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女性生殖道微生物群——对妇科癌症和个性化医疗的影响

The Female Reproductive Tract Microbiome-Implications for Gynecologic Cancers and Personalized Medicine.

作者信息

Rizzo Anthony E, Gordon Jennifer C, Berard Alicia R, Burgener Adam D, Avril Stefanie

机构信息

Department of Obstetrics and Gynecology, Division of Gynecologic Oncology, University Hospitals Cleveland Medical Center and Case Western Reserve University, Cleveland, OH 44106, USA.

Department of Obstetrics and Gynecology, University of Manitoba, Winnipeg, MB R3E 0W2, Canada.

出版信息

J Pers Med. 2021 Jun 11;11(6):546. doi: 10.3390/jpm11060546.

DOI:10.3390/jpm11060546
PMID:34208337
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8231212/
Abstract

The microbial colonization of the lower female reproductive tract has been extensively studied over the past few decades. In contrast, the upper female reproductive tract including the uterine cavity and peritoneum where the ovaries and fallopian tubes reside were traditionally assumed to be sterile under non-pathologic conditions. However, recent studies applying next-generation sequencing of the bacterial 16S ribosomal RNA gene have provided convincing evidence for the existence of an upper female reproductive tract microbiome. While the vaginal microbiome and its importance for reproductive health outcomes has been extensively studied, the microbiome of the upper female reproductive tract and its relevance for gynecologic cancers has been less studied and will be the focus of this article. This targeted review summarizes the pertinent literature on the female reproductive tract microbiome in gynecologic malignancies and its anticipated role in future research and clinical applications in personalized medicine.

摘要

在过去几十年里,女性下生殖道的微生物定植情况已得到广泛研究。相比之下,包括子宫腔以及卵巢和输卵管所在的腹膜在内的女性上生殖道,传统上被认为在非病理状态下是无菌的。然而,最近应用细菌16S核糖体RNA基因的下一代测序技术的研究,为女性上生殖道微生物群的存在提供了令人信服的证据。虽然阴道微生物群及其对生殖健康结果的重要性已得到广泛研究,但女性上生殖道微生物群及其与妇科癌症的相关性研究较少,而这将是本文的重点。本靶向综述总结了妇科恶性肿瘤中女性生殖道微生物群的相关文献,及其在个性化医学未来研究和临床应用中预期发挥的作用。

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本文引用的文献

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Fecal microbiota transplant overcomes resistance to anti-PD-1 therapy in melanoma patients.粪便微生物移植克服了黑色素瘤患者对抗 PD-1 治疗的耐药性。
Science. 2021 Feb 5;371(6529):595-602. doi: 10.1126/science.abf3363.
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Impact of antibiotic treatment on immunotherapy response in women with recurrent gynecologic cancer.抗生素治疗对复发性妇科癌症女性免疫治疗反应的影响。
Gynecol Oncol. 2021 Apr;161(1):211-220. doi: 10.1016/j.ygyno.2021.01.015. Epub 2021 Jan 24.
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Probiotics for preventing recurrent bacterial vaginosis.益生菌预防复发性细菌性阴道病。
JAAPA. 2021 Feb 1;34(2):19-22. doi: 10.1097/01.JAA.0000731484.81301.58.
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Association of bacterial vaginosis with periodontitis in a cross-sectional American nationwide survey.横断面美国全国性调查中细菌性阴道病与牙周炎的相关性。
Sci Rep. 2021 Jan 12;11(1):630. doi: 10.1038/s41598-020-79496-4.
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Connecting the Dots: Translating the Vaginal Microbiome Into a Drug.关联线索:将阴道微生物组转化为药物。
J Infect Dis. 2021 Jun 16;223(12 Suppl 2):S296-S306. doi: 10.1093/infdis/jiaa676.
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Dysbiosis of the endometrial microbiota and its association with inflammatory cytokines in endometrial cancer.子宫内膜微生物组的失调及其与子宫内膜癌中炎症细胞因子的关系。
Int J Cancer. 2021 Apr 1;148(7):1708-1716. doi: 10.1002/ijc.33428. Epub 2020 Dec 31.
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Impact of antibiotic treatment during platinum chemotherapy on survival and recurrence in women with advanced epithelial ovarian cancer.铂类化疗期间使用抗生素治疗对晚期上皮性卵巢癌患者生存和复发的影响。
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