Venereology,
Год журнала:
2024,
Номер
3(4), С. 211 - 231
Опубликована: Ноя. 14, 2024
Cervical
cancer
is
more
common
in
Sub-Saharan
Africa
(SSA)
compared
to
developed
countries,
with
persistent
genital
high-risk
HPV
(HR-HPV)
infection
identified
as
the
cause.
However,
other
factors
contributing
this
gap
remain
unclear.
This
review
explores
potential
role
of
cervicovaginal
microbiota
(CVM)
and
cervical
development
among
women
SSA.
Many
African
descent,
including
those
from
SSA,
lack
lactobacilli
dominance
their
CVM,
which
considered
a
biomarker
health.
Published
literature
has
associated
Lactobacillus-dominated
CVM
lower
risk
cancer.
The
converse
true
for
high
diversity
non-Lactobacillus-dominated
bacterial
vaginosis,
most
form
vaginal
disorder.
findings
on
relationship
between
specific
abundance
disease
severity
are
inconsistent
inconclusive
due
differences
study
design,
population,
sampling,
confounders.
Thus,
there
need
consensus
advance
research
HPV-associated
disease.
Despite
exact
mechanisms
by
influence
HR-HPV
persistence
carcinogenesis
being
unknown,
backbone
appears
be
mediated
part
following:
dysbiosis,
elevated
pH,
ratio
L-to-D-lactic
acid,
cohesive
biofilm
formation,
chronic
inflammation,
immune
dysregulation.
Consequently,
these
promote
cellular
proliferation,
genetic
instability,
evasion
surveillance.
calls
larger,
prospective
studies
unravel
causal
links,
identify
protective
features,
integrate
interventions
into
prevention
strategies
Microbial Biotechnology,
Год журнала:
2023,
Номер
16(7), С. 1423 - 1437
Опубликована: Апрель 12, 2023
Abstract
Bacterial
vaginosis
(BV)
is
the
most
common
cause
of
vaginal
discharge
and
often
associated
with
other
health
consequences
mainly
in
pregnant
women.
BV
described
by
an
imbalance
microbiota
where
strictly
facultative
anaerobic
bacteria
outgrow
lactic
acid‐
hydrogen
peroxide‐producing
Lactobacillus
species.
The
species
involved
are
capable
to
grow
form
a
polymicrobial
biofilm
epithelium.
treatment
usually
performed
using
broad‐spectrum
antibiotics,
including
metronidazole
clindamycin.
However,
these
conventional
treatments
high
recurrence
rates.
may
have
important
role
on
outcome
accounted
as
one
factors
for
failure.
Other
possible
reasons
failure
include
presence
resistant
antibiotics
or
chance
reinfection
after
treatment.
Therefore,
novel
strategies
increase
rates
been
studied
namely
use
probiotics
prebiotics,
acidifying
agents,
antiseptics,
plant‐based
products,
transplantation,
phage
endolysins.
Although
some
them
still
initial
phase
development
very
preliminary
results,
they
show
great
perspectives
application.
In
this
review,
we
aimed
study
nature
explore
few
alternatives
Frontiers in Microbiology,
Год журнала:
2024,
Номер
14
Опубликована: Янв. 5, 2024
Bacteria
and
fungi
tend
to
coexist
within
biofilms
instead
of
in
planktonic
states.
Usually,
such
communities
include
cross-kingdom
microorganisms,
which
make
them
harder
remove
from
abiotic
surfaces
or
infection
sites.
Additionally,
the
produced
biofilm
matrix
protects
embedded
microorganisms
antibiotics,
disinfectants,
host
immune
system.
Therefore,
classic
therapies
based
on
antibiotics
might
be
ineffective,
especially
when
multidrug-resistant
bacteria
are
causative
factors.
The
complexities
surrounding
eradication
diverse
human
body
have
spurred
exploration
alternative
therapeutic
modalities.
Among
these
options,
bacteriophages
their
enzymatic
counterparts
emerged
as
promising
candidates,
either
employed
independently
synergy
with
other
agents.
Phages
natural
killers
because
mechanisms
action
that
differ
phages
answer
worldwide
problems
bacterial
infections.
In
this
review,
we
report
attempts
use
combating
polymicrobial
vitro
studies,
using
different
models,
including
therapeutical
phages.
addition,
sum
up
advantages,
disadvantages,
perspectives
phage
therapy.
Biofilm,
Год журнала:
2025,
Номер
9, С. 100247 - 100247
Опубликована: Янв. 5, 2025
Bacterial
vaginosis
(BV)
is
a
very
common
gynaecologic
condition
affecting
women
of
reproductive
age
worldwide.
