Evidence map›Paper›PMID 41163171›Full record

ArticleAnnals of clinical microbiology and antimicrobials2025

Peculiarities of vaginal microbiota in perimenopausal and postmenopausal women with type 2 diabetes mellitus.

Xuan Qiu, Man Zhang, Lei Zhang, Hao Chen, Mujie Gao, Wenxiao Li, Zheng Yu, Zhiyong Hou

Abstract read
In one paragraph

Article in Annals of clinical microbiology and antimicrobials, 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

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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. Review
  2. Article
  3. Type 2 diabetes mellitus exacerbates vaginal group BbioRxiv : the preprint server for biology · 2026
    Article
4 · The record

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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

8 authors.

Xuan Qiu *Hebei Medical University Clinical Medicine Postdoctoral Research Station, Shijiazhuang, 050017, Hebei, China.
Man Zhang *School of Medicine, Chongqing University, 400030, Chongqing, China.
Lei ZhangDepartment of obstetrics and gynecology, Third Hospital of Hebei Medical University, Shijiazhuang, 050051, Hebei, China.
Hao ChenHuman Microbiome and Health Group, Department of Microbiology, School of Basic Medical Science, Central South University, Changsha, 410000, Hunan, China.
Mujie GaoDepartment of Endocrinology, Third Hospital of Hebei Medical University, Shijiazhuang, 050051, Hebei, China.
Wenxiao LiDepartment of Orthopaedic Surgery, Third Hospital of Hebei Medical University, Shijiazhuang, 050051, Hebei, China.
Zheng YuHuman Microbiome and Health Group, Department of Microbiology, School of Basic Medical Science, Central South University, Changsha, 410000, Hunan, China. yuzheng@csu.edu.cn.
Zhiyong HouDepartment of Orthopaedic Surgery, Third Hospital of Hebei Medical University, Shijiazhuang, 050051, Hebei, China. drzyhou@hebmu.edu.cn.

Funding

Clinical Medicine Postdoctoral Research Support Program of Hebei Medical University PD2023002Hebei Province Yanzhao Golden Talent Program B2024003014Key R&D Program of the China Ministry of Science and Technology 2024YFC2510600Medical Science Research Subject Plan of Hebei 20230095Natural Science Foundation of Hebei Province,China H2020206490
6 · The paper itself

Abstract

backgroundThe changes in the vaginal microbiota and potential dysbiosis adjustment strategies in diabetic patients remain inconclusive. This study was designed to investigate the impact of Type 2 diabetes mellitus (T2DM) on the ecological dynamics of the vaginal microbiota in perimenopausal and postmenopausal women, with a focus on microbial community structure and functional homeostasis.

methodsVaginal secretion samples from 22 T2DM patients (DM group) and 23 healthy controls (CT group) under perimenopausal and postmenopausal conditions were analyzed via metagenomic sequencing. Alpha diversity (Observe, ACE, Shannon-Weaver, Gini-Simpson indices) and beta diversity (PCoA, NMDS) were assessed. Taxonomic profiling, LEfSe analysis, and co-occurrence network construction were performed to identify differential species and microbial interactions. Neutral community modeling evaluated stochastic vs. deterministic assembly processes.

resultsNo significant differences were observed in age (62.22 ± 5.74 vs. 58.23 ± 7.55, p = 0.052) or perimenopausal/ postmenopausal status (3/19 vs. 5/18, p = 0.748) between the DM and CT groups. The DM group exhibited significantly higher alpha diversity (p < 0.05) and distinct beta diversity clustering (p < 0.05), marked by reduced Lactobacillus relative abundance (28.7% in CT vs. 6.3% in DM) and increased abundance of opportunistic pathogenic genera (Klebsiella, Gardnerella, Staphylococcus). LEfSe identified Firmicutes as CT biomarkers, while the relative abundance of Bacteroidetes and Prevotella increased in DM group. Both fasting blood glucose and HbA

conclusionUnder perimenopausal and postmenopausal conditions, T2DM disrupts vaginal microbiota homeostasis by diminishing protective Lactobacillus populations and promoting pathogen proliferation.

Indexed as

BacteriaDiabetes Mellitus, Type 2MicrobiotaPerimenopausePostmenopauseVaginaAgedDysbiosisFemaleHumansMetagenomicsMiddle AgedDiabetesHomeostasisLactobacillusMetagenomic sequencingPerimenopausalPostmenopausalVaginal microbiota

Identifiers

PMID41163171
PMCPMC12574286

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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.