Cited by 67Reproductive tract infections researchProbiotics and Fermented FoodsHIV/AIDS Research and Interventions

Probiotics: potential to prevent HIV and sexually transmitted infections in women

Bolton, Michael, van der Straten, Ariane, Cohen, Craig R.·2008·Sexually Transmitted Diseases

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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Crossref · 10.1097/olq.0b013e31815b017a

Cites

182 of 182 references verified0 citation errors · 0 not checkable

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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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Authors
Bolton, M., van der Straten, A., & Cohen, C. R.
Affiliations
  • Emory University (US)
  • University of California, San Francisco (US)
Corresponding author
Bolton, Michael
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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