宫性阴道微生物组:生理学,与年龄相关的变化,以及对抗人类乳头瘤病毒感染的保护作用
Diana Alizhan1, Talshyn Ukybassova2, Gauri Bapayeva2
1School of Medicine, Nazarbayev University, Astana 010000, Kazakhstan.
Journal of clinical medicine
|March 17, 2025
概括
宫性阴道微生物群影响人类乳头瘤病毒 (HPV) 的持久性. 一个健康的,以乳杆菌为主导的微生物组有助于HPV清除,而失生菌促进子宫癌风险.
科学领域:
- 微生物学 微生物学
- 免疫学 免疫学 免疫学
- 妇科 妇科 妇科 妇科
背景情况:
- 持续高风险的人类乳头瘤病毒 (HPV) 感染是宫癌的主要原因.
- 宫性阴道微生物组越来越多地被认为是它在调节HPV持续性和宫性瘤进展中的作用.
研究的目的:
- 审查有关宫性阴道微生物组与HPV感染局部免疫的相互作用的当前知识.
- 强调微生物多样性,免疫反应和潜在的治疗策略.
主要方法:
- 对2000年至2024年间发表的研究进行了全面的文献综述.
- 在Embase,PubMed,Scopus和谷歌学者中进行的搜索.
- 综合研究检查微生物组合,免疫反应和HPV结果的研究.
主要成果:
- 乳杆菌占主导地位的微生物群 (特别是L. crispatus) 通过乳酸生产,低pH值和抗炎作用促进HPV清除.
- 微生物组失调 (例如,L. iners主导,无氧细菌) 与慢性炎症,细胞因子失衡和HPV持续性相关.
- 荷尔蒙变化,包括更年期,可以改变微生物组,增加宫病变的风险.
结论:
- 宫性阴道微生物组是HPV感染结果的关键因素.
- 调节微生物组为增强免疫反应和预防宫癌提供了治疗潜力.
- 个性化微生物组向疗法代表了HPV管理和宫癌预防的新方法.
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