Microbiota of the uterus cavity: pathology and (or) norm
- 作者: Arnt O.S.1, Gorelova I.V.2, Rossolko D.S.1, Zvereva P.1, Efimov I.A.1
-
隶属关系:
- Saint Petersburg State Pediatric Medical University, Ministry of Health of Russia
- V.A. Almazov National Medical Research Center, Ministry of Health of Russia
- 期: 卷 36, 编号 8 (2025)
- 页面: 20-26
- 栏目: Lecture
- URL: https://journals.eco-vector.com/0236-3054/article/view/689969
- DOI: https://doi.org/10.29296/25877305-2025-08-04
- ID: 689969
如何引用文章
详细
The presence of a normal uterine microbiome is consistent with the general understanding of the existence of a human microbiome, and thus the uterine microbiota likely plays a previously unrecognized role in uterine physiology and in influencing human reproduction. It was determined that the female genital tract contains its own microbiome, which accounts for 9% of the total number of microorganisms. It was noted that the distribution of the microbiome within the female genital tract is very heterogeneous and has certain patterns. The pathophysiological effects of the uterine microbiome on the endometrial epithelium were determined. The factors determining the state of the microflora of the female genital tract were identified. It was concluded that a healthy uterine microbiome can be corrected or restored by using live biotherapeutic products or promoting the growth of these bacteria through diet (prebiotics) in an attempt to improve human health and fertility. In contrast, identification of dysbiotic profiles associated with a specific pathological condition could potentially be used as microbial biomarkers of poor reproductive health.
全文:

作者简介
O. Arnt
Saint Petersburg State Pediatric Medical University, Ministry of Health of Russia
Email: drossolko@mail.ru
ORCID iD: 0000-0003-1565-2012
SPIN 代码: 1482-0917
Candidate of Medical Sciences
俄罗斯联邦, Saint PetersburgI. Gorelova
V.A. Almazov National Medical Research Center, Ministry of Health of Russia
Email: drossolko@mail.ru
ORCID iD: 0000-0002-6098-1491
SPIN 代码: 1207-5705
Candidate of Medical Sciences
俄罗斯联邦, Saint PetersburgD. Rossolko
Saint Petersburg State Pediatric Medical University, Ministry of Health of Russia
编辑信件的主要联系方式.
Email: drossolko@mail.ru
ORCID iD: 0009-0002-1488-0582
SPIN 代码: 4114-4936
Candidate of Medical Sciences
俄罗斯联邦, Saint PetersburgP. Zvereva
Saint Petersburg State Pediatric Medical University, Ministry of Health of Russia
Email: drossolko@mail.ru
俄罗斯联邦, Saint Petersburg
I. Efimov
Saint Petersburg State Pediatric Medical University, Ministry of Health of Russia
Email: drossolko@mail.ru
SPIN 代码: 2263-2382
俄罗斯联邦, Saint Petersburg
参考
- Ribet D, Cossart P. How bacterial pathogens colonize their hosts and invade deeper tissues. Microbes Infect. 2015; 17: 173–83. doi: 10.1016/j.micinf.2015.01.004
- Рищук С.В., Кахиани Е.И. Эндогенная инфекция в акушерстве и гинекологии. Бюллетень Оренбургского научного центра УрО РАН. 2020; 3: 1–47 [Rishchuk S.V., Kahiani E.I. Endogenous infection in obstetrics and gynecology. Bulletin of the Orenburg Scientific Center of the Ural Branch of the Russian Academy of Sciences. 2020; 3: 1–47 (in Russ.)]. doi: 10.24411/2304-9081-2020-13003
- Гаус О.В., Беляков Д.Г. Современные взгляды на роль кишечной микробиоты в формировании патологии кишечника. РМЖ. 2021; 4: 10–6 [Gaus O.V., Belyakov D.G. Modern views on the gut microbiota role in intestinal pathology. RMJ. 2021; 4: 10–6 (in Russ.)].
