Evidence map›Paper›PMID 34628621›Full record

ArticleBrazilian journal of microbiology : [publication of the Brazilian Society for Microbiology]2021

Relationship between Papillomavirus vaccine, vaginal microbiome, and local cytokine response: an exploratory research.

Paulo Cesar Giraldo, José Marcos Sanches, Luiz Gustavo Sparvolli, Rose Amaral, Isabel Migliorini, Cristiane Damas Gil, Carla Romano Taddei, Steven S Witkin, Michelle Garcia Discacciati

Open access · greenAbstract read
In one paragraph

Article in Brazilian journal of microbiology : [publication of the Brazilian Society for Microbiology], 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed, 1 pooled it
1.1field-weighted citation impact, top 23% 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

13 citing papers in PubMed, 1 synthesis or guideline pooled it, 15 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. HPV vaccination associates withFrontiers in microbiology · 2026
    Article
  4. Review
  5. Review
  6. Review
  7. The vaginal microbiome in HPV persistence and cervical cancer progression.Frontiers in cellular and infection microbiology · 2025
    Review
  8. Review
  9. Article
  10. Review
  11. Review
  12. Review
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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 3 countries.

Paulo Cesar GiraldoDepartment of Obstetrics and Gynecology, School of Medical Sciences, Women's Hospital Prof. Dr. José Aristodemo Pinotti/CAISM, State University of Campinas (UNICAMP), Rua Alexandre Fleming, 101, Campinas, São Paulo, 13 083 881, Brazil.
José Marcos SanchesDepartment of Morphology and Genetics, Federal University of São Paulo (UNIFESP), São Paulo, SP, Brazil.
Luiz Gustavo SparvolliDepartment of Clinical and Toxicological Analysis, School of Pharmaceutical Sciences, University of São Paulo (USP), São Paulo, SP, Brazil.
Rose AmaralDepartment of Obstetrics and Gynecology, School of Medical Sciences, Women's Hospital Prof. Dr. José Aristodemo Pinotti/CAISM, State University of Campinas (UNICAMP), Rua Alexandre Fleming, 101, Campinas, São Paulo, 13 083 881, Brazil.
Isabel MiglioriniDepartment of Obstetrics and Gynecology, School of Medical Sciences, Women's Hospital Prof. Dr. José Aristodemo Pinotti/CAISM, State University of Campinas (UNICAMP), Rua Alexandre Fleming, 101, Campinas, São Paulo, 13 083 881, Brazil.
Cristiane Damas GilDepartment of Morphology and Genetics, Federal University of São Paulo (UNIFESP), São Paulo, SP, Brazil.
Carla Romano TaddeiDepartment of Clinical and Toxicological Analysis, School of Pharmaceutical Sciences, University of São Paulo (USP), São Paulo, SP, Brazil.
Steven S WitkinDepartment of Obstetrics and Gynecology, Weill Cornell Medicine, New York, NY, USA.
Michelle Garcia DiscacciatiDepartment of Obstetrics and Gynecology, School of Medical Sciences, Women's Hospital Prof. Dr. José Aristodemo Pinotti/CAISM, State University of Campinas (UNICAMP), Rua Alexandre Fleming, 101, Campinas, São Paulo, 13 083 881, Brazil. michelle.garciadisc@gmail.com.ORCID http://orcid.org/0000-0003-3660-3826
Universidade de São Paulo · BRUniversidade Estadual de Campinas (UNICAMP) · BRUniversidade Federal de São Paulo · BRCornell University · US

Funding

FAPESP 2016/08392-3
6 · The paper itself

Abstract

introductionThe influence of vaccination on composition of the human microbiome at distinct sites has been recognized as an essential component in the development of new vaccine strategies. The HPV vaccine is widely used to prevent cervical cancer; however, the influence of HPV vaccine on the vaginal microbiota has not been previously investigated. In his study, we performed an initial characterization of the microbiome and cytokine composition in the vagina following administration of the bivalent vaccine against HPV 16/18. MATERIAL AND

methodsIn this exploratory study, fifteen women between 18 and 40 years received three doses of the HPV-16/18 AS04-adjuvanted vaccine (Cervarix®). Cervicovaginal samples were collected before the first dose and 30 days after the third dose. HPV genotyping was performed by the XGEN Flow Chip technique. The cytokines IFN-γ, IL-2, IL-12p70, TNF-α, GM-CSF, IL-4, IL-5, IL-10, and IL-13 were quantitated by multiplex immunoassay. The vaginal microbiome was identified by analysis of the V3/V4 region of the bacterial 16S rRNA gene.

resultsThe most abundant bacterial species in the vaginal microbiome was Lactobacillus crispatus, followed by L. iners. Bacterial diversity and dominant organisms were unchanged following vaccination. Small decreases in levels of pro and anti-inflammatory cytokines were observed following HPV vaccination, but there was no association between vaginal cytokine levels and microbiome composition.

conclusionVaginal microbiome is not altered following administration of the standard three-dose HPV-16/18 AS04-adjuvanted (Cervarix®) vaccine.

Indexed as

BacteriaCytokinesMicrobiotaPapillomavirus InfectionsPapillomavirus VaccinesVaginaAdultFemaleHuman papillomavirus 16Human papillomavirus 18HumansRNA, Ribosomal, 16SYoung AdultCytokinesPapillomavirus VaccinesRNA, Ribosomal, 16SCytokinesHPV vaccinesHuman papillomavirus 16MicrobiomeMicrobiota

Identifiers

PMID34628621
PMCPMC8578365
OpenAlexW3205507100

What OpenQuestion holds

Textmetadata
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.