scholarly journals Vaginal & gut microbiota diversity in pregnant women with bacterial vaginosis & effect of oral probiotics: An exploratory study

2021 ◽  
Vol 153 (4) ◽  
pp. 492
Author(s):  
Rajkumar Hemalatha ◽  
Donugama Vasundhara ◽  
VankudavathNaik Raju ◽  
Ravinder Nagpal ◽  
Manoj Kumar
2020 ◽  
Vol 79 (OCE2) ◽  
Author(s):  
Noora Houttu ◽  
Kati Mokkala ◽  
Kirsi Laitinen

AbstractHigh diversity is considered a property of gut microbiota that is beneficial for human health. A higher dietary fiber intake has been shown to increase gut microbiota diversity. Similarly, there is preliminary evidence that an excess adiposity relates to low diversity. Our objective was to investigate the relationship between dietary fiber intake and gut microbiota diversity whilst considering the overweight and obesity status. Overweight (n = 52, prepregnancy BMI ≥ 25 kg/m2) and obese (n = 47, BMI ≥ 30 kg/m2) women were studied in early pregnancy (a mean of 13 weeks of gestation). The mean daily fiber intake (g) was calculated from 3-day food diaries by computerized software. To evaluate the gut microbiota α-diversity we determined the divergence-based measure, phylogenetic diversity (PD), and the qualitative and quantitative species-based measures, Chao 1 and Shannon index, from 16S RNA gene sequencing using QIIME pipeline. Dietary fiber intake (mean ± SD: 19.7 ± 6.2 g) correlated directly with PD (rho = 0.33, P = 0.002) and Chao 1 index (rho = 0.31, P = 0.004), but not with Shannon index (rho = 0.20, P = 0.06) in all women. Instead, no correlation between BMI and microbiota diversity indexes were seen, except for obese women in whom the BMI correlated inversely with PD (rho = -0.31, P = 0.04). Interestingly, distinct associations between fiber intake and microbiota diversity were detected in overweight and obese women. Fiber intake correlated directly with PD (rho = 0.34, P = 0.02 vs. rho = 0.32, P = 0.04), the measure depicting the phylogenetic branch length, in both overweight and obese women, the correlation with Chao 1 (rho = 0.35, P = 0.02), which depicts the presence or absence of each taxon i.e. richness, was seen only in obese women. Nevertheless, no correlation was seen between fiber intake and Shannon index (rho = -0.004, P = 0.98 vs. rho = -0.18, P = 0.25), the measure depicting the presence and absence as well as the abundance of each taxon i.e. richness and evenness, either in overweight or obese pregnant women. We found direct correlations between dietary fiber intake and gut microbiota α-diversity but obesity status intervened in this relation. In contrast to overweight women, in obese women, the higher dietary intake was reflected in a higher gut microbiota diversity measured at the level of taxon richness, suggesting that particularly obese pregnant women may benefit from a higher dietary fiber intake.


2021 ◽  
Vol 11 (1) ◽  
Author(s):  
Hyemin Jeong ◽  
In Young Kim ◽  
Eun-Kyung Bae ◽  
Chan Hong Jeon ◽  
Kwang-Sung Ahn ◽  
...  

AbstractAnkylosing spondylitis is a male-predominant disease and previous study revealed that estrogens have an anti-inflammatory effect on the spondyloarthritis (SpA) manifestations in zymosan-induced SKG mice. This study aimed to evaluate the effect of selective estrogen receptor modulator (SERM) lasofoxifene (Laso) on disease activity of SpA. Mice were randomized into zymosan-treated, zymosan + 17β-estradiol (E2)-treated, and zymosan + Laso-treated groups. Arthritis was assessed by 18F-fluorodeoxyglucose (18F-FDG) small-animal positron emission tomography/computed tomography and bone mineral density (BMD) was measured. Fecal samples were collected and 16S ribosomal RNA gene sequencing was used to determine gut microbiota differences. Both zymosan + E2-treated mice and zymosan + Laso-treated mice showed lower arthritis clinical scores and lower 18F-FDG uptake than zymosan-treated mice. BMD was significantly higher in zymosan + E2-treated mice and zymosan + Laso-treated mice than zymosan-treated mice, respectively. Fecal calprotectin levels were significantly elevated at 8 weeks after zymosan injection in zymosan-treated mice, but it was not significantly changed in zymosan + E2-treated mice and zymosan + Laso-treated mice. Gut microbiota diversity of zymosan-treated mice was significantly different from zymosan + E2-treated mice and zymosan + Laso-treated mice, respectively. There was no significant difference in gut microbiota diversity between zymosan + E2-treated mice and zymosan + Laso -treated mice. Laso inhibited joint inflammation and enhanced BMD in SKG mice, a model of SpA. Laso also affected the composition and biodiversity of gut microbiota. This study provides new knowledge regarding that selected SpA patients could benefit from SERM treatment.


