Evidence map›Paper›PMID 41580838›Full record

ArticleMicrobiome2026

The interactive relationship between Fusobacterium necrophorum, Bacteroides pyogenes, and Porphyromonas levii in driving inflammatory uterine disease.

Dianjun Cao, Mehwish Ammad, Bindu Subhadra, Mrunmaya Kumar Panda, Thomas J Inzana, Federico Cunha, Segundo Casaro, Kristi L Jones, Rosabel Ramirez-Hernandez, John J Bromfield and 2 more

Abstract read
In one paragraph

Article in Microbiome, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. Outer membrane vesicles fromFrontiers in microbiology · 2026
    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

12 authors.

Dianjun Cao *Department of Veterinary Biomedical Sciences, Lewyt College of Veterinary Medicine, Long Island University, Brookville, NY, USA.
Mehwish Ammad *Department of Veterinary Biomedical Sciences, Lewyt College of Veterinary Medicine, Long Island University, Brookville, NY, USA.
Bindu SubhadraDepartment of Veterinary Biomedical Sciences, Lewyt College of Veterinary Medicine, Long Island University, Brookville, NY, USA.
Mrunmaya Kumar PandaDepartment of Veterinary Biomedical Sciences, Lewyt College of Veterinary Medicine, Long Island University, Brookville, NY, USA.
Thomas J InzanaDepartment of Veterinary Biomedical Sciences, Lewyt College of Veterinary Medicine, Long Island University, Brookville, NY, USA.
Federico CunhaDepartment of Pediatrics, Emory University School of Medicine, Atlanta, GA, USA.
Segundo CasaroDepartment of Large Animal Clinical Sciences, University of Florida, Gainesville, FL, USA.
Kristi L JonesDepartment of Large Animal Clinical Sciences, University of Florida, Gainesville, FL, USA.
Rosabel Ramirez-HernandezDepartment of Animal Sciences, University of Florida, Gainesville, FL, USA.
John J BromfieldDepartment of Animal Sciences, University of Florida, Gainesville, FL, USA.
Klibs N A GalvãoDepartment of Large Animal Clinical Sciences, University of Florida, Gainesville, FL, USA.
Soo Jin JeonDepartment of Veterinary Biomedical Sciences, Lewyt College of Veterinary Medicine, Long Island University, Brookville, NY, USA. soojin.jeon@liu.edu.

Funding

National Institute of Food and Agriculture 2021-67015-34420
6 · The paper itself

Abstract

backgroundBovine metritis is associated with uterine microbiota dysbiosis, characterized by the proliferation of Gram-negative anaerobes, including Fusobacterium necrophorum, Bacteroides pyogenes, and Porphyromonas levii. However, the mechanisms by which these opportunistic pathogens proliferate together and contribute to disease remain unclear. This study aimed to identify the interactions among these bacteria and to elucidate their role in the development of metritis.

methodsF. necrophorum, B. pyogenes, and P. levii were isolated from the uteri of cows with metritis and cultured anaerobically in chopped meat carbohydrate broth. Bacterial growth, coaggregation, biofilm formation, endotoxin production, protease activity, adhesion to bovine endometrial epithelial (BEND) cells, and cytotoxicity were evaluated under single-, dual-, and triple-species culture conditions.

resultsAmong the three species, F. necrophorum grew faster and acted as a key species that coaggregated with B. pyogenes and P. levii, promoting multi-species biofilm formation and increasing bacterial adhesion to BEND cells. The growth of B. pyogenes was enhanced by metabolites from P. levii, whereas the growth of P. levii was delayed by metabolites from F. necrophorum. The multi-species biofilm formed by these three bacterial species generated the highest biomass, with P. levii predominantly occupying the basal layer and F. necrophorum and B. pyogenes co-localizing in the upper layer. This spatial arrangement likely reflects the strong biofilm-forming ability of P. levii, which rapidly produces matrix and provides a scaffold for cohabiting species. Endotoxin levels were highest in both F. necrophorum and P. levii, and protease activity was highest in P. levii under mono-culture conditions. However, no synergistic effects were observed for either parameter under co-culture conditions. Interestingly, co-culture with B. pyogenes lowered the endotoxin levels of the other bacteria and attenuated the cytotoxicity of P. levii.

conclusionsOur findings suggest that these opportunistic uterine pathogens interact synergistically to promote bacterial persistence in the uterus rather than exacerbating disease severity, which likely contributes to uterine microbiota dysbiosis and chronic inflammation. Video Abstract.

Indexed as

BacteroidesFusobacterium necrophorumMicrobial InteractionsPorphyromonasUterine DiseasesAnimalsBacterial AdhesionBiofilmsCattleDysbiosisEpithelial CellsFemaleUterusBacteroides pyogenesDairy cowsDysbiosisFusobacterium necrophorumMetritisPolymicrobial infectionPorphyromonas leviiUterine microbiota

Identifiers

PMID41580838
PMCPMC12911390

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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.