Human Reproduction Update,
Год журнала:
2021,
Номер
27(6), С. 1086 - 1097
Опубликована: Май 19, 2021
Abstract
BACKGROUND
Adenomyosis,
characterized
by
the
presence
of
islands
endometrial
tissue
surrounded
hypertrophic
smooth
muscle
cells
within
myometrium,
is
one
most
challenging
uterine
disorders
in
terms
diagnosis
and
management.
Adenomyosis
presents
with
pelvic
pain,
excessive
bleeding,
anemia
infertility.
The
relative
contributions
abnormal
myometrial
to
development
growth
adenomyosis
are
not
well
understood.
Moreover,
there
continuing
debate
on
origins
adenomyosis;
two
competing
theories
describe
invagination
basal
endometrium
into
myometrium
or
metaplastic
differentiation
remnant
stem/progenitor
myometrium.
OBJECTIVE
AND
RATIONALE
A
recent
series
next-generation
sequencing
(NGS)
studies
have
provided
best
scientific
evidence
thus
far
regarding
cellular
new
signaling
pathways
its
pathogenesis,
survival,
growth.
These
seminal
endometrium,
endometriosis
demonstrate
support
following
key
points.
(i)
Mutations
KRAS
map
both
intracavitary
proximally
located
adenomyotic
samples,
supporting
theory
pathogenesis.
Driver
mutations
found
fibroids
absent
adenomyosis.
(ii)
other
less
frequent
limited
endometrial-type
epithelial
cells.
They
also
observed
endometriosis,
indicating
that
disease
process
similar
distinct
from
fibroids.
(iii)
Activating
stimulate
specific
increase
cell
survival
proliferation
associated
progesterone
resistance
Together,
these
findings
suggest
populations
eutopic
play
roles
etiology
Dependence
ovarian
steroids
ovulatory
cycles
for
severity
a
unique
feature
In
this
context,
common
patterns
aberrant
gene
expression
been
reported
endometriosis.
include
favor
increased
estrogen
biosynthesis,
decreased
estradiol
metabolism,
receptor
beta
(ESR2)-driven
inflammatory
process,
due
expression.
Since
exhibits
uniquely
estrogen-driven
resistance,
we
discuss
interactions
between
molecular
characteristics
induced
newly
discovered
mutations.
SEARCH
METHODS
We
conducted
comprehensive
search
using
PubMed
human
animal
published
until
2020
areas:
adenomyosis,
NGS,
whole-exome
sequencing,
whole-genome
RNA
targeted
deep
epigenetics,
driver
mutation,
KRAS,
action
steroid
production.
OUTCOMES
Targeted
analyses
adjacent
basalis
glands
demonstrated
recurring
types.
This
finding
suggests
originates
endometrium.
Epithelial
co-occurring
share
identical
oligoclonal
tissues
arise
carrying
mutation
commonly
affects
gene.
WIDER
IMPLICATIONS
usually
follows
an
event
such
as
pregnancy
has
disrupted
integrity
endometrial–myometrial
junction
followed
repetitious
menstrual
episodes
likelihood
entrapment
Glandular
crypts
may
become
entrapped
invade
give
rise
Evidence
be
responsible,
part,
previously
phenomena
prolonged
Journal of Obstetrics and Gynaecology Research,
Год журнала:
2019,
Номер
45(5), С. 951 - 960
Опубликована: Март 6, 2019
Abstract
Aim
Chronic
endometritis
(CE)
is
a
disease
of
continuous
and
subtle
inflammation
characterized
by
the
infiltration
plasma
cells
in
endometrial
stromal
area.
Although
clinical
significance
CE
has
been
thought
practice
for
long
time
because
it
either
asymptomatic
or
presents
with
symptoms,
recent
studies
have
shown
potential
adverse
effects
on
fertility.
In
present
review,
we
focus
concept,
diagnosis,
etiology,
pathophysiology,
impact
reproduction
treatment
to
understand
CE.
Methods
The
published
articles
were
reviewed.
Results
prevalence
found
be
2.8–56.8%
infertile
women,
14–67.5%
women
recurrent
implantation
failure
(RIF),
9.3–67.6%
pregnancy
loss.
Microorganisms
are
main
cause
CE,
since
antibiotic
reported
an
effective
therapy
Common
bacteria
frequently
detected
uterine
cavity
patients
microbial
culture.
endometrium,
immune
decidualization
modified,
these
modifications
adversely
affect
gold
standard
diagnosis
histological
detection
area
endometrium
specimens,
although
universally
accepted
criteria
not
determined.
currently
most
recovery
fertility
administration
oral
antibiotics.
Patients
whose
cured
higher
ongoing
rate,
rate
compared
persistent
Conclusion
greatly
affects
impairs
Antibiotic
therapeutic
option.
Pregnancy
vitro
fertilization
improved
when
antibiotic.