2020 ◽  
Vol 79 (OCE2) ◽  
Author(s):  
Angie Jefferson ◽  
Katie Adolphus

AbstractThe influence on health of the human gut microbiota is increasingly recognised, however wheat fibre, consumed frequently in Western diets has traditionally been considered inert with regard to gut microbiota composition and metabolic activity. We undertook a systematic review (PRISMA methodology) of human intervention studies examining the effects of intact cereal fibres on gut microbiota composition among healthy adults.(1) Studies published in the past 20 years were identified on PubMed and Cochrane electronic databases. Inclusion criteria were: healthy adult participants, at least one intact cereal fibre (or its sub-fraction) and measurement of faecal microbiota related outcomes. Out of forty studies meeting inclusion criteria, seventeen manipulated wheat fibre/bran or its key constituent arabinoxylans (AXOS), and ten used a whole diet approach with predominantly wheat fibre. Results from these twenty seven wheat fibre papers are presented here. Eight studies provided wheat bran/fibre (ranging from 5.7g-21g/day wheat fibre or 13g-28g/day wheat bran). Three reported significant effects on gut microbiota abundance and/or diversity (both at phyla and species level) and one showed no effect. Six reported significant increases in fermentation metabolites and one reported no significant change. Ten studies manipulated whole day fibre intake (predominantly wheat but also permitting some oats, rye and rice). Wholegrain intake ranged from 80g-150 g per day and fibre from 13.7g–40 g per day. Six found significant increases in bacterial diversity and/or abundance and five showed significant increases in fermentation metabolites. Two identified that response to high fibre intervention is dependent on baseline gut microbiota richness - those with limited richness exhibiting greater microbiota change over time in response to fibre increase. Two reported no significant effects. Nine studies utilised manipulation of AXOS (2.2g–18.8 g per day) with five demonstrating significant increases in target bacterial species and six significant increases in fermentation metabolites. One reported no significant effect to faecal metabolites. This review supports a role for the wheat fibre found in everyday foods (such as bran breakfast cereal of high fibre breads) promoting both microbiota diversity and abundance. While the healthy microbiome is yet to be defined, consumption of a single daily serving of wheat bran fibre appears sufficient to effect gut microbiota fermentation (with demonstrable effects arising from as low as 6g/day), and promote species diversity, with potential benefit to health.However exploration of stability over longer time frames (> 12 weeks) is now required.


2020 ◽  
Vol 101 (4) ◽  
pp. 484-497
Author(s):  
Jonathan Alschech ◽  
Stephanie Begun

Research on young parents experiencing homelessness has typically focused on mothers and pregnant women. Young homeless fathers’ tendencies to decline involvement throughout pregnancy and in their children’s lives have been documented and condemned; however, little is known about young men’s perspectives on these situations. This exploratory study engaged homeless young men in qualitative interviews regarding their perceptions and experiences of fathering. Respondents often viewed fatherhood as solely representing breadwinner responsibilities and as a burden that one dutifully carries or shamefully (yet commonly) shirks. Homeless young men’s beliefs about fathering, often steeped in guilt and shame, may suggest that encouraging alternative conceptions of competent fathering while young and homeless is an important area for further research, intervention development, and service provision.


