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阴道微生物群的乳酸菌与经历反复流产的患者怀孕结果之间的相关性
Jifan Tan1,2,3, Ruyun Chen1,2, Dehai Gan1,2
1Reproductive Medicine Center, The First Affiliated Hospital, Sun Yat-Sen University, Guangzhou, China.
Reproductive sciences (Thousand Oaks, Calif.)
|April 22, 2025
概括
阴道微生物群在反复流产 (RM) 的女性和健康个体之间有所不同. 在RM患者中,较低的乳杆菌和较高的Cutibacterium acnes水平与不良妊娠结果有关.
科学领域:
- 微生物学 微生物学
- 生殖健康 生殖健康
- 基因组学就是基因组学.
背景情况:
- 经常性流产 (RM) 有复杂的原因,阴道微生物群 (VM) 成为一个重要因素.
- 了解VM组成对于识别RM背后的机制和预测怀孕结果至关重要.
研究的目的:
- 为了比较RM和没有RM的女性之间的VM组成.
- 为了调查VM和随后的怀孕结果之间的关联在女性与RM.
- 阐明VM在RM病因学中的潜在作用.
主要方法:
- 一项队列研究涉及34名RM患者和15名健康妇女.
- 使用2bRAD-M测序对阴道微生物群进行分析.
- 生物信息学分析以比较微生物的组成和多样性.
主要成果:
- 在RM和非RM组之间VM的α和β多样性的显著差异 (p <0.05).
- 与临床流产患者相比,在正在进行妊娠的RM患者中,乳酸菌的丰度较低 (p = 0.03).
- 在有临床流产的RM患者中,Cutibacterium acnes (C. acnes) 的患病率增加 (p = 0.04).
结论:
- 阴道微生物组合在重复流产的妇女中发生显著变化.
- 乳酸菌的丰富性与随后流产的风险有关.
- Cutibacterium acnes可能在RM患者的不良妊娠结果中发挥作用.
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