Evidence map›Paper›PMID 39804954›Full record

ArticleThe Journal of infectious diseases2025

Use of Intravaginal Cooling to Provide Symptom Relief in Women With Vulvovaginal Candidiasis and Reduce Immunopathology in an Accompanying Mouse Model.

Junko Yano, Kimberly Langdon, Michael Swor, Mairi C Noverr, Paul L Fidel

Abstract read
In one paragraph

Article in The Journal of infectious diseases, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact
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

2 citing papers in PubMed.

  1. Article
  2. Article
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

5 authors.

Junko YanoDepartment of Oral and Craniofacial Biology, School of Dentistry, LSU Health, New Orleans, Louisiana, USA.ORCID 0000-0002-3690-7910
Kimberly LangdonCoologics, Inc., Cleveland, Ohio, USA.ORCID 0000-0003-0191-2928
Michael SworPhysicians Care Clinical Research Center, Sarasota Memorial Hospital, Sarasota, Florida, USA.
Mairi C NoverrDepartment of Oral and Craniofacial Biology, School of Dentistry, LSU Health, New Orleans, Louisiana, USA.ORCID 0000-0002-8812-1450
Paul L FidelDepartment of Oral and Craniofacial Biology, School of Dentistry, LSU Health, New Orleans, Louisiana, USA.ORCID 0000-0001-8066-5763

Funding

Tracking & Evaluation CoreU54GM104940 · NIGMS · LSU PENNINGTON BIOMEDICAL RESEARCH CTR · PI JUDD E SHELLITO · 2012 to 2026
$69.1M
CoologicsLSU Health FoundationNIGMS NIH HHS U54 GM104940
6 · The paper itself

Abstract

backgroundVulvovaginal candidiasis (VVC), caused primarily by Candida albicans, is treated with anti-fungal drugs, often with variable efficacy and relapses. New therapeutic strategies, including drug-free alternatives, are needed. Upon overgrowth or environmental triggers, C. albicans commensal yeast transitions into hyphae resulting in an aberrant immunopathologic neutrophil response that contributes to the characteristic signs and symptoms of vaginitis. The purpose of this study was to evaluate the efficacy of an intravaginal cooling device (Vlisse) in women with VVC to provide symptom relief via putative reversal of C. albicans hyphae to yeast, with additional proof of principle in an animal model.

methodsFive women with VVC were instructed to use the device twice daily for 3 days. Vulvovaginal symptoms were monitored and scored for each use, followed by pelvic examination at 30 days. A mouse model of VVC employed cooled micro stir rods to evaluate the cooling effect on fungal morphology and vaginal immunopathology.

resultsClinical cure was achieved in all women. In the mouse model, the insertion of pre-cooled magnetic rods intravaginally for short periods over 3 days, reduced the immunopathogenic neutrophil infiltration and hyphae.

conclusionsIntravaginal cooling provides clinical cure for VVC and proof of principle in an animal model.

Indexed as

Candida albicansCandidiasis, VulvovaginalAdultAnimalsDisease Models, AnimalFemaleHumansHyphaeMiceTreatment OutcomeVaginaYoung AdultCandida albicanshyphaeinflammationnon-pharmacologic therapiesvulvovaginal candidiasis

Identifiers

PMID39804954
PMCPMC11998563

What OpenQuestion holds

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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.