Cervicovaginal Microbiome: Physiology, Age-Related Changes, and Protective Role Against Human Papillomavirus Infection
Journal of Clinical Medicine,
Год журнала:
2025,
Номер
14(5), С. 1521 - 1521
Опубликована: Фев. 24, 2025
Background/Objectives:
Persistent
high-risk
human
papillomavirus
(HPV)
infections
are
the
leading
cause
of
cervical
cancer.
Developing
evidence
suggests
that
cervicovaginal
microbiome
plays
a
significant
role
in
modulating
HPV
persistence
and
progression
to
neoplasia.
This
review
synthesizes
current
knowledge
on
interplay
between
local
immunity
infections,
emphasizing
microbial
diversity,
immune
responses,
potential
therapeutic
implications.
Methods:
A
thorough
literature
was
performed
using
Embase,
PubMed,
Scopus,
Google
Scholar,
encompassing
studies
published
2000
2024.
Studies
examining
composition
microbiome,
HPV-related
outcomes
were
evaluated
synthesized
into
comprehensive
review.
Results:
Lactobacillus-dominant
particularly
with
L.
crispatus,
creates
protective
environment
through
lactic
acid
production,
maintenance
low
pH,
anti-inflammatory
modulation,
facilitating
clearance.
Dysbiosis,
often
characterized
by
dominance
iners
overgrowth
anaerobic
bacteria,
fosters
chronic
inflammation,
cytokine
imbalance,
microenvironment
conducive
progression.
Hormonal
changes
menopause
exacerbate
these
shifts,
increasing
risk
lesions.
suggest
profiles
antimicrobial
peptides
significantly
influence
further
infection
outcomes.
Conclusions:
The
is
critical
determinant
outcomes,
for
enhance
responses
prevent
Personalized
microbiome-targeted
therapies
may
offer
novel
avenue
managing
reducing
cancer
incidence.
Язык: Английский
Innate lymphoid cells in HIV pathogenesis and in the human female genital tract
Current Opinion in HIV and AIDS,
Год журнала:
2024,
Номер
unknown
Опубликована: Дек. 20, 2024
Purpose
of
review
Women
are
underrepresented
in
HIV
infection
and
prevention
research
despite
making
up
half
people
living
with
HIV.
The
female
genital
tract
(FGT)
serves
as
a
primary
site
acquisition,
but
gaps
knowledge
remain
regarding
protective
innate
immune
mechanisms.
Innate
lymphoid
cells
tissue-resident
involved
mucosal
barrier
maintenance
protection,
(ILCs)
altered
during
chronic
infection.
However,
ILCs
role
pathogenesis
is
unclear
they
poorly
characterized
the
FGT.
Recent
findings
Human
differ
from
their
mouse
counterparts
plastically
adjust
to
tissue
residency.
ILC
characterization
difficult
due
tissue-specific
adaptations
transition
between
subsets.
While
evidence
for
involvement
antiviral
activity
provided
models,
human
immunity
understudied,
particularly
In
HIV/simian
immunodeficiency
virus
(SIV)
infection,
manner,
SIV
models
indicate
potential
responses.
Summary
plastic
that
provide
protection
at
surfaces
display
capacity.
Considering
primarily
transmitted
through
exposure,
more
needed
understand
contribution
relevant
acquisition.
Язык: Английский