Evidence map›Paper›PMID 27373840›Full record

ReviewThe Journal of physiology2017

The vaginal microbiota, host defence and reproductive physiology.

Steven B Smith, Jacques Ravel

3 registry-linked trialsOpen access · bronzeAbstract readReview
In one paragraph

Review in The Journal of physiology, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 3 registered trials, which are not on this map. Cited by 244 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
244citing papers in PubMed, 4 pooled it
12.8field-weighted citation impact, top 1% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT04698109 completednot on this mapstarted 2021, after this paper: background citation

Costituzione Della Biobanca Del Microbiota Intestinale e Salivare Umano: Dalla Disbiosi Alla Simbiosi

TypeobservationalSponsorAzienda Ospedaliero-Universitaria Consorziale Policlinico di BariRan2021 to 2022Enrolled103ConditionsCervicovaginitis, Endometriosis, Repeated Implantation FailureArmsBiological sample collection, Questionnaire, Medical examination
NCT04820985 completednot on this mapstarted 2021, after this paper: background citation

Analyse de la Composition du Microbiote Vaginal à différents Temps de la Prise en Charge en FIV et corrélation Avec le Taux de progestérone sérique le Jour du Transfert d'Embryon

TypeobservationalSponsorCentre Hospitalier Universitaire de NīmesRan2021 to 2024Enrolled60ConditionsIVFArmsVaginal swab, Blood test
NCT05678751 unknown statusnot on this mapstarted 2023, after this paper: background citation

Establishment of a Rapid Detection Method for Microorganisms in the Lower Genital Tract Using MALDI-TOF MS and Its Clinical Application in Infertility

TypeobservationalSponsorShenzhen Second People's HospitalRan2023 to 2024Enrolled228ConditionsInfertility, FemaleArmslower genital tract microorganisms detection using Matrix-Assisted Laser Desorption/Ionization Time of Flight Mass Spectrometry (MALDI-TOF MS)
3 · Its place in the literature

Who cites it

244 citing papers in PubMed, 4 syntheses or guidelines pooled it, 439 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Pooled it
  4. Pooled it
  5. Trial
  6. Randomized clinical trial of vaginal microbiota in menopausal genitourinary syndrome using radiofrequency and topical estriol.Revista brasileira de ginecologia e obstetricia : revista da Federacao Brasileira das Sociedades de Ginecologia e Obstetricia · 2025
    Trial
  7. Efficacy ofNutrients · 2024
    Trial
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  17. Article
  18. Culture-Based Cervicovaginal Findings andMedicina (Kaunas, Lithuania) · 2026
    Observational
  19. Review
  20. Review

184 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

2 authors at 1 institution in 1 country.

Steven B SmithInstitute for Genome Sciences, University of Maryland School of Medicine, Baltimore, MD, 21201, USA.ORCID 0000-0003-2799-6621
Jacques RavelInstitute for Genome Sciences, University of Maryland School of Medicine, Baltimore, MD, 21201, USA.
Human Genome Sciences (United States) · US

Funding

Serologic Biomarkers of Human Sexually Transmitted Infection and DiseaseU19AI084044 · NIAID · UNIVERSITY OF MARYLAND BALTIMORE · PI TETTELIN, HERVE S · 2009 to 2018
$22.8M
Longitudinal Study of the Vaginal Microbiome Prior To Incident STIR01AI116799 · NIAID · UNIVERSITY OF MARYLAND BALTIMORE · PI BROTMAN, REBECCA M. · 2015 to 2019
$3.5M
Duration of Hormonal Contraceptive Use: Immune Responses & Vaginal MicrobiotaR01AI089878 · NIAID · JOHNS HOPKINS UNIVERSITY · PI GHANEM, KHALIL G · 2011 to 2015
$3.4M
Genetic regulationR01GM103604 · NIGMS · UNIVERSITY OF FLORIDA · PI PONCIANO, JOSE MIGUEL · 2013 to 2016
$947k
Vaginal microbiota, immune responses and vulvovaginal symptoms during menopauseR21AI107224 · NIAID · UNIVERSITY OF MARYLAND BALTIMORE · PI BROTMAN, REBECCA M. · 2013 to 2014
$422k
NIAID NIH HHS R01 AI089878NIAID NIH HHS R01 AI116799NIAID NIH HHS R21 AI107224NIAID NIH HHS U19 AI084044NIGMS NIH HHS R01 GM103604
6 · The paper itself

Abstract

The interaction between the human host and the vaginal microbiota is highly dynamic. Major changes in the vaginal physiology and microbiota over a woman's lifetime are largely shaped by transitional periods such as puberty, menopause and pregnancy, while daily fluctuations in microbial composition observed through culture-independent studies are more likely to be the results of daily life activities and behaviours. The vaginal microbiota of reproductive-aged women is largely made up of at least five different community state types. Four of these community state types are dominated by lactic-acid producing Lactobacillus spp. while the fifth is commonly composed of anaerobes and strict anaerobes and is sometimes associated with vaginal symptoms. The production of lactic acid has been associated with contributing to the overall health of the vagina due to its direct and indirect effects on pathogens and host defence. Some species associated with non-Lactobacillus vaginal microbiota may trigger immune responses as well as degrade the host mucosa, processes that ultimately increase susceptibility to infections and contribute to negative reproductive outcomes such as infertility and preterm birth. Further studies are needed to better understand the functional underpinnings of how the vaginal microbiota affect host physiology but also how host physiology affects the vaginal microbiota. Understanding this fine-tuned interaction is key to maintaining women's reproductive health.

Indexed as

MicrobiotaBacterial Physiological PhenomenaFemaleHost-Pathogen InteractionsHumansReproductionVagina

Identifiers

PMID27373840
PMCPMC5233653
OpenAlexW2298384654

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.