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Do Atopobium vaginae, Megasphaera sp. and Leptotrichia sp. change the local innate immune response and sialidase activity in bacterial vaginosis?
  1. Camila Marconi1,
  2. Gilbert G Donders2,3,
  3. Cristina M G L Parada4,
  4. Paulo C Giraldo5,
  5. Márcia Guimarães da Silva1
  1. 1Department of Pathology, Botucatu Medical School, UNESP—Univ Estadual Paulista, Botucatu, Sao Paulo, Brazil
  2. 2Femicare Clinical Research for Women, Tienen, Belgium
  3. 3Department of Gynecology and Obstetrics, University Hospital Gasthuisberg, Leuven, Belgium
  4. 4Department of Nursing, Botucatu Medical School, UNESP—Univ Estadual Paulista, Botucatu, Brazil
  5. 5Department of Gynecology and Obstetrics, Faculdade de Ciências Médicas, Campinas University, Campinas, Brazil
  1. Correspondence to Professor Márcia Guimarães da Silva, Department of Pathology, Botucatu Medical School, UNESP—Univ Estadual Paulista Botucatu, São Paulo 18618-970, Brazil; mgsilva{at}fmb.unesp.br

Abstract

Objectives To investigate if the participation of Atopobium vaginae, Megasphaera sp. and Leptotrichia sp. in the bacterial community of bacterial vaginosis (BV) is associated with distinct patterns of this condition.

Methods In this cross-sectional controlled study, 205 women with BV and 205 women with normal flora were included. Vaginal rinsing samples were obtained for measuring the levels of pro-inflammatory cytokines and bacterial sialidases. Real-time PCR was used to quantify the BV-associated bacteria and to estimate the total bacterial load using the 16S rRNA. Principal component analysis (PCA) using the measured parameters was performed to compare the BV samples with lower and higher loads of the species of interest.

Results Higher bacterial load (p<0.001), levels of interleukin 1-β (p<0.001) and sialidase activity (p<0.001) were associated with BV. Women with BV and higher relative loads of A vaginae, Megasphaera sp. and Leptotrichia sp. presented increased sialidase activity, but unchanged cytokine levels. PCA analysis did not indicate a different pattern of BV according to the loads of A vaginae, Megasphaera sp. and Leptotrichia sp.

Conclusions Greater participation of A vaginae, Megasphaera sp. and Leptotrichia sp. in vaginal bacterial community did not indicate a less severe form of BV; moreover, it was associated with increased sialidase activity.

  • Bacterial Vaginosis
  • Vaginal Microbiology
  • Inflammation
  • Microbiology
  • Molecular Biology

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