Endometrial microbiome during early pregnancy among women with and without chronic endometritis: a pilot study

IntroductionAlthough chronic endometritis (CE) is strongly associated with infertility and adverse pregnancy outcomes, the specific microbiome of women with CE who can conceive remain unclear.MethodsThis study recruited 100 participants aged 18 to 45 years with spontaneously conceived pregnancy who...

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Main Authors: Hong Gao, Na Lu, Yahui Chen, Genlin Li, Huanhuan Li, Innie Chen, Amanda Black, Jenna Gale, Daniel J. Corsi, Xiaolan Wang, Kristin Connor, Shi Wu Wen
Format: Article
Language:English
Published: Frontiers Media S.A. 2025-08-01
Series:Frontiers in Cellular and Infection Microbiology
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Online Access:https://www.frontiersin.org/articles/10.3389/fcimb.2025.1615182/full
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author Hong Gao
Hong Gao
Na Lu
Yahui Chen
Genlin Li
Huanhuan Li
Innie Chen
Innie Chen
Innie Chen
Amanda Black
Jenna Gale
Jenna Gale
Daniel J. Corsi
Daniel J. Corsi
Daniel J. Corsi
Daniel J. Corsi
Xiaolan Wang
Kristin Connor
Shi Wu Wen
Shi Wu Wen
Shi Wu Wen
author_facet Hong Gao
Hong Gao
Na Lu
Yahui Chen
Genlin Li
Huanhuan Li
Innie Chen
Innie Chen
Innie Chen
Amanda Black
Jenna Gale
Jenna Gale
Daniel J. Corsi
Daniel J. Corsi
Daniel J. Corsi
Daniel J. Corsi
Xiaolan Wang
Kristin Connor
Shi Wu Wen
Shi Wu Wen
Shi Wu Wen
author_sort Hong Gao
collection DOAJ
description IntroductionAlthough chronic endometritis (CE) is strongly associated with infertility and adverse pregnancy outcomes, the specific microbiome of women with CE who can conceive remain unclear.MethodsThis study recruited 100 participants aged 18 to 45 years with spontaneously conceived pregnancy who opted for pregnancy termination, detected their endometrial microbiome by 16S rRNA, and made a diagnosis of CE.ResultsAmong them, 19 were diagnosed with CE. There was a comparable microbial composition within the endometrium between women with and without CE. The relative abundance of Sphingomonas (21%) and Pseudomonas (8%) were the same in both groups. Compared to women without CE, women with CE exhibited higher abundance of Faecalibacterium (6.5% vs 3.8%), Escherichia-Shigella (3.3% vs 2.6%), Akkermansia (1.65% vs 1.1%), and lower abundance of Lactobacillus (10% vs 14%), and Corynebacterium (1.35% vs 2.15%) at the genus level. Streptococcus, Escherichia-Shigella, Akkermansia and Finegoldia exhibited significant interactions with other microbiome in participants with CE.DiscussionIn women with CE, reproductive potential may be associated with the compositional stability of the endometrial microbiome, whereas an imbalance in the abundance of these microbes may be linked to their pregnancy outcomes.
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spelling doaj-art-925fbca1e5b0417a828d62007b77c3692025-08-20T03:05:31ZengFrontiers Media S.A.Frontiers in Cellular and Infection Microbiology2235-29882025-08-011510.3389/fcimb.2025.16151821615182Endometrial microbiome during early pregnancy among women with and without chronic endometritis: a pilot studyHong Gao0Hong Gao1Na Lu2Yahui Chen3Genlin Li4Huanhuan Li5Innie Chen6Innie Chen7Innie Chen8Amanda Black9Jenna Gale10Jenna Gale11Daniel J. Corsi12Daniel J. Corsi13Daniel J. Corsi14Daniel J. Corsi15Xiaolan Wang16Kristin Connor17Shi Wu Wen18Shi Wu Wen19Shi Wu Wen20Scientific Research Department, The Second Affiliated Hospital, Hengyang Medical School, University of South China, Hengyang, Hunan, ChinaOttawa Hospital Research Institute, the Ottawa Hospital, Ottawa, ON, CanadaSchool of Nursing, University of South China, Hengyang, Hunan, ChinaSchool of Nursing, University of South China, Hengyang, Hunan, ChinaCenter for a combination of Obstetrics and Gynecology & Reproductive Medicine, The First Affiliated Hospital, Hengyang Medical School, University of South China, Hengyang, Hunan, ChinaDepartment of Gynecology, The Second Affiliated Hospital, Hengyang Medical School, University of South China, Hengyang, Hunan, ChinaOttawa Hospital Research Institute, the Ottawa