Evidence map›Paper›PMID 29042534›Full record

ArticleNature communications2017

The microbiota continuum along the female reproductive tract and its relation to uterine-related diseases.

Chen Chen, Xiaolei Song, Weixia Wei, Huanzi Zhong, Juanjuan Dai, Zhou Lan, Fei Li, Xinlei Yu, Qiang Feng, Zirong Wang and 20 more

Open access · goldAbstract read
In one paragraph

Article in Nature communications, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 530 papers, 9 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
530citing papers in PubMed, 9 pooled it
36.0field-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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

530 citing papers in PubMed, 9 syntheses or guidelines pooled it, 981 citations in OpenAlex.

  1. Pooled it
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  8. The Microbiome Landscape of Adenomyosis: A Systematic Review.Reproductive sciences (Thousand Oaks, Calif.) · 2025
    Pooled it
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  10. Article
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  13. Article
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  15. VaginalMicroorganisms · 2026
    Article
  16. Review
  17. Review
  18. Article
  19. Article
  20. Article

470 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

30 authors at 4 institutions in 4 countries.

Chen ChenBGI-Shenzhen, Shenzhen, 518083, China.
Xiaolei SongBGI-Shenzhen, Shenzhen, 518083, China.
Weixia WeiPeking University Shenzhen Hospital, Shenzhen, 518036, China.
Huanzi ZhongBGI-Shenzhen, Shenzhen, 518083, China.ORCID http://orcid.org/0000-0001-9512-1750
Juanjuan DaiPeking University Shenzhen Hospital, Shenzhen, 518036, China.
Zhou LanBGI-Shenzhen, Shenzhen, 518083, China.
Fei LiBGI-Shenzhen, Shenzhen, 518083, China.
Xinlei YuBGI-Shenzhen, Shenzhen, 518083, China.
Qiang FengBGI-Shenzhen, Shenzhen, 518083, China.
Zirong WangBGI-Shenzhen, Shenzhen, 518083, China.
Hailiang XieBGI-Shenzhen, Shenzhen, 518083, China.
Xiaomin ChenBGI-Shenzhen, Shenzhen, 518083, China.
Chunwei ZengBGI-Shenzhen, Shenzhen, 518083, China.
Bo WenBGI-Shenzhen, Shenzhen, 518083, China.
Liping ZengPeking University Shenzhen Hospital, Shenzhen, 518036, China.
Hui DuPeking University Shenzhen Hospital, Shenzhen, 518036, China.
Huiru TangPeking University Shenzhen Hospital, Shenzhen, 518036, China.
Changlu XuBGI-Shenzhen, Shenzhen, 518083, China.
Yan XiaBGI-Shenzhen, Shenzhen, 518083, China.
Huihua XiaBGI-Shenzhen, Shenzhen, 518083, China.
Huanming YangBGI-Shenzhen, Shenzhen, 518083, China.
Jian WangBGI-Shenzhen, Shenzhen, 518083, China.
Jun WangBGI-Shenzhen, Shenzhen, 518083, China.
Lise MadsenBGI-Shenzhen, Shenzhen, 518083, China.ORCID http://orcid.org/0000-0003-4468-1947
Susanne BrixDepartment of Biotechnology and Biomedicine, Technical University of Denmark, Soltofts Plads, Building 221, 2800, Kongens Lyngby, Denmark.ORCID http://orcid.org/0000-0001-8951-6705
Karsten KristiansenBGI-Shenzhen, Shenzhen, 518083, China.
Xun XuBGI-Shenzhen, Shenzhen, 518083, China.
Junhua LiBGI-Shenzhen, Shenzhen, 518083, China. lijunhua@genomics.cn.ORCID http://orcid.org/0000-0001-6784-1873
Ruifang WuPeking University Shenzhen Hospital, Shenzhen, 518036, China. wurf100@126.com.
Huijue JiaBGI-Shenzhen, Shenzhen, 518083, China. jiahuijue@genomics.cn.ORCID http://orcid.org/0000-0002-3592-126X
BGI Group (China) · CNPeking University Shenzhen Hospital · CNShenzhen Institute of Information Technology · CNTechnical University of Denmark · DK

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Reports on bacteria detected in maternal fluids during pregnancy are typically associated with adverse consequences, and whether the female reproductive tract harbours distinct microbial communities beyond the vagina has been a matter of debate. Here we systematically sample the microbiota within the female reproductive tract in 110 women of reproductive age, and examine the nature of colonisation by 16S rRNA gene amplicon sequencing and cultivation. We find distinct microbial communities in cervical canal, uterus, fallopian tubes and peritoneal fluid, differing from that of the vagina. The results reflect a microbiota continuum along the female reproductive tract, indicative of a non-sterile environment. We also identify microbial taxa and potential functions that correlate with the menstrual cycle or are over-represented in subjects with adenomyosis or infertility due to endometriosis. The study provides insight into the nature of the vagino-uterine microbiome, and suggests that surveying the vaginal or cervical microbiota might be useful for detection of common diseases in the upper reproductive tract.Whether the female reproductive tract harbours distinct microbiomes beyond the vagina has been a matter of debate. Here, the authors show a subject-specific continuity in microbial communities at six sites along the female reproductive tract, indicative of a non-sterile environment.

Indexed as

AdenomyosisAdultBacteriaEndometriosisFallopian TubesFemaleHumansInfertility, FemaleMenstrual CycleMicrobiotaRNA, Ribosomal, 16SUterusVaginaYoung AdultRNA, Ribosomal, 16S

Identifiers

PMID29042534
PMCPMC5645390
OpenAlexW2761875562

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

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.