Probiotics: potential to prevent HIV and sexually transmitted infections in women
Abstract
Women are at significant risk of human immunodeficiency virus (HIV) and sexually transmitted infection (STI) acquisition with the genital mucosa serving as the main portal of infection. Exogenously supplied lactobacillus used as a probiotic may prove a cost-effective, female-initiated method to prevent HIV and STI infection in women. A probiotic may act indirectly through treating and preventing recurrent bacterial vaginosis or directly by secreting endogenous (e.g., hydrogen peroxide) and exogenous substances that block HIV and STI transmission. This review summarizes the preclinical and clinical studies that have been conducted so far to test probiotic bacteria for these purposes. Although significant progress has been made in this field, more fundamental research is required to better understand vaginal ecology to maximize probiotic formulations. Once identified, a suitable product will require testing in a well-designed, randomized, placebo-controlled trial to measure its effectiveness in augmenting antibiotic treatment to prevent bacterial vaginosis. If results from such a trial demonstrate efficacy, future studies should be designed to determine whether a probiotic can significantly lower the risk for HIV and STIs in at-risk female populations.
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BV is associated with an increased risk of HIV infection in women, possibly by as much as 60%, and increased HIV shedding.
“BV is associated with an increased risk of HIV infection in women, possibly by as much as 60% (Atashili et al., 2008), and increased HIV shedding (Bolton et al., 2008), therefore BV treatment may help to reduce HIV transmission by various means.”
From Viral Infections, the Microbiome, and Probiotics (2021) · cites this paper as Bolton et al., 2008
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Viral Infections, the Microbiome, and Probiotics
Harper, A., Vijayakumar, V., Ouwehand, A. C., ter Haar, J., Obis, D., Espadaler, J., Binda, S., Desiraju, S., & Day, R. (2021) · Frontiers in Cellular and Infection Microbiology · doi:10.3389/fcimb.2020.596166 · Cited by 177 · see citing works
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- Authors
- Bolton, M., van der Straten, A., & Cohen, C. R.
- Affiliations
- Emory University (US)
- University of California, San Francisco (US)
- Corresponding author
- Bolton, Michael
- ORCID
- Cohen, Craig R.
- Venue
- Sexually Transmitted Diseases
- Published
- 2008-03
- Volume
- 35
- Issue
- 3
- Pages
- 214-225
- ISSN
- 0148-5717 (ISSN-L)
- OpenAlex
- W1965696940
- Cited by
- 67
- References
- 182
- Citations by year
- 2026: 1 · 2025: 1 · 2024: 4 · 2023: 3 · 2022: 1 · 2021: 3 · 2020: 5 · 2019: 2 · 2018: 3 · 2017: 2 · 2016: 4 · 2015: 1 · 2014: 8 · 2013: 7 · 2012: 7
- FWCI
- 0.70
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Sexually Transmitted Diseases (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Life Sciences › Immunology and Microbiology › Microbiology › Reproductive tract infections research
- Life Sciences › Agricultural and Biological Sciences › Food Science › Probiotics and Fermented Foods
- Health Sciences › Medicine › Infectious Diseases › HIV/AIDS Research and Interventions
- Keywords
- probiotics, HIV prevention, sexually transmitted infections, women, Lactobacillus, bacterial vaginosis, vaginal microbiota, genital mucosa, hydrogen peroxide
- MeSH terms
- Administration, Intravaginal, Administration, Oral, Female, Humans, Lactobacillus, Sexually Transmitted Diseases, HIV Infections, Women's Health, Vaginosis, Bacterial, Probiotics
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