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绝经状态可诱导 HPV 感染女性的阴道菌群失调。

Menopausal status induces vaginal dysbiosis in women with human papillomavirus infection.

机构信息

Department of Obstetrics and Gynecology, Konkuk University School of Medicine, 120-1, Neungdong-ro, Gwangjin-gu, Seoul, 05030, Republic of Korea.

Department of Obstetrics and Gynecology, Seoul St. Mary's Hospital, The Catholic University, Seoul, Republic of Korea.

出版信息

Sci Rep. 2024 Mar 26;14(1):7092. doi: 10.1038/s41598-024-56314-9.


DOI:10.1038/s41598-024-56314-9
PMID:38528061
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10963737/
Abstract

In this study, we examined the difference in the vaginal microbiota of women infected with human papillomavirus (HPV), according to menopausal status. A total of 75 cervicovaginal swab samples from 38 pre- and 37 postmenopausal women with HPV infection were obtained from the Korean HPV cohort. Vaginal microbiota analysis, including microbial diversity and specific bacterial abundances, was performed using 16S rRNA gene sequencing. The mean age of the pre- and postmenopausal women were 29.5 and 55.8 years, respectively (p < 0.0001). Lactobacillus spp. were predominant in both groups; however, a marked decrease was observed in postmenopausal women compared to premenopausal women (44.3% vs. 74.2%). Various anaerobic bacteria also showed a relatively high abundance in the postmenopausal group; Atopobium vagina and Gardnerella vaginalis significantly increased in postmenopausal women. Interestingly, no significant differences in bacterial richness were observed between the two groups. However, significant differences in beta-diversity were observed using the Bray-Curtis (p = 0.001), Generalized UniFrac (p = 0.002), Jensen-Shannon (p = 0.001), and UniFrac algorithms (p = 0.002). Theres results indicate that postmenopausal women with HPV infection exhibited a higher degree of vaginal dysbiosis than premenopausal women. Further, HPV-infected postmenopausal women had increased vaginal microbial diversity, characterized by an increase in anaerobic bacteria and concomitant depletion of Lactobacillus spp.

摘要

本研究旨在探讨 HPV 感染女性的阴道微生物群根据绝经状态的差异。从韩国 HPV 队列中获得了 38 名绝经前和 37 名绝经后 HPV 感染女性的共 75 份宫颈阴道拭子样本。使用 16S rRNA 基因测序进行阴道微生物组分析,包括微生物多样性和特定细菌丰度。绝经前和绝经后女性的平均年龄分别为 29.5 岁和 55.8 岁(p<0.0001)。两组均以乳杆菌属为主;然而,绝经后女性明显低于绝经前女性(44.3%对 74.2%)。各种厌氧菌在后绝经组中也表现出相对较高的丰度;阴道阿托波氏菌和阴道加德纳菌在后绝经女性中显著增加。有趣的是,两组之间细菌丰富度没有显著差异。然而,使用 Bray-Curtis(p=0.001)、广义 UniFrac(p=0.002)、Jensen-Shannon(p=0.001)和 UniFrac 算法(p=0.002)观察到β多样性存在显著差异。这些结果表明,HPV 感染的绝经后女性阴道生态失调程度高于绝经前女性。此外,HPV 感染的绝经后女性阴道微生物多样性增加,特征是厌氧菌增加,同时乳杆菌属减少。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/86db/10963737/670d21a986a6/41598_2024_56314_Fig3_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/86db/10963737/1bca5c9ceca5/41598_2024_56314_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/86db/10963737/9e92a0f51b9f/41598_2024_56314_Fig2_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/86db/10963737/670d21a986a6/41598_2024_56314_Fig3_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/86db/10963737/1bca5c9ceca5/41598_2024_56314_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/86db/10963737/9e92a0f51b9f/41598_2024_56314_Fig2_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/86db/10963737/670d21a986a6/41598_2024_56314_Fig3_HTML.jpg

相似文献

[1]
Menopausal status induces vaginal dysbiosis in women with human papillomavirus infection.

Sci Rep. 2024-3-26

[2]
Human papillomavirus infection and cervical intraepithelial neoplasia progression are associated with increased vaginal microbiome diversity in a Chinese cohort.

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[3]
Association of the vaginal microbiota with human papillomavirus infection in a Korean twin cohort.

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[4]
Vaginal flora in HPV infection: a cross‑sectional analysis.

J Obstet Gynaecol. 2024-12

[5]
Characterization of cervico-vaginal microbiota in women developing persistent high-risk Human Papillomavirus infection.

Sci Rep. 2017-8-31

[6]
Associations of vaginal microbiota with the onset, severity, and type of symptoms of genitourinary syndrome of menopause in women.

Front Cell Infect Microbiol. 2024

[7]
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Microbiol Spectr. 2021-10-31

[8]
Dysbiosis of vaginal microbiota associated with persistent high-risk human papilloma virus infection.

J Transl Med. 2022-1-3

[9]
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mSystems. 2023-8-31

[10]
[The cervical microbiota characteristics in patients with human papillomavirus infection].

Zhonghua Yu Fang Yi Xue Za Zhi. 2021-7-6

引用本文的文献

[1]
Role of Vaginal and Gut Microbiota in Human Papillomavirus (HPV) Progression and Cervical Cancer: A Systematic Review of Microbial Diversity and Probiotic Interventions.

Cureus. 2025-6-12

[2]
The Vaginal Microbiota, Human Papillomavirus, and Cervical Dysplasia-A Review.

Medicina (Kaunas). 2025-5-5

[3]
Hallmarks of female reproductive aging in physiologic aging mice.

Nat Aging. 2024-12

本文引用的文献

[1]
The role of microbiota in the management of genitourinary syndrome of menopause.

Climacteric. 2023-8

[2]
Postmenopausal Vaginal Microbiome and Microbiota.

Front Reprod Health. 2022-1-14

[3]
The Role of Genital Tract Microbiome in Fertility: A Systematic Review.

Int J Mol Sci. 2021-12-24

[4]
The feature of cervical microbiota associated with the progression of cervical cancer among reproductive females.

Gynecol Oncol. 2021-11

[5]
Changes in the Microbiome of Vaginal Fluid after Menopause in Korean Women.

J Microbiol Biotechnol. 2021-11-28

[6]
Sexually Transmitted Infections Treatment Guidelines, 2021.

MMWR Recomm Rep. 2021-7-23

[7]
Socio-Demographic Characteristics and Sexual Behavioral Factors of Patients with Sexually Transmitted Infections Attending a Hospital in Southern Italy.

Int J Environ Res Public Health. 2021-4-28

[8]
Changes of vaginal microbiota during cervical carcinogenesis in women with human papillomavirus infection.

PLoS One. 2020-9-17

[9]
The 2020 genitourinary syndrome of menopause position statement of The North American Menopause Society.

Menopause. 2020-9

[10]
Novel Selective Inhibition of Lactobacillus iners by -Derived Bacteriocins.

Appl Environ Microbiol. 2020-10-1

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