Characterization of the Vaginal Micro- and Mycobiome in Asymptomatic Reproductive-Age Estonian Women.docVIP
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Characterization of the Vaginal Micro- and Mycobiome in Asymptomatic Reproductive-Age Estonian Women
CharacterizationoftheVaginalMicro-andMycobiomein
AsymptomaticReproductive-AgeEstonianWomen
TiinaDrell1,2*,TriinLillsaar1,2,LeaTummeleht1¤,JaakSimm1,AnuAaspo?llu1,EddaVa¨in3,IvoSaarma3,
AndresSalumets2,4,5,GilbertG.G.Donders6,7,MadisMetsis1,2
1CentreforBiologyofIntegratedSystems,TallinnUniversityofTechnology,Tallinn,Estonia,2CompetenceCentreonReproductiveMedicineandBiology,Tartu,Estonia,
3FertilitasHospital,Haabneeme,Estonia,4DepartmentofObstetricsandGynaecology,UniversityofTartu,Tartu,Estonia,5InstituteofBiomedicine,UniversityofTartu,
Tartu,Estonia,6DepartmentObstetricsandGynecology,RegionalHospitalHHart,Tienen,Belgium,7Femicarevzw,ClinicalResearchforWomen,Tienen,Belgium
Abstract
Theapplicationofhigh-throughputsequencingmethodshasraiseddoubtintheconceptoftheuniformhealthyvaginal
microbiota consisting predominantly of lactobacilli by revealing the existence of more variable bacterial community
composition.Asthisneedstobeanalyzedmoreextensivelyandthereislittlestraightforwarddataregardingthevaginal
mycobiomeofasymptomaticwomenweaimedtodefinebacterialandfungalcommunitiesinvaginalsamplesfrom494
asymptomatic, reproductive-age Estonian women. The composition of the vaginal microbiota was determined by
amplifyingbacterial16SrRNAandfungalinternaltranscribedspacer-1(ITS-1)regionsandsubsequentlysequencingthem
using454LifeSciencespyrosequencing.Wedelineatedfivemajorbacterialcommunitygroupswithdistinctivediversityand
species composition. Lactobacilli were among the most abundant bacteria in all groups, but also members of genus
Gardnerellahadhighrelativeabundanceinsomeofthegroups.MicrobialdiversityincreasedwithhighervaginalpHvalues,
and was also higher when a malodorous discharge was present, indicating that some of the women who consider
themselveshealthymaypotentiallyhaveasymptomaticbacterialvaginosis(BV).Ourstudyisthefirstofitskindtoanalyze
themycobiomethatcolonizesthehealthyvaginalenvironmentusingbarcodedpyrosequencingtechnology.Weobserved
196fungaloperationaltaxonomicunits(
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