Microbiota Ecosystem in Recurrent Cystitis and the Immunological Microenvironment of Urothelium
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Urinary tract infections (UTIs) represent one of the most frequent low genital tract diseases in the female population. When UTIs occur with a frequency of at least three times per year or two times in the last six month, we speak of recurrent UTI (rUTI) and up to 70% of women will have rUTI within 1 year. It was previously thought that antibiotic resistance was principally responsible for the recurrence of UTIs, but nowadays new diagnostic technologies have shown the role of microbiota in the pathophysiology of these diseases. Much research has been conducted on the role of gut microbiome in the development of rUTI, while little is known yet about vaginal and urinary microbiome and the possible immunological and microscopical mechanisms through which they trigger symptoms. New discoveries and clinical perspectives are arising, and they all agree that a personalized, multi-modal approach, treating vaginal and urinary dysbiosis, may reduce rUTIs more successfully.
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Vaginal lactobacilli perform a protective function by producing bacteriocins and hydrogen peroxide and inhibiting the colonization of other potential pathogens, particularly E. coli.
“Vaginal lactobacilli perform a protective function by producing bacteriocins and hydrogen peroxide and inhibiting the colonization of other potential pathogens, particularly E. coli [26, 30].”
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Cited by
Sorted by citations
- Authors
- Dominoni, M., Scatigno, A. L., La Verde, M., Bogliolo, S., Melito, C., Gritti, A., Pasquali, M. F., Torella, M., & Gardella, B.
- Affiliations
- University of Pavia (IT)
- Department of Woman, Child and General and Specialized Surgery, Obstetrics and Gynecology Unit, University of Campania “Luigi Vanvitelli”, 81100 Naples, Italy
- Department of Obstetrics and Gynecological Oncology, P.O del Tigullio” Hospital-ASL4, Metropolitan Area of Genoa, 16034 Genoa, Italy
- University of Campania "Luigi Vanvitelli" (IT)
- Department of Clinical, Surgical, Diagnostic and Paediatric Sciences, University of Pavia, 27100 Pavia, Italy
- Corresponding author
- Scatigno, Annachiara Licia
- ORCID
- Venue
- Healthcare
- Publisher
- MDPI AG
- Published
- 2023-02-10
- Volume
- 11
- Issue
- 4
- Pages
- 525
- ISSN
- 2227-9032 (ISSN-L)
- PMC
- PMC9956625
- OpenAlex
- W4319962175
- Cited by
- 13
- References
- 6
- Citations by year
- 2026: 3 · 2025: 2 · 2024: 5 · 2023: 3
- FWCI
- 0.51
- Type
- journal article
- Language
- en
- Open access
- gold
- doi.org
- Licence
- Locations
- Healthcare (publishedVersion, cc-by)
- PubMed Central (publishedVersion, cc-by)
- PubMed (publishedVersion)
- Archivio Istituzionale della Ricerca - Università degli Studi della Campania "Luigi Vanvitelli" (submittedVersion)
- Funders
- Italian ministry of health
- IRCCS Fondazione Policlinico San Matteo, Pavia, Italy
- Topics
- Health Sciences › Medicine › Epidemiology › Urinary Tract Infections Management
- Life Sciences › Immunology and Microbiology › Microbiology › Reproductive tract infections research
- Health Sciences › Medicine › Urology › Urinary Bladder and Prostate Research
- Keywords
- recurrent cystitis, recurrent urinary tract infection, vaginal microbiota, urinary microbiome, gut microbiota, dysbiosis, urothelium, immune microenvironment, women's health, personalized treatment
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