2021
DOI: 10.1042/bsr20203908
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The reproductive tract microbiota in pregnancy

Abstract: The reproductive tract microbiota plays a crucial role in maintenance of normal pregnancy and influences reproductive outcomes. Microbe-host interactions in pregnancy remain poorly understood and their role in shaping immune modulation is still being uncovered. In this review we describe the composition of vaginal microbial communities in the reproductive tract and their association with reproductive outcomes. We also consider strategies for manipulating microbiota composition by using live biotherapeutics, se… Show more

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Cited by 14 publications
(8 citation statements)
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“…The last decade has led to a vast increase in our understanding of which microbial communities are associated with protection against preterm birth, and which are associated with increased risk. Consistently, it has been shown that vaginal microbial communities dominated by Lactobacillus crispatus are associated with a lower risk of preterm birth, whereas a dominance of Lactobacillus iners, and bacterial vaginosis (BV) associated taxa such as Gardnerella , Ureaplasma , Prevotella and Mycoplasma is associated with a higher risk [ 96 , 97 ].…”
Section: The Role Of Neutrophils In Preterm Labourmentioning
confidence: 99%
“…The last decade has led to a vast increase in our understanding of which microbial communities are associated with protection against preterm birth, and which are associated with increased risk. Consistently, it has been shown that vaginal microbial communities dominated by Lactobacillus crispatus are associated with a lower risk of preterm birth, whereas a dominance of Lactobacillus iners, and bacterial vaginosis (BV) associated taxa such as Gardnerella , Ureaplasma , Prevotella and Mycoplasma is associated with a higher risk [ 96 , 97 ].…”
Section: The Role Of Neutrophils In Preterm Labourmentioning
confidence: 99%
“…The unique microbial community in the female lower genital tract is commonly known as the vaginal microbiota. It exhibits significant geographical differences in composition and richness, serves an important role in reproductive cyclicity, provides significant benefits to the prevention of preterm delivery and infections, and also improves the efficacy of treatments for vaginal tumors [ 13 ]. In bacterial vaginosis (BV), the characteristics of vaginal microbiota are highly complex.…”
Section: Discussionmentioning
confidence: 99%
“…Recently, the number of studies investigating the composition of the vaginal ecosystem and their impact on female reproductive health is increasing [ 1 , 2 , 3 , 4 , 5 , 6 , 7 , 8 , 9 , 10 , 11 , 12 , 13 , 14 , 15 , 16 ]. Next-generation sequencing technology provides a detailed profiling of the human vaginal microbiome; however, the exact mechanisms defining its role in women’s reproductive health remains unknown.…”
Section: Introductionmentioning
confidence: 99%
“…Changes in the vaginal microbiome composition during pregnancy commonly include transitions between different Lactobacillus species [ 3 , 18 ]. Five community state types (CSTs) of bacteria have been described in asymptomatic women at a reproductive age between 12 and 45 years [ 5 , 15 , 16 ].…”
Section: Introductionmentioning
confidence: 99%