2020 ◽  
Vol 11 (1) ◽  
pp. 124-133
Author(s):  
Hao Li ◽  
Xiaohui Zhang ◽  
Dengdeng Pan ◽  
Yongqiang Liu ◽  
Xuebing Yan ◽  
...  

AbstractObjectiveThe aim of this study is to investigate the dysbiosis characteristics of gut microbiota in patients with cerebral infarction (CI) and its clinical implications.MethodsStool samples were collected from 79 CI patients and 98 healthy controls and subjected to 16S rRNA sequencing to identify stool microbes. Altered compositions and functions of gut microbiota in CI and its correlation with clinical features were investigated. Random forest and receiver operating characteristic analysis were used to develop a diagnostic model.ResultsMicrobiota diversity and structure between CI patients and healthy controls were overall similar. However, butyrate-producing bacteria (BPB) were significantly reduced in CI patients, while lactic acid bacteria (LAB) were increased. Genetically, BPB-related functional genes were reduced in CI patients, whereas LAB-related genes were enhanced. The interbacterial correlations among BPB in CI patients were less prominent than those in healthy controls. Clinically, BPB was negatively associated with the National Institutes of Health Stroke Scale (NIHSS), while LAB was positively correlated with NIHSS. Both BPB and LAB played leading roles in the diagnostic model based on 47 bacteria.ConclusionsThe abundance and functions of BPB in CI patients were significantly decreased, while LAB were increased. Both BPB and LAB displayed promising potential in the assessment and diagnosis of CI.


2018 ◽  
pp. 23-30
Author(s):  
O.V. Gorbunova ◽  
◽  
N.P. Goncharuk ◽  
H.V. Zarichanska ◽  
N.A. Ermolovich ◽  
...  

Pregnancy against the background of bacterial vaginosis is accompanied by a high risk of obstetric and perinatal complications. Therefore, bacterial vaginosis must be treated in pregnant women. Screening and therapy are performed at the beginning of the II or III trimester of pregnancy. The survival of colonies of pathogenic microorganisms in biofilms is significantly increased, so they can remain viable even at high concentrations of antiseptic. The main advantage of using local combined antiseptic agents is the ability to achieve the maximum concentration of the antibiotic exactly in the place of the greatest accumulation of pathogens with the ability to influence biofilms. The objective: was to compare the efficacy and safety of various regimens of therapy with topical combined drugs (Lynda and Meratin Combi) in pregnant women with bacterial vaginosis. Materials and methods. The biocenosis of the vagina was investigated in 351 pregnant women in the II trimester. The diagnosis of bacterial vaginosis was established if the patient had any three of the Amsel criteria. Results. Microbiological screening of the vaginal biocenosis in the II trimester of pregnancy showed that normocenosis among the surveyed was 18.5%; bacterial vaginosis – 31.6%; vulvovaginal candidiasis – 26.5%; aerobic vaginitis – 22.8%, trichomonas vaginitis – 0.6%. Against the background of bacterial vaginosis, the threat of miscarriage, placental dysfunction occurred 6 times more often, anemia and preeclampsia three times more often, gestational pyelonephritis twice more often than in healthy pregnant women. In most patients, the sensitivity of the vaginal microflora to metronidazole and ornidazole is the same, but depends on the dose of the antiseptic, the sensitivity to miconazole was almost twice as high as to nystatin. This confirms the need for a differentiated selection of antiseptics for local therapy of bacterial vaginosis during pregnancy. Conclusion. A more rapid dynamics of the disappearance of the main symptoms of bacterial vaginosis and the normalization of the pH of the vaginal secretion were noted after the use of the drug Limenda. In order to prevent relapse of the disease, it is necessary to carry out the second stage of treatment with probiotics to restore its own lactoflora. Keywords: screening of vaginal biocenosis in the II trimester of pregnancy; complications of pregnancy against the background of bacterial vaginosis; treating bacterial vaginosis during pregnancy; biofilms; sensitivity of the vaginal microflora to antiseptics; topical treatment of bacterial vaginosis; Limenda; Meratin Kombi.


Sign in / Sign up

Export Citation Format

Share Document