Hospital, Ottawa, ON, CanadaDepartment of Obstetrics and Gynecology, University of Ottawa, Ottawa, ON, CanadaSchool of Epidemiology and Public Health, University of Ottawa, Ottawa, ON, CanadaDepartment of Obstetrics and Gynecology, University of Ottawa, Ottawa, ON, CanadaOttawa Hospital Research Institute, the Ottawa Hospital, Ottawa, ON, CanadaDepartment of Obstetrics and Gynecology, University of Ottawa, Ottawa, ON, CanadaOttawa Hospital Research Institute, the Ottawa Hospital, Ottawa, ON, CanadaDepartment of Obstetrics and Gynecology, University of Ottawa, Ottawa, ON, CanadaSchool of Epidemiology and Public Health, University of Ottawa, Ottawa, ON, CanadaSchool of Epidemiology and Public Health, University of Ottawa Faculty of Medicine, Ottawa, ON, CanadaCenter for a combination of Obstetrics and Gynecology & Reproductive Medicine, The First Affiliated Hospital, Hengyang Medical School, University of South China, Hengyang, Hunan, ChinaDepartment of Health Sciences, Carleton University, Ottawa, ON, CanadaOttawa Hospital Research Institute, the Ottawa Hospital, Ottawa, ON, CanadaDepartment of Obstetrics and Gynecology, University of Ottawa, Ottawa, ON, CanadaSchool of Epidemiology and Public Health, University of Ottawa, Ottawa, ON, CanadaIntroductionAlthough chronic endometritis (CE) is strongly associated with infertility and adverse pregnancy outcomes, the specific microbiome of women with CE who can conceive remain unclear.MethodsThis study recruited 100 participants aged 18 to 45 years with spontaneously conceived pregnancy who opted for pregnancy termination, detected their endometrial microbiome by 16S rRNA, and made a diagnosis of CE.ResultsAmong them, 19 were diagnosed with CE. There was a comparable microbial composition within the endometrium between women with and without CE. The relative abundance of Sphingomonas (21%) and Pseudomonas (8%) were the same in both groups. Compared to women without CE, women with CE exhibited higher abundance of Faecalibacterium (6.5% vs 3.8%), Escherichia-Shigella (3.3% vs 2.6%), Akkermansia (1.65% vs 1.1%), and lower abundance of Lactobacillus (10% vs 14%), and Corynebacterium (1.35% vs 2.15%) at the genus level. Streptococcus, Escherichia-Shigella, Akkermansia and Finegoldia exhibited significant interactions with other microbiome in participants with CE.DiscussionIn women with CE, reproductive potential may be associated with the compositional stability of the endometrial microbiome, whereas an imbalance in the abundance of these microbes may be linked to their pregnancy outcomes.https://www.frontiersin.org/articles/10.3389/fcimb.2025.1615182/fullendometrial microbiomechronic endometritisearly pregnancy16S rRNAhost factors
spellingShingle Hong Gao
Hong Gao
Na Lu
Yahui Chen
Genlin Li
Huanhuan Li
Innie Chen
Innie Chen
Innie Chen
Amanda Black
Jenna Gale
Jenna Gale
Daniel J. Corsi
Daniel J. Corsi
Daniel J. Corsi
Daniel J. Corsi
Xiaolan Wang
Kristin Connor
Shi Wu Wen
Shi Wu Wen
Shi Wu Wen
Endometrial microbiome during early pregnancy among women with and without chronic endometritis: a pilot study
Frontiers in Cellular and Infection Microbiology
endometrial microbiome
chronic endometritis
early pregnancy
16S rRNA
host factors
title Endometrial microbiome during early pregnancy among women with and without chronic endometritis: a pilot study
title_full Endometrial microbiome during early pregnancy among women with and without chronic endometritis: a pilot study
title_fullStr Endometrial microbiome during early pregnancy among women with and without chronic endometritis: a pilot study
title_full_unstemmed Endometrial microbiome during early pregnancy among women with and without chronic endometritis: a pilot study
title_short Endometrial microbiome during early pregnancy among women with and without chronic endometritis: a pilot study
title_sort endometrial microbiome during early pregnancy among women with and without chronic endometritis a pilot study
topic endometrial microbiome
chronic endometritis
early pregnancy
16S rRNA
host factors
url https://www.frontiersin.org/articles/10.3389/fcimb.2025.1615182/full
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