A Systems Biology Approach Investigating the Effect of Probiotics on the Vaginal Microbiome and Host Responses in a Double Blind, Placebo-Controlled Clinical Trial of Post-Menopausal Women

Autor: Gregory B. Gloor, Brenda Ford, Jordan E. Bisanz, Mark W. Sumarah, Amy McMillan, David W. Koenig, Lung Fai Wong, Rebecca Ann Vongsa, Shannon Seney, Barbara Jo Dvoracek, Dorli Herman, Jeremy P. Burton, Gregor Reid
Jazyk: angličtina
Rok vydání: 2014
Předmět:
Limosilactobacillus reuteri
Physiology
lcsh:Medicine
Bioinformatics
law.invention
Placebos
Probiotic
law
Lactobacillus
RNA
Ribosomal
16S

Medicine and Health Sciences
lcsh:Science
Aged
80 and over

Multidisciplinary
biology
Ecology
Lacticaseibacillus rhamnosus
Microbiota
Systems Biology
Genomics
Vaginosis
Bacterial

Middle Aged
Postmenopause
Treatment Outcome
Vagina
Female
Bacterial vaginosis
Menopause
Research Article
Adult
Microbial Genomics
Placebo
Microbiology
Microbial Ecology
Tight Junctions
Lactobacillus rhamnosus
Double-Blind Method
medicine
Genetics
Humans
Aged
Endocrine Physiology
Probiotics
lcsh:R
Biology and Life Sciences
biology.organism_classification
medicine.disease
Crossover study
Toll-Like Receptor 2
Lactobacillus reuteri
Administration
Intravaginal

lcsh:Q
Nugent score
Microbiome
Zdroj: PLoS ONE
PLoS ONE, Vol 9, Iss 8, p e104511 (2014)
ISSN: 1932-6203
0213-9839
Popis: UNLABELLED:A lactobacilli dominated microbiota in most pre and post-menopausal women is an indicator of vaginal health. The objective of this double blinded, placebo-controlled crossover study was to evaluate in 14 post-menopausal women with an intermediate Nugent score, the effect of 3 days of vaginal administration of probiotic L. rhamnosus GR-1 and L. reuteri RC-14 (2.5×109 CFU each) on the microbiota and host response. The probiotic treatment did not result in an improved Nugent score when compared to when placebo. Analysis using 16S rRNA sequencing and metabolomics profiling revealed that the relative abundance of Lactobacillus was increased following probiotic administration as compared to placebo, which was weakly associated with an increase in lactate levels. A decrease in Atopobium was also observed. Analysis of host responses by microarray showed the probiotics had an immune-modulatory response including effects on pattern recognition receptors such as TLR2 while also affecting epithelial barrier function. This is the first study to use an interactomic approach for the study of vaginal probiotic administration in post-menopausal women. It shows that in some cases multifaceted approaches are required to detect the subtle molecular changes induced by the host to instillation of probiotic strains. TRIAL REGISTRATION:ClinicalTrials.gov NCT02139839.
Databáze: OpenAIRE