Evidence map›Paper›PMID 39874304›Full record

ArticleThe Journal of infectious diseases2025

Bacterial Vaginosis Is Associated With Transcriptomic Changes but Not Higher Concentrations of Cervical Leukocytes in a Study of Women at High Risk for Human Immunodeficiency Virus Acquisition.

Michelle C Sabo, Salwa Mustafa, Aparajita Saha, Brenda Oyaro, Tina L Fiedler, Melissa Krueger, Esther Fuchs, Marianne Mureithi, Kishor Mandaliya, Walter Jaoko and 5 more

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 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing 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

3 citing papers in PubMed.

  1. Article
  2. Microbiota-dependent IFN-L controls uterine and placental immunity.bioRxiv : the preprint server for biology · 2026
    Article
  3. Reply to Yu et al.The Journal of infectious diseases · 2025
    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

15 authors.

Michelle C SaboDepartment of Medicine, University of Washington, Seattle, Washington.ORCID 0000-0002-5058-3166
Salwa MustafaDepartment of Medicine, University of Washington, Seattle, Washington.ORCID 0009-0000-1391-4272
Aparajita SahaDepartment of Medicine, University of Washington, Seattle, Washington.ORCID 0000-0002-5014-6687
Brenda OyaroDepartment of Medicine, University of Washington, Seattle, Washington.
Tina L FiedlerVaccine and Infectious Disease Division, Fred Hutchinson Cancer Center, Seattle, Washington.
Melissa KruegerDepartment of Medicine, University of Washington, Seattle, Washington.ORCID 0000-0002-6276-3463
Esther FuchsDepartment of Obstetrics and Gynecology, University of Washington, Seattle, Washington.
Marianne MureithiDepartment of Medical Microbiology and Immunology, University of Nairobi, Kenya.
Kishor MandaliyaInstitute of Tropical and Infectious Diseases, University of Nairobi, Kenya.
Walter JaokoDepartment of Medical Microbiology and Immunology, University of Nairobi, Kenya.
Barbra A RichardsonVaccine and Infectious Disease Division, Fred Hutchinson Cancer Center, Seattle, Washington.
Sina A GharibDepartment of Medicine, University of Washington, Seattle, Washington.
David N FredricksDepartment of Medicine, University of Washington, Seattle, Washington.
Javeed A ShahDepartment of Medicine, University of Washington, Seattle, Washington.ORCID 0000-0002-2997-7988
R Scott McClellandDepartment of Medicine, University of Washington, Seattle, Washington.

Funding

Vector and Transgenic Mouse CoreP30DK017047 · NIDDK · UNIVERSITY OF WASHINGTON · PI Sakeneh Zraika · 1986 to 2026
$41.4M
Innate immune determinants of HIV rebound and persistenceR01HD103571 · NICHD · FRED HUTCHINSON CANCER RESEARCH CENTER · PI JULIE M. OVERBAUGH · 2020 to 2026
$6.7M
TOLLIP Deficiency, Immune Dysregulation, and Tuberculosis SusceptibilityR01AI136921 · NIAID · UNIVERSITY OF WASHINGTON · PI SHAH, JAVEED ALI · 2018 to 2022
$2.5M
The impact of vaginal microbiota on cervical dendritic cells: an observational study of women from sub-Saharan Africa at high risk for HIV acquisition.K23HD100221 · NICHD · UNIVERSITY OF WASHINGTON · PI SABO, MICHELLE CATHERINE · 2020 to 2024
$804k
The impact of mucociliary clearance on Mycobacterium tuberculosis pathogenesisR21AI165961 · NIAID · UNIVERSITY OF WASHINGTON · PI SHAH, JAVEED ALI · 2023 to 2024
$457k
Acquisition of BD FACSymphony A3 Lite Flow CytometerS10OD024979 · OD · UNIVERSITY OF WASHINGTON · PI BLACK, MICHELE C · 2020 to 2020
$344k
Eunice Kennedy ShriverHuman DevelopmentNational Institute of Allergy and Infectious DiseasesNational Institute of Child HealthNIAID NIH HHS R01 AI136921NIAID NIH HHS R21 AI165961NICHD NIH HHS K23 HD100221NICHD NIH HHS R01 HD103571NIDDK NIH HHS P30 DK017047NIH HHS 1S10OD024979-01A1NIH HHS S10 OD024979University of Washington Center for AIDS Research
6 · The paper itself

Abstract

backgroundThe association between bacterial vaginosis (BV) and increased human immunodeficiency virus (HIV) acquisition risk may be related to concentrations of HIV-susceptible immune cells in the cervix.

methodsParticipants (31 with BV and 30 with normal microbiota) underwent cervical biopsy at a single visit. Immune cells were quantified and sorted using flow cytometry (n = 55), localization assessed by immunofluorescence (n = 16), and function determined by bulk RNA sequencing (RNA-seq) of live CD45+ cells (n = 21).

resultsLinear regression analyses demonstrated no differences in mean log2 (cells/mg tissue) between women with BV versus normal microbiota for antigen-presenting cell (APC) subtypes linked to HIV risk (including CD1a+HLA-DR+ Langerhans cells, CD11c+CD14+ dendritic cells [DCs], and CD11c+HLA-DR+ DCs) and CD4+ T cells. Women with BV had a higher median proportion of CD11c+HLA-DR+ APCs (out of total cells) in cervical epithelium (0.1% vs 0.0%; P = .03 using Mann-Whitney test). RNA-seq identified 1032 differentially expressed genes (adjusted P < .05) in CD45+ cells between women with BV versus normal microbiota. Women with BV demonstrated downregulation of pathways linked to translation, metabolism, cell stress, and immune signaling.

conclusionsBV alters immune cell localization and function; future studies are needed to address how these changes may mediate HIV acquisition risk.

Indexed as

Cervix UteriHIV InfectionsLeukocytesTranscriptomeVaginosis, BacterialAdultCD4-Positive T-LymphocytesDendritic CellsFemaleHumansMiddle AgedYoung Adultbacterial vaginosisdendritic cellfemale reproductive tractHIVmicrobiome

Identifiers

PMID39874304
PMCPMC12247804

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Registered trials

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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.