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Vaginal Microbiota Molecular Profiling in Women with Bacterial Vaginosis: A Novel Diagnostic Tool Full article

Journal International Journal of Molecular Sciences
ISSN: 1661-6596 , E-ISSN: 1422-0067
Output data Year: 2023, Volume: 24, Number: 21, Article number : 15880, Pages count : DOI: 10.3390/ijms242115880
Tags bacterial vaginosis; real-time PCR; Lactobacillus iners; Lactobacillus crispatus; vaginal microbiota
Authors Savicheva Alevtina M. 1 , Krysanova Anna A. 1 , Budilovskaya Olga V. 1 , Spasibova Elena V. 1 , Khusnutdinova Tatiana A. 1 , Shalepo Kira V. 1 , Beliaeva Natalia R. 1 , Safarian Galina Kh. 1 , Sapozhnikov Kirill V. 1 , Tapilskaya Natalya I. 1 , Kogan Igor Yu. 1
Affiliations
1 D.O. Ott Research Institute of Obstetrics, Gynecology and Reproductive Medicine, 199034 St. Petersburg, Russia

Funding (1)

1 Министерство науки и высшего образования Российской Федерации FGWN-2022-0004

Abstract: Bacterial vaginosis (BV) is a most common microbiological syndrome. Multiplex next-generation sequencing (NGS) or molecular tests allow a complete and accurate vaginal microbiota profiling in order to determine the primary causative agent. Due to the high costs and limited availability of NGS, the multiplex real-time PCR draws more attention. The present study aimed to evaluate the microbial composition and dominant lactobacilli species in non-pregnant women with bacterial vaginosis using a multiplex RT-PCR test and determine its diagnostic significance. In total, 331 women complaining of vaginal discharge were included. BV was confirmed upon clinical examination and Nugent criteria. A real-time PCR test was carried out with a new Femoflor test, which identifies opportunistic bacteria, STD pathogens, and some viruses. According to the results, the rate of lactobacilli is significantly reduced in BV-affected patients when compared to healthy women. Moreover, the rate of L. crispatus significantly decreases, while the rate of L. iners remains high. Among obligate anaerobic bacteria, Gardnerella vaginalis was the most prevalent in women with BV. The Femoflor test demonstrated high sensitivity and specificity for diagnosing BV. Moreover, the test allows the identification of infection in women with intermediate vaginal microbiota, as well as STD pathogens, and viruses. Thus, the application of real-time PCR tests can be effectively used in vaginal microbiota evaluation in women with BV, intermediate vaginal microbiota, and healthy women. In addition, this test may be used as an alternative to the Amsel criteria and Nugent scoring method in diagnosing BV.
Cite: Savicheva A.M. , Krysanova A.A. , Budilovskaya O.V. , Spasibova E.V. , Khusnutdinova T.A. , Shalepo K.V. , Beliaeva N.R. , Safarian G.K. , Sapozhnikov K.V. , Tapilskaya N.I. , Kogan I.Y.
Vaginal Microbiota Molecular Profiling in Women with Bacterial Vaginosis: A Novel Diagnostic Tool
International Journal of Molecular Sciences. 2023. V.24. N21. 15880 . DOI: 10.3390/ijms242115880 WOS Scopus РИНЦ OpenAlex
Dates:
Submitted: Oct 11, 2023
Accepted: Oct 31, 2023
Published print: Nov 1, 2023
Published online: Nov 1, 2023
Identifiers:
Web of science: WOS:001103381900001
Scopus: 2-s2.0-85176428394
Elibrary: 54767983
OpenAlex: W4388127403
Citing:
DB Citing
OpenAlex 7
Web of science 4
Scopus 4
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