Evidence map›Paper›PMID 31789672›Full record

ReviewCurrent opinion in infectious diseases2020

Host-vaginal microbiota interactions in the pathogenesis of bacterial vaginosis.

Christina A Muzny, Paweł Łaniewski, Jane R Schwebke, Melissa M Herbst-Kralovetz

Open access · greenAbstract readReview
In one paragraph

Review in Current opinion in infectious diseases, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 113 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
113citing papers in PubMed, 2 pooled it
10.0field-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

113 citing papers in PubMed, 2 syntheses or guidelines pooled it, 190 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Microbiology spectrum · 2025
    Trial
  4. Trial
  5. Article
  6. Review
  7. Article
  8. Article
  9. The redefined identity ofJournal of bacteriology · 2026
    Review
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  11. Article
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  13. Article
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  15. Microbiology (Reading, England) · 2026
    Article
  16. Review
  17. Bacterial Load ofMicroorganisms · 2026
    Article
  18. Review
  19. Spatial organization ofInfection and immunity · 2026
    Article
  20. Review

53 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

4 authors at 2 institutions in 1 country.

Christina A MuznyDivision of Infectious Diseases, University of Alabama at Birmingham, Birmingham, Alabama.
Paweł ŁaniewskiUniversity of Arizona College of Medicine, Phoenix, Arizona, USA.
Jane R SchwebkeDivision of Infectious Diseases, University of Alabama at Birmingham, Birmingham, Alabama.
Melissa M Herbst-KralovetzUniversity of Arizona College of Medicine, Phoenix, Arizona, USA.
University of Alabama at Birmingham · USUniversity of Arizona · US

Funding

VITAMIN AP30CA023074 · NCI · UNIVERSITY OF ARIZONA · PI Dan Theodorescu · 1985 to 2026
$110.2M
Uranium as an Environmental Risk Factor for Cancer Among the NavajoU54CA143924 · NCI · UNIVERSITY OF ARIZONA · PI Jennifer Wright Bea · 2009 to 2026
$26.7M
The UAB Sexually Transmitted Infections Cooperative Research Centers (STI CRC)U19AI113212 · NIAID · UNIVERSITY OF ALABAMA AT BIRMINGHAM · PI HOOK, EDWARD W · 2014 to 2018
$10.0M
Randomized Controlled Trial of Treatment of Male Partners of Women with BVU01AI108509 · NIAID · UNIVERSITY OF ALABAMA AT BIRMINGHAM · PI SCHWEBKE, JANE R. · 2014 to 2018
$2.9M
Pathogenesis of Bacterial Vaginosis in Women Who Have Sex with WomenK23AI106957 · NIAID · UNIVERSITY OF ALABAMA AT BIRMINGHAM · PI MUZNY, CHRISTINA A · 2014 to 2018
$873k
NCI NIH HHS P30 CA023074NCI NIH HHS U54 CA143924NIAID NIH HHS K23 AI106957NIAID NIH HHS U01 AI108509NIAID NIH HHS U19 AI113212
6 · The paper itself

Abstract

purpose of reviewThe cause of bacterial vaginosis, the most common cause of vaginal discharge in women, remains controversial. We recently published an updated conceptual model on bacterial vaginosis pathogenesis, focusing on the roles of Gardnerella vaginalis and Prevotella bivia as early colonizers and Atopobium vaginae and other bacterial vaginosis-associated bacteria (BVAB) as secondary colonizers in this infection. In this article, we extend the description of our model to include a discussion on the role of host-vaginal microbiota interactions in bacterial vaginosis pathogenesis. RECENT

findingsAlthough G. vaginalis and P. bivia are highly abundant in women with bacterial vaginosis, neither induce a robust inflammatory response from vaginal epithelial cells. These early colonizers may be evading the immune system while establishing the bacterial vaginosis biofilm. Secondary colonizers, including A. vaginae, Sneathia spp., and potentially other BVAB are more potent stimulators of the host-immune response to bacterial vaginosis and likely contribute to its signs and symptoms as well as its adverse outcomes. SUMMARY: Elucidating the cause of bacterial vaginosis has important implications for diagnosis and treatment. Our current bacterial vaginosis pathogenesis model provides a framework for key elements that should be considered when designing and testing novel bacterial vaginosis diagnostics and therapeutics.

Indexed as

BacteriaBiofilmsFemaleHost-Pathogen InteractionsHumansMicrobiotaVaginaVaginosis, Bacterial

Identifiers

PMID31789672
PMCPMC7265982
OpenAlexW2990915312

What OpenQuestion holds

Textmetadata
LicenceTDM
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.