The DOI matches its Crossref record; 148 of the 151 references it cites were found in a registry or an index.
The vaginal microbiota, human papillomavirus infection and cervical intraepithelial neoplasia: What do we know and where are we going next
Open accessAbstract
The vaginal microbiota plays a significant role in health and disease of the female reproductive tract. Next-generation sequencing techniques based upon the analysis of bacterial 16S rRNA genes permit in-depth study of vaginal microbial community structure to a level of detail not possible with standard culture-based microbiological techniques. The human papillomavirus (HPV) causes both cervical intraepithelial neoplasia (CIN) and cervical cancer. Although the virus is highly prevalent, only a small number of women have a persistent HPV infection and subsequently develop clinically significant disease. There is emerging evidence which leads us to conclude that increased diversity of vaginal microbiota combined with reduced relative abundance of Lactobacillus spp. is involved in HPV acquisition and persistence and the development of cervical precancer and cancer. In this review, we summarise the current literature and discuss potential mechanisms for the involvement of vaginal microbiota in the evolution of CIN and cervical cancer. The concept of manipulation of vaginal bacterial communities using pre- and probiotics is also discussed as an exciting prospect for the field of cervical pathology.
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“Untreated women attending for colposcopy have a higher risk of preterm birth than do women without CIN, probably explained by inherent characteristics and genetic, epigenetic, or microbiome factors.40, 41, 42”
From Comparative effectiveness and risk of preterm birth of local treatments for cervical intraepithelial neoplasia and stage IA1 cervical cancer: a systematic review and network meta-analysis (2022) · cites this paper as [42]
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“Further evidence indicates that the cervicovaginal microbiota plays a substantial role in the persistence and regression of the virus and thus has important implications for subsequent disease (Chang and Parsonnet, 2010; Mitra et al., 2016).”
From Viral Infections, the Microbiome, and Probiotics (2021) · cites this paper as Mitra et al., 2016
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Cited by
Sorted by citations
Vaginal microbiota and the potential of Lactobacillus derivatives in maintaining vaginal health
Chee, W. J. Y., Chew, S. Y., & Than, L. T. L. (2020) · Microbial Cell Factories · doi:10.1186/s12934-020-01464-4 · Cited by 761
Kombe, A. J. K., Li, B., Zahid, A., Mengist, H. M., Bounda, G., Zhou, Y. Y., & Jin, T. (2021) · Frontiers in Public Health · doi:10.3389/fpubh.2020.552028 · Cited by 715
Uterine Microbiota: Residents, Tourists, or Invaders?
Baker, J. M., Chase, D. M., & Herbst‐Kralovetz, M. M. (2018) · Frontiers in Immunology · doi:10.3389/fimmu.2018.00208 · Cited by 400
Diversity of vaginal microbiome and metabolome during genital infections
Ceccarani, C., Foschi, C., Parolin, C., D’Antuono, A., Gaspari, V., Consolandi, C., Laghi, L., Camboni, T., Vitali, B., Severgnini, M., et al. (2019) · Scientific Reports · doi:10.1038/s41598-019-50410-x · Cited by 351
Brusselaers, N., Shrestha, S., van de Wijgert, J. H. H. M., & Verstraelen, H. (2018) · American Journal of Obstetrics and Gynecology · doi:10.1016/j.ajog.2018.12.011 · Cited by 321
Metadata
- Authors
- Mitra, A., MacIntyre, D. A., Marchesi, J. R., Lee, Y. S., Bennett, P. R., & Kyrgiou, M.
- Affiliations
- Hammersmith Hospital (GB)
- St Mary's Hospital (GB)
- Corresponding author
- MacIntyre, David A.
- Kyrgiou, Maria
- Venue
- Microbiome
- Published
- 2016-11-01
- Volume
- 4
- Issue
- 1
- Pages
- 58-58
- ISSN
- 2049-2618 (ISSN-L)
- PMC
- PMC5088670
- OpenAlex
- W2546959673
- Cited by
- 484
- References
- 151
- Citations by year
- 2026: 51 · 2025: 52 · 2024: 71 · 2023: 54 · 2022: 62 · 2021: 75 · 2020: 46 · 2019: 37 · 2018: 19 · 2017: 14
- FWCI
- 2.63
- Type
- journal article
- Language
- en
- Open access
- gold
- doi.org
- Licence
- cc-by
- Locations
- Microbiome (publishedVersion, cc-by)
- PubMed Central (publishedVersion, cc-by)
- PubMed (publishedVersion)
- ORCA Online Research @Cardiff (Cardiff University) (acceptedVersion)
- Spiral (Imperial College London) (submittedVersion, cc-by)
- Funders
- British Society Of Colposcopy and Cervical Pathology (P47773)
- Imperial College Healthcare Charity (P47907)
- Genesis Research Trust (P55549)
- Research Trainees Coordinating Centre
- Programme Grants for Applied Research (P45272)
- Medical Research Council (P47569)
- Topics
- Life Sciences › Immunology and Microbiology › Microbiology › Reproductive tract infections research
- Health Sciences › Medicine › Epidemiology › Cervical Cancer and HPV Research
- Life Sciences › Biochemistry, Genetics and Molecular Biology › Molecular Biology › Gut microbiota and health
- Keywords
- vaginal microbiota, human papillomavirus, cervical intraepithelial neoplasia, cervical cancer, Lactobacillus, microbial diversity, persistent HPV infection, probiotics, prebiotics, cervical precancerous lesions
- MeSH terms
- Uterine Cervical Dysplasia, Uterine Cervical Neoplasms, Female, Humans, Lactobacillus, RNA, Ribosomal, 16S, Vagina, Oxidative Stress, Probiotics, Papillomaviridae, Papillomavirus Infections, Microbiota, Dysbiosis
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