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自然周期中人类子宫内膜液的抗菌和抗真菌活性。

Antibacterial and Antifungal Activity of the Human Endometrial Fluid during the Natural Cycle.

机构信息

Department of Nursing, Faculty of Medicine and Nursing, University of the Basque Country UPV/EHU, Barrio Sarriena s/n, 48940-Leioa, Spain.

Proteomics Platform, CIC bioGUNE, CIBERehd, ProteoRed-ISCIII, Bizkaia Science and Technology Park, Derio, Spain.

出版信息

Infect Dis Obstet Gynecol. 2021 Jun 16;2021:8849664. doi: 10.1155/2021/8849664. eCollection 2021.

DOI:10.1155/2021/8849664
PMID:34220191
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8221874/
Abstract

PURPOSE

Some microbiota patterns have been associated with favorable IVF prognosis and others with pathological conditions. The endometrial fluid aspirate (EFA) contains antibacterial proteins that are enriched in implantative IVF cycles, but the antimicrobial effect of EFA has not been addressed. We aimed to evaluate the antimicrobial activity of the human endometrial fluid during the natural cycle.

METHODS

EFA was obtained through an embryo transfer catheter in 38 women, aged 18-40 years, with regular cycles attending to a fertility clinic. The antimicrobial activity of EFAs was tested against two strains of ; one strain each of , , , and ; and three yeasts (, , and ).

RESULTS

All samples exhibited antibacterial activity against . In addition, 32.4% of EFAs were active against one of the other microorganisms assayed, 16.2% against two, and 5.4% against four of them. In contrast, none exhibited antibacterial activity against or . The antimicrobial activity differs considerably between EFA samples, and we failed to observe a cycle-related pattern.

CONCLUSIONS

EFA presented two antimicrobial activity patterns: (a) one common to all the samples, exhibiting activity against and lack of activity against and , and (b) an individualized pattern, showing activity against some of the other microorganisms tested. The intensity of antibacterial activity differs between EFA samples. Our data suggest that the uterine microbiota is controlled by means of endometrial fluid components.

摘要

目的

一些微生物群模式与体外受精(IVF)的良好预后相关,而另一些与病理状况相关。子宫内膜液抽吸物(EFA)含有在植入性 IVF 周期中丰富的抗菌蛋白,但 EFA 的抗菌作用尚未得到解决。我们旨在评估自然周期中人类子宫内膜液的抗菌活性。

方法

38 名年龄在 18-40 岁之间、有规律周期的女性在生殖诊所就诊时,通过胚胎转移导管获得 EFA。测试了 EFAs 对两种 的抗菌活性;每种 各一种、 、 、 和三种酵母( 、 和 )。

结果

所有样本均对 表现出抗菌活性。此外,32.4%的 EFAs 对其他三种微生物中的一种有活性,16.2%对两种有活性,5.4%对四种有活性。相比之下,没有一种对 或 表现出抗菌活性。EFA 的抗菌活性差异很大,我们未能观察到与周期相关的模式。

结论

EFA 呈现出两种抗菌活性模式:(a)所有样本共有的模式,对 表现出活性,对 和 缺乏活性,(b)个体模式,对其他一些测试的微生物表现出活性。EFA 之间的抗菌活性强度不同。我们的数据表明,子宫微生物群受子宫内膜液成分的控制。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/91f6/8221874/0e0461ce0a9d/IDOG2021-8849664.001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/91f6/8221874/0e0461ce0a9d/IDOG2021-8849664.001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/91f6/8221874/0e0461ce0a9d/IDOG2021-8849664.001.jpg

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A pilot study and case reports on endometrial microbiota and pregnancy outcome: An analysis using 16S rRNA gene sequencing among IVF patients, and trial therapeutic intervention for dysbiotic endometrium.
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