Evidence map›Paper›PMID 37491398›Full record

ArticleMicrobiome2023

Increased genital mucosal cytokines in Canadian women associate with higher antigen-presenting cells, inflammatory metabolites, epithelial barrier disruption, and the depletion of L. crispatus.

Christina Farr Zuend, Alana Lamont, Laura Noel-Romas, Samantha Knodel, Kenzie Birse, Kateryna Kratzer, Peter McQueen, Michelle Perner, Hossaena Ayele, Sarah Mutch and 11 more

Open access · goldAbstract readVideo-Audio Media
In one paragraph

Article in Microbiome, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers.

0numbers the graph read from it
0cells of the map it votes in
21citing papers in PubMed
3.5field-weighted citation impact, top 7% 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

21 citing papers in PubMed, 19 citations in OpenAlex.

  1. Review
  2. Article
  3. Article
  4. Review
  5. Innate Immune Protection Against HIV in the Female Genital Tract.American journal of reproductive immunology (New York, N.Y. : 1989) · 2026
    Review
  6. Article
  7. Article
  8. Review
  9. Review
  10. Article
  11. Article
  12. Review
  13. The Impact of Menopause on Autoimmune and Rheumatic Diseases.Clinical reviews in allergy & immunology · 2025
    Review
  14. Aging Is Associated With Decreased Lactobacillus and Increased Cervicovaginal Inflammation in Canadian Women.American journal of reproductive immunology (New York, N.Y. : 1989) · 2025
    Article
  15. Understanding the Associations of Urogenital Microbiomes With Fertility and In Vitro Fertilization.American journal of reproductive immunology (New York, N.Y. : 1989) · 2025
    Review
  16. 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

21 authors at 6 institutions in 3 countries.

Christina Farr Zuend *Center for Global Health and Diseases, Department of Pathology, Case Western Reserve University, Cleveland, USA. christina.farr@case.edu.
Alana Lamont *Department of Medical Microbiology and Infectious Diseases, University of Manitoba, Winnipeg, Canada.
Laura Noel-RomasCenter for Global Health and Diseases, Department of Pathology, Case Western Reserve University, Cleveland, USA.
Samantha KnodelCenter for Global Health and Diseases, Department of Pathology, Case Western Reserve University, Cleveland, USA.
Kenzie BirseCenter for Global Health and Diseases, Department of Pathology, Case Western Reserve University, Cleveland, USA.
Kateryna KratzerDepartment of Medical Microbiology and Infectious Diseases, University of Manitoba, Winnipeg, Canada.
Peter McQueenJC Wilt Infectious Disease Research Centre, National Microbiology Laboratory, Public Health Agency of Canada, Winnipeg, Canada.
Michelle PernerJC Wilt Infectious Disease Research Centre, National Microbiology Laboratory, Public Health Agency of Canada, Winnipeg, Canada.
Hossaena AyeleCenter for Global Health and Diseases, Department of Pathology, Case Western Reserve University, Cleveland, USA.
Sarah MutchDepartment of Medical Microbiology and Infectious Diseases, University of Manitoba, Winnipeg, Canada.
Alicia R BerardCenter for Global Health and Diseases, Department of Pathology, Case Western Reserve University, Cleveland, USA.
John J SchellenbergDepartment of Medical Microbiology and Infectious Diseases, University of Manitoba, Winnipeg, Canada.
Faruk SenturkCenter for Global Health and Diseases, Department of Pathology, Case Western Reserve University, Cleveland, USA.
Stuart McCorristerJC Wilt Infectious Disease Research Centre, National Microbiology Laboratory, Public Health Agency of Canada, Winnipeg, Canada.
Garrett WestmacottJC Wilt Infectious Disease Research Centre, National Microbiology Laboratory, Public Health Agency of Canada, Winnipeg, Canada.
Fran MulhallHealth Sciences Centre, Winnipeg, Canada.
Bonnie SandbergHealth Sciences Centre, Winnipeg, Canada.
Adelicia YuDepartment of Obstetrics, Gynecology & Reproductive Sciences, University of Manitoba, Winnipeg, Canada.
Margaret BurnettDepartment of Obstetrics, Gynecology & Reproductive Sciences, University of Manitoba, Winnipeg, Canada.
Vanessa PoliquinDepartment of Obstetrics, Gynecology & Reproductive Sciences, University of Manitoba, Winnipeg, Canada.
Adam D BurgenerCenter for Global Health and Diseases, Department of Pathology, Case Western Reserve University, Cleveland, USA. adam.burgener@case.edu.
University of Manitoba · CACase Western Reserve University · USPublic Health Agency of Canada · CACenter for Global Health · USHealth Sciences Centre · CAKarolinska Institutet · SE

Funding

CIHR HB3-164066
6 · The paper itself

Abstract

backgroundCervicovaginal inflammation has been linked to negative reproductive health outcomes including the acquisition of HIV, other sexually transmitted infections, and cervical carcinogenesis. While changes to the vaginal microbiome have been linked to genital inflammation, the molecular relationships between the functional components of the microbiome with cervical immunology in the reproductive tract are understudied, limiting our understanding of mucosal biology that may be important for reproductive health.

resultsIn this study, we used a multi'-omics approach to profile cervicovaginal samples collected from 43 Canadian women to characterize host, immune, functional microbiome, and metabolome features of cervicovaginal inflammation. We demonstrate that inflammation is associated with lower amounts of L. crispatus and higher levels of cervical antigen-presenting cells (APCs). Proteomic analysis showed an upregulation of pathways related to neutrophil degranulation, complement, and leukocyte migration, with lower levels of cornified envelope and cell-cell adherens junctions. Functional microbiome analysis showed reductions in carbohydrate metabolism and lactic acid, with increases in xanthine and other metabolites. Bayesian network analysis linked L. crispatus with glycolytic and nucleotide metabolism, succinate and xanthine, and epithelial proteins SCEL and IVL as major molecular features associated with pro-inflammatory cytokines and increased APCs.

conclusionsThis study identified key molecular and immunological relationships with cervicovaginal inflammation, including higher APCs, bacterial metabolism, and proteome alterations that underlie inflammation. As APCs are involved in HIV transmission, parturition, and cervical cancer progression, further studies are needed to explore the interactions between these cells, bacterial metabolism, mucosal immunity, and their relationship to reproductive health. Video Abstract.

Indexed as

HIV InfectionsAntigen-Presenting CellsBayes TheoremCanadaCytokinesFemaleHumansInflammationProteomicsVaginaXanthinesCytokinesXanthinesAntigen-presenting cellsInflammationMetabolomeMetaproteomeMicrobiome

Identifiers

PMID37491398
PMCPMC10367425
OpenAlexW4385233671

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.