Background
Methods
Subjects and sampling
STI status
Diagnosis of BV and vulvovaginal candidiasis
DNA isolation
High-throughput sequencing and taxonomic classification
Statistical analysis of 16S rRNA amplicon sequences
Nucleotide-based microarray analysis
IS-profiling
Comparative analysis of molecular markers for bacterial vaginosis
Results
Bacterial vaginosis and STI-status
BV-negative women
n = 20 (% of BV-negative women) | BV-positive women
n = 20 (% of BV-positive women) | ||
---|---|---|---|
Inclusion criteria | |||
Referred by physician or notified by sexual partner | 4 (20 %) | 4 (20 %) | |
Vaginal complaints | 16 (80 %) | 20 (100 %) | |
Patient characteristics | |||
Median age (years) (IQR) | 23 (22–25) | 22.5 (21–27) | |
Any STI | 3 (15 %) | 7 (35 %) | |
Chlamydia | 2 (10 %) | 5 (25 %) | |
Herpes | Type 1 | 1 (5 %) | 0 |
Type 2 | 0 | 0 | |
Condyloma | 1 (5 %) | 1 (5 %) | |
Trichomoniasis | 0 | 1 (5 %) | |
HIV, Syphilis, Gonorrhoea, Hepatitis B, Moluscum Contagiosum, Scabies, Ulcus, PID | All negative |
Identification of five distinct vaginal microbiota types
Species | K-W rank sum | Cl. I (%) | Cl. II (%) | Cl. III (%) | Cl. IV (%) | Cl. V (%) |
---|---|---|---|---|---|---|
BV neg. | BV neg. | BV pos. | BV pos. | BV pos. | ||
Lactobacillus crispatus
| 33 | 0 |
79
| 0.4 | 0 | 0 |
Sneathia sanguinegens
a
| 30 | 0 | 0 | 0.2 | 0.8 |
22
|
Coriobacteriaceae | 28 | 0 | 0 | 1.3 | 0.4 | 2.0 |
Dialister micraerophilus
| 26 | 0.1 | 0 | 0.5 | 0.2 | 0.4 |
Atopobium vaginae
| 25 | 0 | 0 | 1.7 | 1.0 | 1.8 |
Veillonellaceae | 23 | 1.3 | 0 | 11 | 5.8 | 12 |
Parvimonas sp
| 22 | 2 | 0 | 2.2 | 0.9 | 1.7 |
Saccharofermentans
| 22 | 0 | 0 | 6.6 | 0.8 | 2.1 |
Leptotrichia amnionii
a
| 21 | 2.6 | 0 | 12 | 4.9 | 6.6 |
Gardnerella vaginalis
| 21 | 1.3 | 0.1 |
43
| 4.1 | 15 |
Lachnospiraceae | 21 | 0.1 | 0 | 0.4 |
52
| 0.1 |
Prevotella amnii
| 18 | 0 | 0 | 0 | 6.5 | 13 |
Campylobacter sp
| 16 | 0 | 0 | 0 | 1.5 | 0 |
Lactobaccillus iners
| 16 |
81
| 17 | 5.4 | 5.5 | 5.5 |
Peptoniphilus lacrimalis
| 15 | 0 | 0 | 0.2 | 0.1 | 0 |
Lactobacillus jensenii
| 15 | 0.5 | 0.7 | 0.3 | 0 | 0 |
Dialister sp
| 15 | 0 | 0 | 1.1 | 0.1 | 0.7 |
Cl. | TCMID | BV | Nugent score | Gini Simpson index | Relative abundance genus Lactobacillus
| Relative abundance L. crispatus
| Relative abundance L. iners
| ||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
Seq | Micr | IS-pro | Seq | Micr | IS-pro | Seq | Micr | IS-pro | Seq | Micr | IS-pro | ||||
I | 101 | BV- | 0 | 0.03 | 0.73 | 0.69 | 0.98 | 0.89 | 0.98 | 0.00 | 0.00 | 0.02 | 0.98 | 0.46 | 0.95 |
I | 103 | BV- | 0 | 0.12 | 0.82 | 0.34 | 0.99 | 0.91 | 0.92 | 0.00 | 0.00 | 0.00 | 0.93 | 0.53 | 0.92 |
I | 113 | BV- | 2 | 0.09 | 0.87 | 0.80 | 0.97 | 0.49 | 0.95 | 0.00 | 0.00 | 0.01 | 0.95 | 0.22 | 0.69 |
II | 111 | BV- | 2 | 0.05 | 0.61 | 0.60 | 0.97 | 0.73 | 0.92 | 0.97 | 0.53 | 0.92 | 0.00 | 0.00 | 0.00 |
II | 102 | BV- | 0 | 0.05 | 0.67 | 0.67 | 0.99 | 0.98 | 0.97 | 0.97 | 0.69 | 0.89 | 0.01 | 0.00 | 0.06 |
II | 112 | BV- | 2 | 0.01 | 0.74 | 0.67 | 1.00 | 1.00 | 0.97 | 0.99 | 0.65 | 0.94 | 0.00 | 0.00 | 0.00 |
III | 126 | BV+ | 9 | 0.60 | 0.78 | 0.81 | 0.05 | 0.00 | 0.32 | 0.00 | 0.00 | 0.00 | 0.04 | 0.00 | 0.32 |
III | 135 | BV+ | 10 | 0.77 | 0.89 | 0.86 | 0.05 | 0.01 | 0.18 | 0.00 | 0.00 | 0.00 | 0.05 | 0.01 | 0.18 |
IV | 134 | BV+ | 10 | 0.44 | 0.91 | 0.97 | 0.01 | 0.00 | 0.10 | 0.00 | 0.00 | 0.00 | 0.01 | 0.00 | 0.10 |
IV | 136 | BV+ | 10 | 0.68 | 0.85 | 0.87 | 0.13 | 0.11 | 0.26 | 0.00 | 0.00 | 0.00 | 0.13 | 0.03 | 0.26 |
V | 117 | BV+ | 8 | 0.82 | 0.82 | 0.86 | 0.01 | 0.00 | 0.04 | 0.00 | 0.00 | 0.00 | 0.01 | 0.00 | 0.04 |
V | 118 | BV+ | 8 | 0.86 | 0.87 | 0.85 | 0.02 | 0.00 | 0.16 | 0.00 | 0.00 | 0.00 | 0.02 | 0.00 | 0.16 |
V | 120 | BV+ | 8 | 0.76 | 0.87 | 0.83 | 0.05 | 0.00 | 0.13 | 0.00 | 0.00 | 0.00 | 0.05 | 0.00 | 0.13 |