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甲硝唑对与获得性HIV风险相关的阴道细菌浓度的影响。

Effect of Metronidazole on Concentrations of Vaginal Bacteria Associated with Risk of HIV Acquisition.

作者信息

Valint D J, Fiedler Tina L, Liu Congzhou, Srinivasan Sujatha, Fredricks David N

机构信息

Vaccine and Infectious Disease Division, Fred Hutchinson Cancer Center, Seattle, WA, USA.

Department of Medicine, University of Washington, Seattle, WA, USA.

出版信息

Res Sq. 2024 Apr 11:rs.3.rs-4219764. doi: 10.21203/rs.3.rs-4219764/v1.

Abstract

Several bacterial vaginosis (BV)-associated bacteria have been associated with elevated risk of HIV acquisition, however susceptibility of these bacteria to antibiotics is poorly understood. Vaginal samples were collected from 22 persons daily for two weeks following BV diagnosis. Metronidazole treatment was prescribed for 5-7 days. Changes in bacterial concentrations were measured with taxon-specific 16S rRNA gene quantitative PCR (qPCR) assays. A culture-based antimicrobial assay confirmed presence of antibiotics in vaginal swab samples. Bacterial DNA concentrations decreased during antibiotic administration for all thirteen bacterial taxa tested. Comparison of bacterial DNA concentrations in samples before administration of antibiotics to samples taken on the last day of antimicrobial assay-confirmed antibiotic presence showed a 2.3-4.5 log10-fold decrease across all taxa. Concentrations were frequently reduced to the qPCR assay's limit of detection, suggesting eradication of bacteria. Mean clearance time varied across taxa (1.2-8.6 days), with several bacteria (e.g., , spp., -like sp.) taking >7 days to suppress. Metronidazole reduces quantities of bacterial taxa associated with increased HIV acquisition risk. Eradication of high-risk vaginal bacteria using metronidazole is one promising avenue for reducing HIV acquisition risk. A 5-7-day treatment course may not be sufficient to suppress all bacteria.

摘要

几种与细菌性阴道病(BV)相关的细菌与感染HIV的风险升高有关,然而,这些细菌对抗生素的敏感性却知之甚少。在BV诊断后的两周内,每天从22人身上采集阴道样本。开具甲硝唑治疗处方,疗程为5 - 7天。用分类群特异性16S rRNA基因定量聚合酶链反应(qPCR)测定法测量细菌浓度的变化。基于培养的抗菌测定法证实了阴道拭子样本中存在抗生素。在给予抗生素期间,所有13个测试细菌分类群的细菌DNA浓度均下降。将抗生素给药前样本中的细菌DNA浓度与抗菌测定法确认有抗生素存在的最后一天采集的样本进行比较,结果显示所有分类群的细菌DNA浓度下降了2.3 - 4.5个log10倍。浓度经常降至qPCR测定法的检测限,表明细菌被根除。平均清除时间因分类群而异(1.2 - 8.6天),几种细菌(如, spp., -样菌)需要>7天才能被抑制。甲硝唑可减少与HIV感染风险增加相关的细菌分类群数量。使用甲硝唑根除高危阴道细菌是降低HIV感染风险的一个有前景的途径。5 - 7天的疗程可能不足以抑制所有细菌。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e9b2/11042432/6584da51e812/nihpp-rs4219764v1-f0001.jpg

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