Evidence map›Paper›PMID 36182683›Full record

ArticleCell reports. Medicine2022

Recurrent urinary tract infection and estrogen shape the taxonomic ecology and function of the postmenopausal urogenital microbiome.

Michael L Neugent, Ashwani Kumar, Neha V Hulyalkar, Kevin C Lutz, Vivian H Nguyen, Jorge L Fuentes, Cong Zhang, Amber Nguyen, Belle M Sharon, Amy Kuprasertkul and 9 more

Open access · goldAbstract read
In one paragraph

Article in Cell reports. Medicine, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 54 papers.

0numbers the graph read from it
0cells of the map it votes in
54citing papers in PubMed
10.3field-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

54 citing papers in PubMed, 70 citations in OpenAlex.

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  7. Observational
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  12. Article
  13. More than an infection: the ecological puzzle of recurrent urinary tract infections.Frontiers in cellular and infection microbiology · 2026
    Review
  14. Review
  15. Article
  16. Review
  17. Review
  18. Article
  19. Article
  20. Bacteriophage-mediated reduction of uropathogenicbioRxiv : the preprint server for biology · 2025
    Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

19 authors at 3 institutions in 1 country.

Michael L NeugentDepartment of Biological Sciences, The University of Texas at Dallas, Richardson, TX, USA.
Ashwani KumarEugene McDermott Center for Human Growth and Development, The University of Texas Southwestern Medical Center, Dallas, TX, USA.
Neha V HulyalkarDepartment of Biological Sciences, The University of Texas at Dallas, Richardson, TX, USA.
Kevin C LutzDepartment of Mathematical Sciences, The University of Texas at Dallas, Richardson, TX, USA.
Vivian H NguyenDepartment of Biological Sciences, The University of Texas at Dallas, Richardson, TX, USA.
Jorge L FuentesDepartment of Urology, The University of Texas Southwestern Medical Center, Dallas, TX, USA.
Cong ZhangDepartment of Mathematical Sciences, The University of Texas at Dallas, Richardson, TX, USA.
Amber NguyenDepartment of Biological Sciences, The University of Texas at Dallas, Richardson, TX, USA.
Belle M SharonDepartment of Biological Sciences, The University of Texas at Dallas, Richardson, TX, USA.
Amy KuprasertkulDepartment of Urology, The University of Texas Southwestern Medical Center, Dallas, TX, USA.
Amanda P AruteDepartment of Biological Sciences, The University of Texas at Dallas, Richardson, TX, USA.
Tahmineh EbrahimzadehDepartment of Biological Sciences, The University of Texas at Dallas, Richardson, TX, USA.
Nitya NatesanDepartment of Biological Sciences, The University of Texas at Dallas, Richardson, TX, USA.
Chao XingEugene McDermott Center for Human Growth and Development, The University of Texas Southwestern Medical Center, Dallas, TX, USA; Department of Bioinformatics, The University of Texas Southwestern Medical Center, Dallas, TX, USA; Department of Population and Data Sciences, The University of Texas Southwestern Medical Center, Dallas, TX, USA.
Vladimir ShulaevDepartment of Biological Sciences, The University of North Texas, Denton, TX, USA; Advanced Environmental Research Institute, The University of North Texas, Denton, TX, USA.
Qiwei LiDepartment of Mathematical Sciences, The University of Texas at Dallas, Richardson, TX, USA.
Philippe E ZimmernDepartment of Urology, The University of Texas Southwestern Medical Center, Dallas, TX, USA.
Kelli L PalmerDepartment of Biological Sciences, The University of Texas at Dallas, Richardson, TX, USA.
Nicole J De NiscoDepartment of Biological Sciences, The University of Texas at Dallas, Richardson, TX, USA; Department of Urology, The University of Texas Southwestern Medical Center, Dallas, TX, USA. Electronic address: nicole.denisco@utdallas.edu.
The University of Texas at Dallas · USThe University of Texas Southwestern Medical Center · USUniversity of North Texas · US

Funding

Defining the dynamics of urobiome structure and function in postmenopausal women and its role in recurrent UTI susceptibilityR01DK131267 · NIDDK · UNIVERSITY OF TEXAS DALLAS · PI DE NISCO, NICOLE JANELL · 2021 to 2025
$1.5M
NIDDK NIH HHS R01 DK131267
6 · The paper itself

Abstract

Postmenopausal women are severely affected by recurrent urinary tract infection (rUTI). The urogenital microbiome is a key component of the urinary environment. However, changes in the urogenital microbiome underlying rUTI susceptibility are unknown. Here, we perform shotgun metagenomics and advanced culture on urine from a controlled cohort of postmenopausal women to identify urogenital microbiome compositional and function changes linked to rUTI susceptibility. We identify candidate taxonomic biomarkers of rUTI susceptibility in postmenopausal women and an enrichment of lactobacilli in postmenopausal women taking estrogen hormone therapy. We find robust correlations between Bifidobacterium and Lactobacillus and urinary estrogens in women without urinary tract infection (UTI) history. Functional analyses reveal distinct metabolic and antimicrobial resistance gene (ARG) signatures associated with rUTI. Importantly, we find that ARGs are enriched in the urogenital microbiomes of women with rUTI history independent of current UTI status. Our data suggest that rUTI and estrogen shape the urogenital microbiome in postmenopausal women.

Indexed as

Anti-Infective AgentsMicrobiotaUrinary Tract InfectionsEstrogensFemaleHumansLactobacillusPostmenopauseAnti-Infective AgentsEstrogensantibiotic resistancebladderdysbiosisEscherichia coliestrogenLactobacillus crispatusmetagenomicspostmenopausal womenurinary tract infectionurogenital microbiome

Identifiers

PMID36182683
PMCPMC9588997
OpenAlexW4298127660

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.