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2014 ; 72
(3
): 161-6
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The bacterial microbiome in paired vaginal and vestibular samples from women with
vulvar vestibulitis syndrome
#MMPMID24961922
Jayaram A
; Witkin SS
; Zhou X
; Brown CJ
; Rey GE
; Linhares IM
; Ledger WJ
; Forney LJ
Pathog Dis
2014[Dec]; 72
(3
): 161-6
PMID24961922
show ga
Composition of the bacterial microbiome in the vagina and vestibule from 30 women
with vulvar vestibulitis syndrome (VVS) and 15 healthy controls were compared by
pyrosequencing 16S rRNA gene amplicons. Vaginal concentrations of interleukin
(IL)-1? were determined by ELISA. Questionnaires elicited clinical and symptom
data. Eighteen genera were detected in vaginal samples, and 23 genera were
identified in vestibule samples, from women with VVS. The genera at both sites
and the mean number of genera in subjects with VVS were largely similar to those
in control subjects. However, differences were noted including higher proportions
of Streptococcus and Enterococcus in women with VVS. Furthermore, Lactobacillus
iners was more frequently identified in women with VVS while L. crispatus was
more frequent in the control women. The dominant bacterial genera in the vagina
closely paralleled the dominant genera present in the corresponding vestibular
sample in both groups, leading us to postulate that vaginal secretions are an
important source of bacteria present on the vestibule. Vaginal IL-1? levels were
similar and varied depending on the dominant bacteria. We conclude in this pilot
study that no major differences are apparent in the vagina and vestibule between
women with or without VVS, except for an increased prevalence of Streptococcus
and L. iners in some women with VVS.