Evidence map›Paper›PMID 40688082›Full record

ArticleFrontiers in immunology2025

Vaginal microbiome dysbiosis and sexually transmitted infections correlate with concentrations of immunoglobulin isotypes in human cervicovaginal mucus: insights into HIV-1 transmission.

Matrona M Akiso, Israel Abook, Marianne W Mureithi, Janet Kombo, Print Koi, Joel Musando, Ruth J Chirchir, Michael D McRaven, Ann M Carias, Sarah Joseph and 2 more

Abstract read
In one paragraph

Article in Frontiers in immunology, 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. Innate Immune Protection Against HIV in the Female Genital Tract.American journal of reproductive immunology (New York, N.Y. : 1989) · 2026
    Review
  2. Review
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

12 authors.

Matrona M AkisoDepartment of Medical Microbiology and Immunology, Faculty of Health Sciences, University of Nairobi, Nairobi, Kenya.
Israel AbookDepartment of Medical Microbiology and Immunology, Faculty of Health Sciences, University of Nairobi, Nairobi, Kenya.
Marianne W MureithiDepartment of Medical Microbiology and Immunology, Faculty of Health Sciences, University of Nairobi, Nairobi, Kenya.
Janet KomboDepartment of Medical Microbiology and Immunology, Faculty of Health Sciences, University of Nairobi, Nairobi, Kenya.
Print KoiDepartment of Medical Microbiology and Immunology, Faculty of Health Sciences, University of Nairobi, Nairobi, Kenya.
Joel MusandoKAVI - Institute of Clinical Research, Faculty of Health Sciences, University of Nairobi, Nairobi, Kenya.
Ruth J ChirchirKAVI - Institute of Clinical Research, Faculty of Health Sciences, University of Nairobi, Nairobi, Kenya.
Michael D McRavenFeinberg School of Medicine, Cell and Developmental Biology Department, Northwestern University, Chicago, IL, United States.
Ann M CariasFeinberg School of Medicine, Cell and Developmental Biology Department, Northwestern University, Chicago, IL, United States.
Sarah JosephDepartment of Infectious Disease, Faculty of Medicine, Imperial College London, London, United Kingdom.
Omu AnzalaDepartment of Medical Microbiology and Immunology, Faculty of Health Sciences, University of Nairobi, Nairobi, Kenya.
Thomas J HopeFeinberg School of Medicine, Cell and Developmental Biology Department, Northwestern University, Chicago, IL, United States.

Funding

Characterizing Mucosal Changes in the FRT Leading to Increased HIV AcquisitionR01AI146087 · NIAID · NORTHWESTERN UNIVERSITY AT CHICAGO · PI HOPE, THOMAS · 2019 to 2024
$3.4M
NIAID NIH HHS R01 AI146087
6 · The paper itself

Abstract

Introduction: Little is known about the relationship between antibody isotype in cervicovaginal mucus (CVM) and the local microenvironment and how this impacts HIV-1 transmission at the female genital mucosa. Methods: In a cohort of 139 adult women in Kenya, we measured antibody isotypes in CVM and describe their associations with local pH, serum concentrations of estrogen and progesterone, and sexually transmitted infections (STIs), including HIV-1. Results: We found that immunoglobulin G2 (IgG2) was the most abundant and IgG4 was the least abundant in the CVM. Overall, IgG1 concentrations were significantly lower in CVM samples from women with bacterial vaginosis (BV) compared to those without BV. Among women with BV, IgG1 concentrations declined further as vaginal pH increased, suggesting possible pH-mediated degradation. We also report negative associations of BV status with IgG3 and IgG4. In addition, infection with Discussion: Importantly, our study builds on previous work, providing a potential mechanism by which BV and STIs may modulate immunoglobulin isotype and subclass content in the CVM. These results highlight the need for proper treatment of BV and other STIs, as this could impact the effectiveness of HIV-1 vaccines targeted at enhancing specific immunoglobulin responses in the cervicovaginal mucosa.

Indexed as

Cervix MucusDysbiosisHIV-1HIV InfectionsImmunoglobulin IsotypesMicrobiotaSexually Transmitted DiseasesVaginaAdultCervix UteriFemaleHumansImmunoglobulin GKenyaVaginosis, BacterialYoung AdultImmunoglobulin GImmunoglobulin Isotypesbacterial vaginosiscervicovaginal mucusHIV-1immunoglobulinsSTIs

Identifiers

PMID40688082
PMCPMC12271226

What OpenQuestion holds

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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.