- Подопригора Г.И., Кафарская Л.И., Байнов Н.А. и др. Бактериальная транслокация из кишечника: микробиологические, иммунологические и патофизиологические аспекты. Вестник РАМН. 2015; 70 (6): 640–50 [Podoprigora G.I., Kafarskaya L.I., Baynov N.A. et al. Bacterial Translocation from Intestine: Microbiological, Immunological and Pathophysiological Aspects. Annals of the Russian academy of medical sciences. 2015; 70 (6): 640–50 (in Russ.)]. doi: 10.15690/vramn564
- Nuriel-Ohayon M., Neuman H., Koren O. Microbial Changes during Pregnancy, Birth, and Infancy. Front Microbiol. 2016; 7: 1031. doi: 10.3389/fmicb.2016.01031
- Wiest R., Lawson M., Geuking M. Pathological bacterial translocation in liver cirrhosis. J Hepatol. 2014; 60 (1): 197–209. doi: 10.1016/j.jhep.2013.07.044
- Franasiak J.M., Scott R.T. Reproductive tract microbiome in assisted reproductive technologies. Fertil Steril. 2015; 104 (6): 1364–71. doi: 10.1016/j.fertnstert.2015.10.012
- Punzón-Jiménez P., Labarta E. The impact of the female genital tract microbiome in women health and reproduction: a review. J Assist Reprod Genet. 2021; 38 (10): 2519–41. doi: 10.1007/s10815-021-02247-5
- Гриценко В.А., Иванов Ю.Б. Роль персистентных свойств микроорганизмов в патогенезе эндогенных инфекций. Журнал микробиологии, эпидемиологии и иммунобиологии. 2009; 86 (4): 66–71 [Gritsenko V.A., Ivanov Y.B. Role of persistence characteristics of microorganisms in pathogenesis of endogenous infections. Journal of microbiology, epidemiology and immunobiology. 2009; 86 (4): 66–71 (in Russ.)].
- Мотовилова Т.М., Гречканев Г.О., Качалина Т.С. и др. Сравнительная характеристика микрофлоры полости матки и небных миндалин у пациенток с персистируюшим эндометритом. Медицинский альманах. 2015; 4: 105–7 [Motovilova T.M., Grechkanev G.O., Kachalina T.S. et al. Comparative characteristics of microflora of uterine cavity and palatal tonsils in the case of female patients having persistent endometritis. Medical almanac. 2015; 4: 105–7 (in Russ.)]
- Туровский А.Б., Колбанова И.Г. Хронический тонзиллит – современные представления. Доктор.РУ. 2009; 49 (5): 16–21 [Turovsky A.B., Kolbanova I.G. Chronic tonsillitis – modern concepts. Doktor.RU. 2009; 49 (5): 16–21 (in Russ.)].
- Yankovsky D.S. Composition and functions of microbiocenoses of various human biotopes. Probiotics in modern medicine. Woman's health. 2003; 4 (16): 145–58.
- Зиновьева О.С. Предгравидарная подготовка женщин с репродуктивными нарушениями при хроническом гипопластическом эндометрите. Дисс. … канд. мед. наук. Нижний Новгород, 2023; 216 с. [(in Russ.)].
