Microbial diversity in the vaginal microbiota in women with high-grade squamous intraepithelial lesion

Aim. To study the types of vaginal microbial communities in women with high-grade squamous intraepithelial lesion (HSIL) and those negative for intraepithelial lesion or malig­nancy (NILM).Materials and Methods. Between 2021 and 2023, we conducted an analysis of vaginal microbial com­munity types am...

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Main Authors: E. F. Kira, A. V. Kolsanova, S. M. Chechko, A. V. Lyamin
Format: Article
Language:Russian
Published: Kemerovo State Medical University 2025-03-01
Series:Фундаментальная и клиническая медицина
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Online Access:https://fcm.kemsmu.ru/jour/article/view/968
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author E. F. Kira
A. V. Kolsanova
S. M. Chechko
A. V. Lyamin
author_facet E. F. Kira
A. V. Kolsanova
S. M. Chechko
A. V. Lyamin
author_sort E. F. Kira
collection DOAJ
description Aim. To study the types of vaginal microbial communities in women with high-grade squamous intraepithelial lesion (HSIL) and those negative for intraepithelial lesion or malig­nancy (NILM).Materials and Methods. Between 2021 and 2023, we conducted an analysis of vaginal microbial com­munity types among 70 women of reproductive age infected with high-risk oncogenic HPV: those with HSIL verified by cytological examination (n = 40) and those without precancerous cervical lesions (i.e., NILM, n = 30). Identification of microorganisms in the cervical mucus was identified by mass spectrometry.Results. The frequency of normal microbiota detected by the microscopic examination was 5.3-fold lower, whilst Streptococcus spp. was detected 3-fold times higher in women with HSIL compared to the NILM group (p = 0.023). Among patients with HSIL, community state type (CST) IV was the most frequent (75%), and CST IV-C1 subtype (with Streptococcus spp. as a prevailing genus) was found in 25% of cases (p = 0.132). In patients with NILM, CST IV was also the predominant type (60%) but CST IV-C2 (with En­terococcus spp. as a prevailing genus) was most frequent subtype (23.3%, p = 0.087). The prevalence of HPV type 16 and grade 2 abnormal colposcopy findings were 3.9-fold (p = 0.008) and 3.5-fold (p = 0.040) higher in women with HSIL than in NILM (p = 0.008).Conclusion. The predominant type among vaginal microbial communities in women with HSIL and NILM was CST IV, with C1 and C2 subtypes pre­vailing respectively in HSIL and NILM.
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spelling doaj-art-5a43de8566004f1eb80c3971f28f0ffa2025-08-20T03:57:40ZrusKemerovo State Medical UniversityФундаментальная и клиническая медицина2500-07642542-09412025-03-01101293810.23946/2500-0764-2025-10-1-29-38464Microbial diversity in the vaginal microbiota in women with high-grade squamous intraepithelial lesionE. F. Kira0A. V. Kolsanova1S. M. Chechko2A. V. Lyamin3Medical Academy, MEDSI Group of CompaniesSamara State Medical UniversitySamara State Medical UniversitySamara State Medical UniversityAim. To study the types of vaginal microbial communities in women with high-grade squamous intraepithelial lesion (HSIL) and those negative for intraepithelial lesion or malig­nancy (NILM).Materials and Methods. Between 2021 and 2023, we conducted an analysis of vaginal microbial com­munity types among 70 women of reproductive age infected with high-risk oncogenic HPV: those with HSIL verified by cytological examination (n = 40) and those without precancerous cervical lesions (i.e., NILM, n = 30). Identification of microorganisms in the cervical mucus was identified by mass spectrometry.Results. The frequency of normal microbiota detected by the microscopic examination was 5.3-fold lower, whilst Streptococcus spp. was detected 3-fold times higher in women with HSIL compared to the NILM group (p = 0.023). Among patients with HSIL, community state type (CST) IV was the most frequent (75%), and CST IV-C1 subtype (with Streptococcus spp. as a prevailing genus) was found in 25% of cases (p = 0.132). In patients with NILM, CST IV was also the predominant type (60%) but CST IV-C2 (with En­terococcus spp. as a prevailing genus) was most frequent subtype (23.3%, p = 0.087). The prevalence of HPV type 16 and grade 2 abnormal colposcopy findings were 3.9-fold (p = 0.008) and 3.5-fold (p = 0.040) higher in women with HSIL than in NILM (p = 0.008).Conclusion. The predominant type among vaginal microbial communities in women with HSIL and NILM was CST IV, with C1 and C2 subtypes pre­vailing respectively in HSIL and NILM.https://fcm.kemsmu.ru/jour/article/view/968cst classificationmicrobial communitiescervicovaginal microbiotacervical dysplasiamass spectrometryhuman papillomavirus infection
spellingShingle E. F. Kira
A. V. Kolsanova
S. M. Chechko
A. V. Lyamin
Microbial diversity in the vaginal microbiota in women with high-grade squamous intraepithelial lesion
Фундаментальная и клиническая медицина
cst classification
microbial communities
cervicovaginal microbiota
cervical dysplasia
mass spectrometry
human papillomavirus infection
title Microbial diversity in the vaginal microbiota in women with high-grade squamous intraepithelial lesion
title_full Microbial diversity in the vaginal microbiota in women with high-grade squamous intraepithelial lesion
title_fullStr Microbial diversity in the vaginal microbiota in women with high-grade squamous intraepithelial lesion
title_full_unstemmed Microbial diversity in the vaginal microbiota in women with high-grade squamous intraepithelial lesion
title_short Microbial diversity in the vaginal microbiota in women with high-grade squamous intraepithelial lesion
title_sort microbial diversity in the vaginal microbiota in women with high grade squamous intraepithelial lesion
topic cst classification
microbial communities
cervicovaginal microbiota
cervical dysplasia
mass spectrometry
human papillomavirus infection
url https://fcm.kemsmu.ru/jour/article/view/968
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AT avlyamin microbialdiversityinthevaginalmicrobiotainwomenwithhighgradesquamousintraepitheliallesion