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| Indexado |
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| DOI | 10.1128/SPECTRUM.03429-22 | ||||
| Año | 2023 | ||||
| Tipo | artículo de investigación |
Citas Totales
Autores Afiliación Chile
Instituciones Chile
% Participación
Internacional
Autores
Afiliación Extranjera
Instituciones
Extranjeras
The composition of the vaginal microbiota is heavily influenced by pregnancy and may factor into pregnancy complications, including spontaneous preterm birth. However, results among studies have been inconsistent due, in part, to variation in sample sizes and ethnicity. Thus, an association between the vaginal microbiota and preterm labor continues to be debated. Yet, before assessing associations between the composition of the vaginal microbiota and preterm labor, a robust and in-depth characterization of the vaginal microbiota throughout pregnancy in the specific study population under investigation is required. Here, we report a large longitudinal study (n = 474 women, 1,862 vaginal samples) of a predominantly African-American cohort-a population that experiences a relatively high rate of pregnancy complications-evaluating associations between individual identity, gestational age, and other maternal characteristics with the composition of the vaginal microbiota throughout gestation resulting in term delivery. The principal factors influencing the composition of the vaginal microbiota in pregnancy are individual identity and gestational age at sampling. Other factors are maternal age, parity, obesity, and self-reported Cannabis use. The general pattern across gestation is for the vaginal microbiota to remain or transition to a state of Lactobacillus dominance. This pattern can be modified by maternal parity and obesity. Regardless, network analyses reveal dynamic associations among specific bacterial taxa within the vaginal ecosystem, which shift throughout the course of pregnancy. This study provides a robust foundational understanding of the vaginal microbiota in pregnancy and sets the stage for further investigation of this microbiota in obstetrical disease.IMPORTANCE There is debate regarding links between the vaginal microbiota and pregnancy complications, especially spontaneous preterm birth. Inconsistencies in results among studies are likely due to differences in sample sizes and cohort ethnicity. Ethnicity is a complicating factor because, although all bacterial taxa commonly inhabiting the vagina are present among all ethnicities, the frequencies of these taxa vary among ethnicities. Therefore, an in-depth characterization of the vaginal microbiota throughout pregnancy in the specific study population under investigation is required prior to evaluating associations between the vaginal microbiota and obstetrical disease. This initial investigation is a large longitudinal study of the vaginal microbiota throughout gestation resulting in a term delivery in a predominantly African-American cohort, a population that experiences disproportionally negative maternal-fetal health outcomes. It establishes the magnitude of associations between maternal characteristics, such as age, parity, body mass index, and self-reported Cannabis use, on the vaginal microbiota in pregnancy.
| Ord. | Autor | Género | Institución - País |
|---|---|---|---|
| 1 | ROMERO-GALUE, ROBERTO JOSE | Hombre |
US Dept Hlth & Human Serv - Estados Unidos
UNIV MICHIGAN - Estados Unidos Michigan State Univ - Estados Unidos National Institute of Child Health and Human Development (NICHD) - Estados Unidos University of Michigan Medical School - Estados Unidos Michigan State University - Estados Unidos MSU College of Human Medicine - Estados Unidos |
| 2 | Theis, Kevin R. | Hombre |
US Dept Hlth & Human Serv - Estados Unidos
Wayne State Univ - Estados Unidos National Institute of Child Health and Human Development (NICHD) - Estados Unidos Wayne State University School of Medicine - Estados Unidos Wayne State University - Estados Unidos |
| 3 | Gomez-Lopez, Nardhy | - |
US Dept Hlth & Human Serv - Estados Unidos
Wayne State Univ - Estados Unidos National Institute of Child Health and Human Development (NICHD) - Estados Unidos Wayne State University School of Medicine - Estados Unidos Wayne State University - Estados Unidos |
| 4 | Winters, Andrew D. | Hombre |
US Dept Hlth & Human Serv - Estados Unidos
Wayne State Univ - Estados Unidos National Institute of Child Health and Human Development (NICHD) - Estados Unidos Wayne State University School of Medicine - Estados Unidos Wayne State University - Estados Unidos |
| 5 | Panzer, Jonathan | Hombre |
US Dept Hlth & Human Serv - Estados Unidos
Wayne State Univ - Estados Unidos National Institute of Child Health and Human Development (NICHD) - Estados Unidos Wayne State University School of Medicine - Estados Unidos Wayne State University - Estados Unidos |
| 6 | Lin, Huang | - |
Natl Inst Child Hlth & Human Dev - Estados Unidos
National Institute of Child Health and Human Development (NICHD) - Estados Unidos |
| 7 | Galaz, Jose | Hombre |