- Толибова Г.Х. Сравнительная оценка морфологических критериев эндометриальной дисфункции у пациенток с первичным бесплодием, ассоциированным с воспалительными заболеваниями малого таза, наружным генитальным эндометриозом и миомой матки. Журнал акушерства и женских болезней. 2016; 65 (6): 52–60 [Tolibovа G.Kh. Comparative evaluation of morphological criteria of endometrial dysfunction in patients with infertility associated with pelvic inflammatory disease, external genital endometriosis and uterine myoma. Journal of obstetrics and women's diseases. 2016; 65 (6): 52–60 (in Russ.)]. doi: 10.17816/JOWD65652-60
- Moreno I., Simon C. Deciphering the effect of reproductive tract microbiota on human reproduction. Reprod Med Biol. 2019; 18: 40–50. doi: 10.1002/rmb2.12249
- Baker J.M., Chase D.M., Herbst-Kralovetz M.M. Uterine Microbiota: residents, tourists, or invaders? Front Immunol. 2018; 9: 1–16. doi: 10.3389/fimmu.2018.00208
- Moreno I., Franasiak J. M. Endometrial microbiota– new player in town. Fertil Steril. 2017; 108: 32–9. doi: 10.1016/j.fertnstert.2017.05.034
- Verstraelen H., Vilchez-Vargas R., Desimpel F. et al. Characterisation of the human uterine microbiome in non-pregnant women through deep sequencing of the V1-2 region of the 16S rRNA gene. PeerJ. 2016; 4: e1602. doi: 10.7717/peerj.1602
- Moreno I., Codoñer F.M., Vilella F. et al. Evidence that the endometrial microbiota has an effect on implantation success or failure. Am J Obstet Gynecol. 2016; 215 (6): 684–703. doi: 10.1016/j.ajog.2016.09.075
- Franasiak J.M., Werner M.D., Juneau C.R. et al. Endometrial microbiome at the time of embryo transfer: next-generation sequencing of the 16S ribosomal subunit. J Assist Reprod Genet. 2016; 33: 129–36. doi: 10.1007/s10815-015-0614-z
- Tao X., Franasiak J.M., Zhan Y. et al. Characterizing the endometrial microbiome by analyzing the ultra-low bacteria from embryo transfer catheter tips in IVF cycles: next generation sequencing (NGS) analysis of the 16S ribosomal gene. Hum Microbiome J. 2017; 3: 15–21. doi: 10.1016/j.humic.2017.01.004
- Chen C., Song X., Wei W. et al. The microbiota continuum along the female reproductive tract and its relation to uterine-related diseases. Nat Commun. 2017; 8: 875. doi: 10.1038/s41467-017-00901-0
- Einenkel R., Zygmunt M., Muzzio D.O. Microorganisms in the healthy upper reproductive tract: from denial to beneficial assignments for reproductive biology. Reprod Biol. 2019; 19: 113–8. doi: 10.1016/j.repbio.2019.04.001
- Huang B., Fettweis J.M., Brooks J.P. et al. The Changing landscape of the vaginal microbiome. Clin Lab Med. 2014; 34: 747–61. doi: 10.1016/j.cll.2014.08.006
- Witkin S.S., Mendes-Soares H., Linhareset I.M. al. Influence of vaginal bacteria and D- and L-lactic acid isomers on vaginal extracellular matrix metalloproteinase inducer: implications for protection against upper genital tract infections. mBio. 2013; 4 (4): e00460-13. doi: 10.1128/mBio.00460-13
- Carosso A., Revelli A., Gennarelli G. et al. Controlled ovarian stimulation and progesterone supplementation affect vaginal and endometrial microbiota in IVF cycles: A pilot study. J Assist Reprod Genet. 2020; 37 (9): 2315–26. doi: 10.1007/s10815-020-01878-4
- Kyono K., Hashimoto T., Nagai Y. et al. Analysis of endometrial microbiota by 16S ribosomal RNA gene sequencing among infertile patients: a single-center pilot study. Reprod Med Biol. 2018; 17: 297–306. doi: 10.1002/rmb2.12105
- Pelzer E.S., Willner D., Buttini M. et al. A role for the endometrial microbiome in dysfunctional menstrual bleeding. Antonie van Leeuwenhoek. 2018; 111 (6): 933–43. doi: 10.1007/s10482-017-0992-6
- Kadogami D., Nakaoka Y., Morimoto Y. Use of a vaginal probiotic suppository and antibiotics to influence the composition of the endometrial microbiota. Reprod Biol. 2020; 20: 307–14. doi: 10.1016/j.repbio.2020.07.001
- Доброхотова Ю.Э., Якубова К.К. Микробиота репродуктивного тракта и гиперпластические процессы эндометрия (обзор литературы). РМЖ. Медицинское обозрение. 2018; 10: 14–6 [Dobrokhotova Yu.E., Yakubova K.K. Reproductive tract microbiota and hyperplastic processes of endometrium (literature review). RMJ. Medical Review. 2018; 10: 14–6 (in Russ.)].
补充文件