Cell,
Год журнала:
2021,
Номер
184(13), С. 3394 - 3409.e20
Опубликована: Июнь 1, 2021
The
human
fetal
immune
system
begins
to
develop
early
during
gestation;
however,
factors
responsible
for
immune-priming
remain
elusive.
We
explored
potential
exposure
microbial
agents
in
utero
and
their
contribution
toward
activation
of
memory
T
cells
tissues.
profiled
microbes
across
organs
using
16S
rRNA
gene
sequencing
detected
low
but
consistent
signal
gut,
skin,
placenta,
lungs
the
2nd
trimester
gestation.
identified
several
live
bacterial
strains
including
Staphylococcus
Lactobacillus
tissues,
which
induced
vitro
mesenteric
lymph
node,
supporting
role
immune-priming.
Finally,
SEM
RNA-ISH,
we
visualized
discrete
localization
bacteria-like
structures
eubacterial-RNA
within
14th
weeks
gut
lumen.
These
findings
indicate
selective
presence
gestation
have
broader
implications
establishment
competency
priming
before
birth.
Abstract
Dysbiosis
in
the
genital
tract
or
gut
microbiome
can
be
associated
with
endometriosis.
We
sampled
vaginal,
cervical
and
microbiota
from
14
women
histology
proven
stage
3/4
endometriosis
healthy
controls.
The
V3
V4
regions
of
16S
rRNA
gene
were
amplified
following
Metagenomic
Sequencing
Library
Preparation.
Despite
overall
similar
intestinal
composition
between
group
controls,
we
observed
differences
at
genus
level.
complete
absence
Atopobium
vaginal
was
noteworthy.
In
microbiota,
Gardnerella
,
Streptococcus
Escherichia
Shigella
Ureoplasma,
all
which
contain
potentially
pathogenic
species
increased
More
had
Shigella/Escherichia
dominant
stool
microbiome.
Further
studies
clarify
whether
association
is
causal,
dysbiosis
leads
to
dysbiosis.
Abstract
Background
Previous
evidence
indicates
associations
between
the
female
reproductive
tract
microbiome
composition
and
outcome
in
infertile
patients
undergoing
assisted
reproduction.
We
aimed
to
determine
whether
endometrial
microbiota
is
associated
with
outcomes
of
live
birth,
biochemical
pregnancy,
clinical
miscarriage
or
no
pregnancy.
Methods
Here,
we
present
a
multicentre
prospective
observational
study
using
16S
rRNA
gene
sequencing
analyse
fluid
biopsy
samples
before
embryo
transfer
cohort
342
asymptomatic
for
infection
treatments.
Results
A
dysbiotic
profile
composed
Atopobium
,
Bifidobacterium
Chryseobacterium
Gardnerella
Haemophilus
Klebsiella
Neisseria
Staphylococcus
Streptococcus
was
unsuccessful
outcomes.
In
contrast,
Lactobacillus
consistently
enriched
birth
Conclusions
Our
findings
indicate
that
useful
biomarker
predict
outcome,
offering
an
opportunity
further
improve
diagnosis
treatment
strategies.
Recent
molecular
studies
concluded
that
the
endometrium
has
a
resident
microbiota
dominated
by
Lactobacillus
spp.
and
is
therefore
similar
to
of
vagina.
These
findings
were
largely
derived
from
endometrial
samples
obtained
through
transcervical
catheter
thus
prone
contamination.
Herein,
we
investigated
microbial
profiles
mid-endometrial
hysterectomy
compared
them
with
those
cervix,
vagina,
rectum,
oral
cavity,
controls
for
background
DNA
Microbial
examined
16S
rRNA
gene
qPCR
sequencing.
Universal
bacterial
total
rDNA
revealed
load
exceeding
in
60%
(15/25)
study
subjects.
Bacterial
differed
controls,
but
not
cervix.
The
cervix
Acinetobacter,
Pseudomonas,
Cloacibacterium,
Comamonadaceae.
Both
sequencing
species-specific
(L.
iners
&
L
crispatus)
showed
was
rare
endometrium.
In
conclusion,
if
there
middle
endometrium,
it
as
previously
concluded,
yet
further
investigation
using
culture
microscopy
necessary.
Human Reproduction Update,
Год журнала:
2021,
Номер
28(1), С. 92 - 131
Опубликована: Сен. 30, 2021
Endometriosis
is
a
chronic,
burdensome
condition
that
historically
understudied.
Consequently,
there
lack
of
understanding
the
etiology
disease
and
its
associated
symptoms,
including
infertility
chronic
pelvic
pain
(CPP).
development
influenced
by
estrogen
metabolism
inflammation,
which
are
modulated
several
factors
microbiome
estrobolome
(the
collection
genes
encoding
estrogen-metabolizing
enzymes
in
gut
microbiome).
Therefore,
increasing
interest
role
microbiota
endometriosis
etiology.To
date,
no
cure
for
treatment
options
often
ineffective.
