Evidence map›Paper›PMID 29315330›Full record

ArticlePloS one2018

Microbiota-based analysis reveals specific bacterial traits and a novel strategy for the diagnosis of infectious infertility.

Simon Graspeuntner, Michael K Bohlmann, Kathrin Gillmann, Runa Speer, Sven Kuenzel, Heike Mark, Friederike Hoellen, Reinhard Lettau, Georg Griesinger, Inke R König and 2 more

Registry-linked trialOpen access · goldAbstract read
In one paragraph

Article in PloS one, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03507673 (Prospective, Clinical Cohort Study on the Endocrinology and Vaginal/Endometrial Microbiome of the Luteal Phase and Pregnancy After Embryo Transfer in Assisted Reproduction), which is not on this map. Cited by 38 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
38citing papers in PubMed, 3 pooled it
4.7field-weighted citation impact, top 5% 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.

NCT03507673 recruitingnot on this map

Prospective, Clinical Cohort Study on the Endocrinology and Vaginal/Endometrial Microbiome of the Luteal Phase and Pregnancy After Embryo Transfer in Assisted Reproduction

TypeobservationalSponsorUniversity of LuebeckRan2018 to 2028Enrolled1,200ConditionsInfertilityArmsBlood samples and microbiological swaps
3 · Its place in the literature

Who cites it

38 citing papers in PubMed, 3 syntheses or guidelines pooled it, 58 citations in OpenAlex.

  1. Pooled it
  2. The Role of Genital Tract Microbiome in Fertility: A Systematic Review.International journal of molecular sciences · 2021
    Pooled it
  3. Pooled it
  4. Article
  5. Article
  6. Article
  7. Review
  8. Article
  9. Article
  10. Review
  11. Review
  12. All Properties of Infertility Microbiome in a Review Article.Journal of clinical laboratory analysis · 2025
    Review
  13. Review
  14. Review
  15. Article
  16. Review
  17. Review
  18. Hearing rehabilitation and microbial shift after middle ear surgery with Vibrant Soundbridge in patients with chronic otitis media.European archives of oto-rhino-laryngology : official journal of the European Federation of Oto-Rhino-Laryngological Societies (EUFOS) : affiliated with the German Society for Oto-Rhino-Laryngology - Head and Neck Surgery · 2023
    Article
  19. Sorangicin A Is Active againstAntibiotics (Basel, Switzerland) · 2023
    Article
  20. Review
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

12 authors at 5 institutions in 1 country.

Simon GraspeuntnerDepartment of Infectious Diseases and Microbiology, University of Luebeck, Luebeck, Schleswig-Holstein, Germany.
Michael K BohlmannDepartment of Obstetrics and Gynecology, University Hospital of Schleswig-Holstein, Luebeck, Schleswig-Holstein, Germany.
Kathrin GillmannDepartment of Infectious Diseases and Microbiology, University of Luebeck, Luebeck, Schleswig-Holstein, Germany.
Runa SpeerBerlin Department of Public Health, Center for Sexual Health, Berlin, Berlin, Germany.
Sven KuenzelMax Planck Institute for Evolutionary Biology, Ploen, Schleswig-Holstein, Germany.
Heike MarkBerlin Department of Public Health, Center for Sexual Health, Berlin, Berlin, Germany.
Friederike HoellenDepartment of Obstetrics and Gynecology, University Hospital of Schleswig-Holstein, Luebeck, Schleswig-Holstein, Germany.
Reinhard LettauOutpatient Medical Care for Gynecology, Luebeck, Schleswig-Holstein, Germany.
Georg GriesingerDepartment of Reproductive Medicine and Gynecological Endocrinology, University Hospital of Schleswig-Holstein, Luebeck, Schleswig-Holstein, Germany.
Inke R KönigInstitute of Medical Biometry and Statistics, University of Luebeck, Luebeck, Schleswig-Holstein, Germany.
John F BainesMax Planck Institute for Evolutionary Biology, Ploen, Schleswig-Holstein, Germany.
Jan RuppDepartment of Infectious Diseases and Microbiology, University of Luebeck, Luebeck, Schleswig-Holstein, Germany.ORCID 0000-0001-8722-1233
University of Lübeck · DEUniversity Hospital Schleswig-Holstein · DEChristian-Albrechts-Universität zu Kiel · DEHeidelberg University · DEMax Planck Institute for Evolutionary Biology · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Tubal factor infertility (TFI) accounts for more than 30% of the cases of female infertility and mostly resides from an inflammatory process triggered by an infection. Clinical appearances largely differ, and very often infections are not recognized or remain completely asymptomatic over time. Here, we characterized the microbial pattern in females diagnosed with infectious infertility (ININF) in comparison to females with non-infectious infertility (nININF), female sex workers (FSW) and healthy controls (fertile). Females diagnosed with infectious infertility differed significantly in the seroprevalence of IgG antibodies against the C. trachomatis proteins MOMP, OMP2, CPAF and HSP60 when compared to fertile females. Microbiota analysis using 16S amplicon sequencing of cervical swabs revealed significant differences between ININF and fertile controls in the relative read count of Gardnerella (10.08% vs. 5.43%). Alpha diversity varies among groups, which are characterized by community state types including Lactobacillus-dominated communities in fertile females, an increase in diversity in all the other groups and Gardnerella-dominated communities occurring more often in ININF. While all single parameters did not allow predicting infections as the cause of infertility, including C. trachomatis IgG/IgA status together with 16S rRNA gene analysis of the ten most frequent taxa a total of 93.8% of the females were correctly classified. Further studies are needed to unravel the impact of the cervical microbiota in the pathogenesis of infectious infertility and its potential for identifying females at risk earlier in life.

Indexed as

MicrobiotaBacteriaFemaleHumansInfertility, Female

Identifiers

PMID29315330
PMCPMC5760088
OpenAlexW2783590216

What OpenQuestion holds

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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.