US Dept Hlth & Human Serv - Estados Unidos
Wayne State Univ - Estados Unidos Pontificia Universidad Católica de Chile - Chile National Institute of Child Health and Human Development (NICHD) - Estados Unidos Wayne State University School of Medicine - Estados Unidos Wayne State University - Estados Unidos |
| 8 | Greenberg, Jonathan M. | Hombre |
US Dept Hlth & Human Serv - Estados Unidos
Wayne State Univ - Estados Unidos National Institute of Child Health and Human Development (NICHD) - Estados Unidos Wayne State University School of Medicine - Estados Unidos Wayne State University - Estados Unidos |
| 9 | Shaffer, Zachary | Hombre |
US Dept Hlth & Human Serv - Estados Unidos
Wayne State Univ - Estados Unidos National Institute of Child Health and Human Development (NICHD) - Estados Unidos Wayne State University School of Medicine - Estados Unidos Wayne State University - Estados Unidos |
| 10 | Kracht, David J. | Hombre |
US Dept Hlth & Human Serv - Estados Unidos
Wayne State Univ - Estados Unidos National Institute of Child Health and Human Development (NICHD) - Estados Unidos Wayne State University School of Medicine - Estados Unidos Wayne State University - Estados Unidos |
| 11 | Chaiworapongsa, Tinnakorn | - |
US Dept Hlth & Human Serv - Estados Unidos
Wayne State Univ - Estados Unidos National Institute of Child Health and Human Development (NICHD) - Estados Unidos Wayne State University School of Medicine - Estados Unidos Wayne State University - Estados Unidos |
| 12 | Jung, Eunjung | Mujer |
US Dept Hlth & Human Serv - Estados Unidos
Wayne State Univ - Estados Unidos Inje Univ - Corea del Sur National Institute of Child Health and Human Development (NICHD) - Estados Unidos Wayne State University School of Medicine - Estados Unidos Inje University Paik Hospital - Corea del Sur Wayne State University - Estados Unidos |
| 13 | Gotsch, Francesca | Mujer |
US Dept Hlth & Human Serv - Estados Unidos
Wayne State Univ - Estados Unidos National Institute of Child Health and Human Development (NICHD) - Estados Unidos Wayne State University School of Medicine - Estados Unidos Wayne State University - Estados Unidos |
| 14 | Ravel, Jacques | Hombre |
UNIV MARYLAND - Estados Unidos
University of Maryland School of Medicine - Estados Unidos |
| 15 | Peddada, Shyamal D. | Hombre |
Natl Inst Child Hlth & Human Dev - Estados Unidos
National Institute of Child Health and Human Development (NICHD) - Estados Unidos |
| 16 | Tarca, Adi L. | Hombre |
US Dept Hlth & Human Serv - Estados Unidos
Wayne State Univ - Estados Unidos National Institute of Child Health and Human Development (NICHD) - Estados Unidos Wayne State University School of Medicine - Estados Unidos Wayne State University - Estados Unidos College of Engineering - Estados Unidos |
| Fuente |
|---|
| National Institutes of Health |
| Eunice Kennedy Shriver National Institute of Child Health and Human Development |
| U.S. Department of Health and Human Services |
| Eunice Kennedy Shriver National Institute of Child Health and Human Development, National Institutes of Health, U.S. Department of Health and Human Services (NICHD/NIH/DHHS) |
| Division of Obstetrics and Maternal-Fetal Medicine, Division of Intramural Research |
| Perinatology Research Branch, Division of Obstetrics and Maternal-Fetal Medicine, Division of Intramural Research |
| Wayne State University Perinatal Research Initiative in Maternal, Perinatal and Child Health |
| Agradecimiento |
|---|
| We thank the physicians and nurses from the Center for Advanced Obstetrical Care and Research and the Intrapartum Unit for their help in collecting human samples. The authors also thank the staff members of the PRB Clinical Laboratory for the processing of these samples. This research was supported, in part, by the Perinatology Research Branch, Division of Obstetrics and Maternal-Fetal Medicine, Division of Intramural Research, Eunice Kennedy Shriver National Institute of Child Health and Human Development, National Institutes of Health, U.S. Department of Health and Human Services (NICHD/NIH/DHHS) under contract no. HHSN275201300006C. K.R.T., A.L.T., and N.G.-.L were further supported by the Wayne State University Perinatal Research Initiative in Maternal, Perinatal and Child Health. R.R. has contributed to this work as part of his official duties as an employee of the United States Federal Government. The study was conducted at the Perinatology Research Branch, NICHD/NIH/DHHS, in Detroit, Michigan; the Branch has since been renamed as the Pregnancy Research Branch, NICHD/NIH/DHHS. We declare no conflicts of interest. |
| This research was supported, in part, by the Perinatology Research Branch, Division of Obstetrics and Maternal-Fetal Medicine, Division of Intramural Research, Eunice Kennedy Shriver National Institute of Child Health and Human Development, National Institutes of Health, U.S. Department of Health and Human Services (NICHD/NIH/DHHS) under contract no. HHSN275201300006C. K.R.T., A.L.T., and N.G.-.L were further supported by the Wayne State University Perinatal Research Initiative in Maternal, Perinatal and Child Health. |