2020
DOI: 10.1371/journal.ppat.1008236
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The cervicovaginal mucus barrier to HIV-1 is diminished in bacterial vaginosis

Abstract: Bacterial vaginosis (BV), a condition in which the vaginal microbiota consists of community of obligate and facultative anaerobes rather than dominated by a single species of Lactobacillus, affects~30% of women in the US. Women with BV are at 60% increased risk for HIV acquisition and are 3-times more likely to transmit HIV to an uninfected partner. As cervicovaginal mucus (CVM) is the first line of defense against mucosal pathogens and the home of the resident vaginal microbiota, we hypothesized the barrier f… Show more

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Cited by 59 publications
(68 citation statements)
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“…Overall, studies that generalize the potential positive effects of Lactobacilli on fertility must take into account that different types of Lactobacilli have different properties, such as the ability to produce lactic acid from the breakdown of glycogen conversion. The acidity produced by L. crispatus was recorded as high compared to that by L. iners, L. jensenii, and L. gasseri [162].…”
Section: Lactic Acid Bacteriamentioning
confidence: 78%
“…Overall, studies that generalize the potential positive effects of Lactobacilli on fertility must take into account that different types of Lactobacilli have different properties, such as the ability to produce lactic acid from the breakdown of glycogen conversion. The acidity produced by L. crispatus was recorded as high compared to that by L. iners, L. jensenii, and L. gasseri [162].…”
Section: Lactic Acid Bacteriamentioning
confidence: 78%
“…d -lactic acid is exclusively contributed by the bacteria, whereas l - lactate is produced both by the bacteria and vaginal epithelial cells [ 29 ]. Recently higher d -lactic acid was reported in axenic cultures and cervicovaginal mucus samples from women with normal microbiota [ 30 , 31 ]. Thus, presence of d -lactic acid producing lactobacilli in the vaginal milieu is more important than any lactic acid producing species.…”
Section: Discussionmentioning
confidence: 99%
“…The occurrence of BV has been associated to the formation of high oxidative stress (e.g. high level of malondialdehyde (MDA) production and low superoxide dismutase (SOD) activity) and degradation of mucin in the vaginal milieu [ 229 , 230 ]. Thus, it is crucial that high antioxidant capacity of vaginal epithelium may reduce the oxidative stress formed during the BV infection and enhance the vaginal immune system against pathogens.…”
Section: Bacterial Polysaccharidesmentioning
confidence: 99%