Evidence map›Paper›PMID 37591872›Full record

ArticleNature communications2023

Microdiversity of the vaginal microbiome is associated with preterm birth.

Jingqiu Liao, Liat Shenhav, Julia A Urban, Myrna Serrano, Bin Zhu, Gregory A Buck, Tal Korem

Open access · goldAbstract read
In one paragraph

Article in Nature communications, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 42 papers.

0numbers the graph read from it
0cells of the map it votes in
42citing papers in PubMed
10.9field-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

42 citing papers in PubMed, 57 citations in OpenAlex.

  1. Trial
  2. Vaginal Microbiome and Preterm Birth in Pregnant Women From India.The journal of obstetrics and gynaecology research · 2026
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  13. Comparative metagenomics using pan-metagenomic graphs.bioRxiv : the preprint server for biology · 2025
    Article
  14. Vaginal microbiome and its implications in preterm birth.Obstetrics & gynecology science · 2025
    Review
  15. Article
  16. Increased vaginalmSystems · 2025
    Article
  17. Review
  18. Article
  19. Article
  20. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

7 authors at 5 institutions in 2 countries.

Jingqiu Liao *Program for Mathematical Genomics, Department of Systems Biology, Columbia University Irving Medical Center, New York, NY, USA. liaoj@vt.edu.ORCID http://orcid.org/0000-0002-2579-8157
Liat Shenhav *Center for Studies in Physics and Biology, Rockefeller University, New York, NY, USA.
Julia A UrbanProgram for Mathematical Genomics, Department of Systems Biology, Columbia University Irving Medical Center, New York, NY, USA.ORCID http://orcid.org/0000-0002-6950-6435
Myrna SerranoDepartment of Microbiology and Immunology, School of Medicine, Virginia Commonwealth University, Richmond, VA, USA.ORCID http://orcid.org/0000-0003-4327-0193
Bin ZhuDepartment of Microbiology and Immunology, School of Medicine, Virginia Commonwealth University, Richmond, VA, USA.
Gregory A BuckDepartment of Microbiology and Immunology, School of Medicine, Virginia Commonwealth University, Richmond, VA, USA.ORCID http://orcid.org/0000-0003-4621-3987
Tal KoremProgram for Mathematical Genomics, Department of Systems Biology, Columbia University Irving Medical Center, New York, NY, USA. tal.korem@columbia.edu.ORCID http://orcid.org/0000-0002-0609-0858
Virginia Commonwealth University · USCanadian Institute for Advanced Research · CAColumbia University · USColumbia University Irving Medical Center · USRockefeller University · US

Funding

A Multi-'omic Analysis of the Vaginal Microbiome during PregnancyU54HD080784 · NICHD · VIRGINIA COMMONWEALTH UNIVERSITY · PI BUCK, GREGORY ALLEN, JEFFERSON, KIMBERLY KAY · 2014 to 2015
$8.2M
A large scale investigation of the vaginal metagenome and metabolome and their role in spontaneous preterm birthR01HD106017 · NICHD · COLUMBIA UNIVERSITY HEALTH SCIENCES · PI KOREM, TAL · 2021 to 2025
$3.6M
NICHD NIH HHS R01 HD106017NICHD NIH HHS U54 HD080784
6 · The paper itself

Abstract

Preterm birth (PTB) is the leading cause of neonatal morbidity and mortality. The vaginal microbiome has been associated with PTB, yet the mechanisms underlying this association are not fully understood. Understanding microbial genetic adaptations to selective pressures, especially those related to the host, may yield insights into these associations. Here, we analyze metagenomic data from 705 vaginal samples collected during pregnancy from 40 women who delivered preterm spontaneously and 135 term controls from the Multi-Omic Microbiome Study-Pregnancy Initiative. We find that the vaginal microbiome of pregnancies that ended preterm exhibited unique genetic profiles. It was more genetically diverse at the species level, a result which we validate in an additional cohort, and harbored a higher richness and diversity of antimicrobial resistance genes, likely promoted by transduction. Interestingly, we find that Gardnerella species drove this higher genetic diversity, particularly during the first half of the pregnancy. We further present evidence that Gardnerella spp. underwent more frequent recombination and stronger purifying selection in genes involved in lipid metabolism. Overall, our population genetics analyses reveal associations between the vaginal microbiome and PTB and suggest that evolutionary processes acting on vaginal microbes may play a role in adverse pregnancy outcomes such as PTB.

Indexed as

MicrobiotaPremature BirthAcclimatizationBiological EvolutionFemaleHumansInfant, NewbornMetagenomePregnancy

Identifiers

PMID37591872
PMCPMC10435516
OpenAlexW4385948318

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.