This
manuscript
will
review
potential
relationship
between
endometriosis,
CPP
highlight
available
data
on
relation
to
related
symptoms.
The
overarching
goal
this
inform
future
research
lead
deeper
possible
diagnostic
modalities
treatments.
impact
regulation
estrobolome,
as
well
inflammation
other
endometriosis-promoting
mechanisms
within
genital
tract,
be
reviewed.
methodological
limitations
microbiome-related
studies
critically
assessed
provide
improved
guidelines
clinical
studies.PubMed
databases
were
searched
using
following
keywords:
AND
microbiome,
IVF
(in-vitro
fertilization)
infertility.
Clinical
preclinical
animal
trials
eligible
review,
or
included.
All
manuscripts
published
2002-2021.In
total,
28
6
included
review.
In
both
human
studies,
bacteria
enriched
groups,
although
was
clear
consensus
specific
compositions
with
endometriosis.
However,
bacterial
vaginosis-associated
Lactobacillus
depletion
cervicovaginal
majority
(23/28)
studies.
Interpretation
endometrial
limited
owing
variety
factors,
discussed
addition,
metadata
outlining
antibiotic
usage,
age,
race/ethnicity,
menopausal
status
timing
sample
diagnosis
not
consistently
reported.
Animal
(6/6)
support
bidirectional
onset
progression.There
evidence
dysbiotic
multiple
gynecologic
conditions,
mounting
supporting
an
association
These
microbiomes
likely
play
gut-brain
axis,
further
supports
putative
spectrum
symptoms
CPP.
Collectively,
highlights
demand
more
rigorous
transparent
methodology
controls,
consistency
across
field,
inclusion
key
demographic
characteristics
comparison
participants.
Rigorous
study
designs
allow
better
disorders
female
reproductive
tract.
Frontiers in Immunology,
Год журнала:
2019,
Номер
10
Опубликована: Окт. 17, 2019
The
female
reproductive
tract
harbors
distinct
microbial
communities,
as
in
the
vagina,
cervical
canal,
uterus,
and
fallopian
tubes.
nature
of
vaginal
microbiota
is
well-known;
contrast,
upper
remains
largely
unexplored.
Alteration
uterine
microbiota,
which
dependent
on
nutrients
hormones
available
to
likely
play
an
important
role
uterine-related
diseases
such
hysteromyoma,
adenomyosis,
endometriosis.
Uterine
mucosa
tissue
barrier
whose
main
function
offer
protection
against
pathogens
other
toxic
factors,
while
maintaining
a
symbiotic
relationship
with
commensal
microbes.
These
characteristics
are
shared
by
all
mucosal
tissues;
however,
unique
since
it
changes
cyclically
during
menstrual
cycle
well
pregnancy.
immune
system,
besides
its
defense
process,
plays
crucial
roles
reproduction
ensures
local
tolerance
fetal/paternal
antigens,
trophoblast
invasion,
vascular
remodeling.
human
endometrium
contains
conspicuous
number
cells,
mainly
Natural
Killers
(NK)
phenotypically
from
peripheral
cytotoxic
NK,
cells
macrophages.
also
few
lymphoid
aggregates
comprising
B
cell
CD8+
T
cells.
phenotype
these
change
cycle.
It
has
become
evident
recent
years
that
can
be
influenced
microbiota.
Immune
sense
presence
microbes
through
their
pattern
recognition
receptors,
setting
up
host-microbe
interaction.
exerts
appropriately
controlled
mechanism
competing
for
space
pathogens.
recently
been
considered
uterus
non-sterile
compartment
seems
possess
own
There
increasing
interest
characterizing
colonization
within
apparent
impact
fertility
This
review
will
examine
potential
between
present
environment.
Seminars in Immunopathology,
Год журнала:
2020,
Номер
42(4), С. 413 - 429
Опубликована: Авг. 1, 2020
Abstract
Preterm
birth
(PTB)
complicates
5–18%
of
pregnancies
globally
and
is
a
leading
cause
maternal
fetal
morbidity
mortality.
Most
PTB
spontaneous
idiopathic,
with
largely
undefined
causes.
To
increase
understanding
PTB,
much
research
in
recent
years
has
focused
on
using
animal
models
to
recapitulate
the
pathophysiology
PTB.
Dysfunctions
immune
adaptations
have
been
implicated
range
pregnancy
pathologies,
including
A
wealth
evidence
arising
from
mouse
as
well
human
studies
now
available
support
that
results
breakdown
fetal-maternal
tolerance,
along
excessive,
premature
inflammation.
In
this
review,
we
examine
current
knowledge
bidirectional
communication
between
systems
its
role
immunopathogenesis
These
insights
significantly
advance
our
pathogenesis
which
essential
ultimately
designing
more
effective
strategies
for
early
prediction
subsequent
prevention