BV
characterized
by
depletion
lactic
acid-producing
Lactobacillus
species
and
an
increase
in
strict
facultative
anaerobic
bacteria
that
develop
polymicrobial
biofilm
on
the
vaginal
epithelium.
Despite
multiple
decades
research,
etiology
this
infection
still
not
clear.
However,
some
BV-associated
(BVAB)
may
play
key
role
development
infection,
namely
Gardnerella
species,
Prevotella
bivia,
Fannyhessea
vaginae.
In
work,
we
aimed
to
characterize
growth
these
three
rich
medium
simulating
tract
secretions
(mGTS).
We
first
assessed
planktonic
New
York
City
(NYCIII)
mGTS
observed
showed
distinct
capacities
grow
two
media.
Surprisingly,
despite
ability
all
single-species
NYCIII,
triple-species
consortium
P.
bivia
was
able
its
concentration
after
48
h,
as
qPCR.
Furthermore,
when
using
more
restrictive
media,
G.
vaginalis
only
BVAB
consortia.
Interestingly,
found
NYCIII
influenced
cell-free
supernatant
(CFS)
F.
vaginae
CFS
mGTS.
This
antimicrobial
activity
appears
happen
due
acidification
Single-
biofilms
were
then
formed,
each
further
quantified
While
had
high
capacity
form
both
favored
cultured
Differences
also
structure
formed
confocal
laser
scanning
microscopy.
conclusion,
while
essential
for
incorporation
other
biofilm.
Journal of Reproductive Immunology,
Год журнала:
2024,
Номер
163, С. 104251 - 104251
Опубликована: Апрель 25, 2024
Recurrent
pregnancy
loss
(RPL)
is
a
troubling
condition
that
affects
couples
worldwide.
Despite
extensive
research
efforts,
many
RPL
cases
remain
unexplained,
highlighting
the
need
for
novel
approaches
to
unravel
its
underlying
mechanisms.
Recent
advances
in
microbiome
have
shed
light
on
potential
role
of
reproductive
health
and
outcomes.
Based
systematic
literature
research,
this
review
aims
comprehensively
explore
current
understanding
microbiome's
involvement
RPL,
focusing
vaginal,
endometrial,
gut
microbiomes.
Evidence
from
available
studies
examined
explain
relationship
between
RPL.
Furthermore,
we
discuss
diagnostic
microbiome,
therapeutic
interventions,
future
directions
Understanding
complex
interactions
holds
promise
developing
targeted
interventions
help
patients
today
diagnosed
as
unexplained.
Frontiers in Microbiomes,
Год журнала:
2024,
Номер
3
Опубликована: Окт. 11, 2024
A
healthy
vaginal
microbiome
(VMB)
is
dominated
by
Lactobacillus
spp.
and
provides
the
first
line
of
defense
against
invading
pathogens.
Vaginal
dysbiosis,
characterized
loss
dominance
increase
microbial
diversity,
has
been
linked
to
an
increased
risk
adverse
genital
tract
diseases,
including
bacterial
vaginosis,
aerobic
vaginitis,
vulvovaginal
candidiasis,
sexually
transmitted
infections,
pregnancy
complications
such
as
preterm
birth.
Currently,
antibiotics
antifungals
are
recommended
first-line
treatments
with
high
cure
rates,
but
they
also
can
lead
recurrence
resistance
development.
As
alternative,
lactobacilli
have
utilized
restore
microbiota.
In
this
review
article,
we
discuss
dysbiosis
in
various
gynecological
infections
potential
interventions
based
on
Live
Biotherapeutic
Products
(LBPs)
a
focus
those
that
use
intravaginal
treatment
modalities
modulate
VMB.
Based
these,
provide
insights
key
factors
consider
designing
phenotypic
genotypic
screens
for
selecting
strains
vaginally
administered
microbiome-directed
therapeutics.
Lastly,
highlight
current
progress
within
field,
overview
LBPs
currently
being
developed
published
clinical
trial
completion
recurrent
BV,
VVC,
UTI.
We
regulatory
challenges
drug
development
process
harmonize
future
research
efforts
VMB
therapy.
The Journal of Infectious Diseases,
Год журнала:
2024,
Номер
230(3), С. e508 - e517
Опубликована: Апрель 29, 2024
Bacterial
vaginosis
(BV)
is
difficult
to
eradicate
due
BV
biofilms
protecting
bacteria
(Gardnerella,
Prevotella,
and
other
genera).
With
the
growing
understanding
of
biofilms,
we
systematically
reviewed
current
knowledge
on
efficacy
anti-BV
biofilm
agents.