在怀孕期间的阴道微生物群中E. coli的泌尿器官殖民和病原性
Nassim Boutouchent1,2, Thi Ngoc Anh Vu3, Luce Landraud4
1Department of Computational Biology, Institut Pasteur, Université Paris Cité, 75015, Paris, France.
Scientific reports
|October 27, 2024
概括
孕妇阴道微生物群 (VM) 的破坏,特别是乳酸菌的减少,与无症状细菌性尿病 (ASB) 有关. 这种转变使得诸如大肠杆菌 (E. coli) 这样的机会性病原体能够繁荣,增加了母亲和新生儿的风险.
科学领域:
- 微生物学 微生物学
- 产科和妇科 产科和妇科
- 传染性疾病 传染性疾病
背景情况:
- 怀孕期间无症状细菌性尿症 (ASB) 是一个重大问题,大肠杆菌是主要的病原体.
- 健康的阴道微生物群 (VM) 对于防止尿病原体的殖民至关重要,通常由乳杆菌种类主导.
研究的目的:
- 调查VM组成和孕妇ASB发生之间的关联.
- 描述涉及ASB的大肠杆菌菌株及其基因组特征.
主要方法:
- 对1553名孕妇的阴道微生物组合的分析.
- 72个大肠杆菌基因组 (MAG) 的元基因组测序和组装.
- 对大肠杆菌分离物的分子类型和抗菌素耐药性概况.
主要成果:
- 在 Lactobacillus spp. 的减少. 并且在ASB的女性中观察到肠杆菌物种的增加.
- 大肠杆菌表现出大量的显著增加,并且与ASB有很强的关联.
- 确定的大肠杆菌菌株表现出肠外致病性大肠杆菌 (ExPEC) 的基因组特征.
结论:
- 阴道微生物群的破坏,以减少乳酸菌为特征,使孕妇易患ASB.
- 存在ExPEC菌株突出了尿路感染,新生儿感染和细菌病的潜在风险.
- 保持阴道微生物群的稳定性对于防止妊娠期间机会性病原体殖民至关重要.
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