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