ABO血型抗原影响宿主微生物相互作用和早期自发早产风险
Katherine E Mountain1,2,3, David A MacIntyre1,2,4, Yun S Lee1,2
1Imperial College Parturition Research Group, Institute of Reproductive and Developmental Biology, Department of Metabolism, Digestion and Reproduction, Imperial College London, London, UK.
NPJ biofilms and microbiomes
|September 10, 2025
概括
血型表型通过改变阴道微生物群和炎症来影响自发早产 (sPTB) 风险. 宫性阴道糖类可能为sPTB预测和预防策略提供新的目标.
科学领域:
- 生殖生物学 生殖生物学
- 微生物组研究的研究.
- 免疫学 免疫学 免疫学
背景情况:
- 自发早产 (sPTB) 是新生儿死亡的主要原因.
- 阴道微生物群和宿主因子在sPTB中的作用尚未完全理解.
- 众所周知,血型表型会影响各种生物过程.
研究的目的:
- 为了研究血型表型,阴道微生物组成和sPTB风险之间的关联.
- 探索宫性阴道ABH(O) 糖在微生物群与宿主相互作用中的作用,这与sPTB有关.
- 确定用于sPTB预测和预防的潜在生物标志物.
主要方法:
- 分析了来自74,913家产科医院的电子临床记录.
- 从596名女性的阴道微生物群的元基因组测序.
- 从314名妇女的宫和阴道样本中进行免疫分析.
- 在宫性阴道液中对阴道细菌的ABH(O) 糖结合的评估.
主要成果:
- 血型B型表型与增加sPTB风险和不良的阴道微生物群有关.
- 血型O型表型与有史以来sPTB,失生症和炎症的女性中sPTB相关.
- 血型A型表型与较高的乳酸菌的流行率和较低的sPTB风险相关,独立于微生物群或炎症.
- 宫性阴道ABH(O) 甘氨酸对阴道细菌具有可变的结合,这表明它在宿主微生物群相互作用中的作用.
结论:
- 血型表型通过与阴道微生物和宿主炎症反应的相互作用显著调节sPTB风险.
- 宫性阴道ABH (O) 甘是一种影响阴道环境和sPTB易感性的新型因素.
- 准ABH(O) 糖素可能会导致预测和预防自发早产的新策略.
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