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卵巢早衰女性的阴道微生物群:一项描述性横断面研究。

Vaginal microbiome of women with premature ovarian insufficiency: a descriptive cross-sectional study.

作者信息

Giraldo Helena Patricia, Giraldo Paulo César, Mira Ticiana A, Pravatta Rezende Gabriela, Yela Daniela Angerame, do Amaral Rose Luce Gomes, Benetti-Pinto Cristina Laguna

机构信息

Department of Obstetrics and Gynecology, School of Medical Sciences of Jundiaí, Jundiaí, São Paulo, Brazil.

Department of Obstetrics and Gynecology, School of Medical Sciences, University of Campinas, Campinas, São Paulo, Brazil.

出版信息

Climacteric. 2024 Dec;27(6):542-547. doi: 10.1080/13697137.2024.2393140. Epub 2024 Oct 7.

Abstract

OBJECTIVE

This study aimed to describe the vaginal microbiome of women with premature ovarian insufficiency (POI) receiving systemic hormone therapy (HT).

METHODS

Forty women with POI receiving systemic HT for at least 6 months, who were sexually active, were included in the descriptive cross-sectional study. Vaginal secretion was collected for DNA extraction followed by pyrosequencing of the 16S rRNA. The samples were pooled into phylogenetic groups (Ravel groups I-V).

RESULTS

Women had mean age of 37.13 (± 7.27) years and POI diagnosis at age 27.90 (± 8.68) years, and a mean HT duration of 8.20 (± 8.73) years. It was observed that 33.4% of the women presented group I flora, with a predominance of ; 9% group II flora, with a predominance of ; 33.4% group III flora, with a predominance of ; 15.2% group IV flora, with a predominance of anaerobic bacteria; and 9% group V flora, with a predominance of .

CONCLUSION

Women with POI receiving HT presented a vaginal microbiome with a predominance of lactobacilli in the composition of the vaginal flora, specifically and when evaluated by molecular biology through pyrosequencing of 16S rRNA.

摘要

目的

本研究旨在描述接受全身激素治疗(HT)的卵巢早衰(POI)女性的阴道微生物群。

方法

40名接受全身HT至少6个月且有性活动的POI女性被纳入描述性横断面研究。收集阴道分泌物进行DNA提取,随后对16S rRNA进行焦磷酸测序。样本被归入系统发育组(拉韦尔组I-V)。

结果

女性的平均年龄为37.13(±7.27)岁,POI诊断年龄为27.90(±8.68)岁,HT平均持续时间为8.20(±8.73)年。观察到33.4%的女性呈现I组菌群,以 为主;9%为II组菌群,以 为主;33.4%为III组菌群,以 为主;15.2%为IV组菌群,以厌氧菌为主;9%为V组菌群,以 为主。

结论

接受HT的POI女性的阴道微生物群在阴道菌群组成中以乳酸杆菌为主,通过16S rRNA焦磷酸测序进行分子生物学评估时,具体为 和 。

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