Evidence map›Paper›PMID 33106556›Full record

ArticleScientific reports2020

Severe preeclampsia is associated with a higher relative abundance of Prevotella bivia in the vaginal microbiota.

Chia-Ying Lin, Chiao-Yun Lin, Yuan-Ming Yeh, Lan-Yan Yang, Yun-Shien Lee, Angel Chao, Chia-Yin Chin, An-Shine Chao, Chia-Yu Yang

Open access · goldAbstract read
In one paragraph

Article in Scientific reports, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 24 papers.

0numbers the graph read from it
0cells of the map it votes in
24citing papers in PubMed
2.4field-weighted citation impact, top 11% 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

24 citing papers in PubMed, 41 citations in OpenAlex.

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  8. Gut Microbiome and Estrogen.Journal of menopausal medicine · 2025
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  12. Scoping Review of Microbiota Dysbiosis and Risk of Preeclampsia.American journal of reproductive immunology (New York, N.Y. : 1989) · 2024
    Article
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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

9 authors at 4 institutions in 1 country.

Chia-Ying LinDepartment of Pediatrics, Chang Gung Memorial Hospital Linkou Medical Center and Chang Gung University College of Medicine, Taoyuan, Taiwan.
Chiao-Yun LinDepartment of Obstetrics and Gynecology, Chang Gung Memorial Hospital Linkou Medical Center and Chang Gung University College of Medicine, Taoyuan, Taiwan.
Yuan-Ming YehGenomic Medicine Core Laboratory, Chang Gung Memorial Hospital, Taoyuan, Taiwan.
Lan-Yan YangBiostatistics Unit, Clinical Trial Center, Chang Gung Memorial Hospital Linkou Medical Center, Taoyuan, Taiwan.
Yun-Shien LeeGenomic Medicine Core Laboratory, Chang Gung Memorial Hospital, Taoyuan, Taiwan.
Angel ChaoDepartment of Obstetrics and Gynecology, Chang Gung Memorial Hospital Linkou Medical Center and Chang Gung University College of Medicine, Taoyuan, Taiwan.
Chia-Yin ChinMolecular Medicine Research Center, Chang Gung University, Taoyuan, Taiwan.
An-Shine ChaoDepartment of Obstetrics and Gynecology, Chang Gung Memorial Hospital Linkou Medical Center and Chang Gung University College of Medicine, Taoyuan, Taiwan. aschao1295@cgmh.org.tw.
Chia-Yu YangMolecular Medicine Research Center, Chang Gung University, Taoyuan, Taiwan. chiayu-yang@mail.cgu.edu.tw.
Chang Gung University · TWChang Gung Memorial Hospital · TWLinkou Chang Gung Memorial Hospital · TWMing Chuan University · TW

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

We sought to compare the vaginal microbiota profiles of Taiwanese women with severe preeclampsia (SPE) and normotensive control pregnancies. In a discovery cohort, vaginal swab samples and paired blood specimens were simultaneously obtained at the time of caesarean delivery from 30 women with SPE and 30 controls. The composition of vaginal microbiota was characterised by 16S ribosomal RNA gene sequencing of the V3-V4 region. Results were subsequently validated by real-time qPCR. We sought confirmation of our findings in an expanded cohort consisting of 58 women with SPE and 55 controls. In both the discovery and confirmation cohorts, women with SPE had higher relative abundance of Prevotella bivia in their vaginal microbial community (P = 0.006 and 0.011, respectively). Plasma levels of tumour necrosis factor alpha (TNF-α) were higher when compared with controls (P = 0.031) in the confirmation cohort. Three variables (vaginal Prevotella bivia, plasma TNF-α, and body mass index [BMI]) were included in a prediction panel for SPE. Of these, BMI was the most predictive variable. The area under the curve (AUC) of predicted probability values for the three-variable panel revealed that it can discriminate between SPE and normotensive pregnancies with good accuracy (AUC = 0.797, P < 0.001). We conclude that enrichment of Prevotella bivia in vaginal microbiota, which is tightly regulated by BMI, may be involved in the pathogenesis of SPE.

Indexed as

AdultArea Under CurveBacteroidaceae InfectionsBiomarkersBody Mass IndexFemaleHumansMicrobiotaPre-EclampsiaPregnancyPrevotellaRNA, Ribosomal, 16STumor Necrosis Factor-alphaVaginosis, BacterialBiomarkersRNA, Ribosomal, 16STNF protein, humanTumor Necrosis Factor-alpha

Identifiers

PMID33106556
PMCPMC7588441
OpenAlexW3094278632

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Registered trials

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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.