可变球菌加德纳菌(以前称为阴道嗜血杆菌)主导着细菌性阴道病(BV)的微生物群,并包含几种厌氧菌。阴道微生物群的紊乱会导致阴道疼痛、性功能障碍和泌尿系统症状。在本综述论文中,我们探讨了与微生物多样性变化与阴道感染相关的宫颈癌发病机制相关的最新研究以及现有知识差距。

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