“…Some of these changes are responsible for increasing the levels of mucin-degrading enzymes, which may play a role in the degradation of the mucous layer that covers the vaginal and cervical epithelium and endocervical mucus (20,21). There is evidence of HPV evasion or infection mechanisms that support that microorganisms such as Sneathia, Anaerococcus, Fusobacterium and Gardnerella are implicated with higher frequency and severity of disease, potentially resulting in pre-cancerous and cancerous cervical lesions (22) However, these findings are not uniform across studied populations, because, despite the fact that Latin American countries have a high prevalence of HPV and cervical cancer are one of the main causes of death in women in these areas (3,(23)(24)(25), including Mexico (7,9), most of the studies have been conducted in developed countries (26). Likewise, the projected demographic changes in Latin America imply that the current burden of new cervical cancer cases will increase in the next 20 years (2,27).…”