Evidence map›Paper›PMID 41291883›Full record

ArticleMicrobiome2025

Cervicovaginal microbiome alters transcriptomic and chromatin accessibility signatures across cervicovaginal epithelial barriers.

Lauren Anton, Ana G Cristancho, Briana Ferguson, Jacques Ravel, Michal A Elovitz

Abstract read
In one paragraph

Article in Microbiome, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing 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

6 citing papers in PubMed.

  1. Article
  2. Article
  3. Review
  4. Review
  5. Microbiota-dependent IFN-L controls uterine and placental immunity.bioRxiv : the preprint server for biology · 2026
    Article
  6. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

5 authors.

Lauren Anton *Center for Women's Health and Reproductive Medicine, Department of Obstetrics and Gynecology, Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA, 19104, USA. lanton@pennmedicine.upenn.edu.
Ana G Cristancho *Division of Child Neurology, Departments of Pediatrics and Neurology, Children's Hospital of Philadelphia, Perelman School of Medicine at the University of Pennsylvania, Philadelphia, PA, 19104, USA.
Briana FergusonCenter for Women's Health and Reproductive Medicine, Department of Obstetrics and Gynecology, Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA, 19104, USA.
Jacques RavelCenter for Advanced Microbiome Research and Innovation (CAMRI), Institute for Genome Sciences (IGS) and Department of Microbiology & Immunology, University of Maryland School of Medicine, Baltimore, MD, 21201, USA.
Michal A ElovitzNuttall Women's Health, New York, NY, USA.

Funding

Deciphering the Role of Vaginal Microbes in Preterm birthR01HD102318 · NICHD · UNIVERSITY OF PENNSYLVANIA · PI ELOVITZ, MICHAL AVIVA · 2020 to 2024
$3.4M
Unraveling mechanisms by which cervicovaginal microbiota can promote or prevent cervical remodeling and preterm birthR01HD098867 · NICHD · UNIVERSITY OF PENNSYLVANIA · PI ELOVITZ, MICHAL AVIVA · 2020 to 2024
$2.9M
Interrogation and Modulation of the Epigenome after Prenatal Hypoxic Brain InjuryK08NS119797 · NINDS · CHILDREN'S HOSP OF PHILADELPHIA · PI Ana Cristancho · 2022 to 2026
$1.1M
NICHD NIH HHS R01 HD098867NICHD NIH HHS R01 HD102318NINDS NIH HHS K08 NS119797
6 · The paper itself

Abstract

backgroundThe cervicovaginal microbiome plays a critical role in women's health with microbial communities dominated by Lactobacillus species considered optimal. In contrast, the depletion of lactobacilli and the presence of a diverse array of strict and facultative anaerobes, such as Gardnerella vaginalis, have been linked with adverse reproductive outcomes. Despite these associations, the molecular mechanisms by which host-microbial interactions modulate cervical and vaginal epithelial function remains poorly understood.

resultsIn this study, we used RNA sequencing to characterize the transcriptional response of cervicovaginal epithelial cells exposed to the culture supernatants of common vaginal bacteria. Our findings revealed that G. vaginalis culture supernatants upregulate genes associated with an activated innate immune response and increased cell death. Conversely, Lactobacillus crispatus culture supernatants induced transcriptional changes indicative of epigenomic modeling in ectocervical epithelial cells. Epigenomic modification by L. crispatus was confirmed by ATAC-sequencing, which demonstrated reduced chromatin accessibility.

conclusionsThese results provide new insights into host-microbe interactions within the lower reproductive tract and suggest that modulating the cervicovaginal microbiome could offer innovative therapeutic strategies to improve reproductive health. Video Abstract.

Indexed as

Cervix UteriChromatinEpithelial CellsMicrobiotaTranscriptomeVaginaFemaleGardnerella vaginalisHost Microbial InteractionsHumansLactobacillus crispatusChromatinAnti-microbial peptidesATAC-seqCervixChromatinEpithelial cellsGardnerella vaginalisLactobacillus crispatusRNA-seqWomen’s health

Identifiers

PMID41291883
PMCPMC12649077

What OpenQuestion holds

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LicenceCC BY-NC-ND
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.