Crosstalk between the Resident Microbiota and the Immune Cells Regulates Female Genital Tract Health

The female genital tract (FGT) performs several functions related to reproduction, but due to its direct exposure to the external environment, it may suffer microbial infections. Both the upper (uterus and cervix) and lower (vagina) FGT are covered by an epithelium, and contain immune cells (macroph...

Full description

Bibliographic Details
Main Authors: Luigi Santacroce, Raffaele Palmirotta, Lucrezia Bottalico, Ioannis Alexandros Charitos, Marica Colella, Skender Topi, Emilio Jirillo
Format: Article
Language:English
Published: MDPI AG 2023-07-01
Series:Life
Subjects:
Online Access:https://www.mdpi.com/2075-1729/13/7/1531
_version_ 1827732651339939840
author Luigi Santacroce
Raffaele Palmirotta
Lucrezia Bottalico
Ioannis Alexandros Charitos
Marica Colella
Skender Topi
Emilio Jirillo
author_facet Luigi Santacroce
Raffaele Palmirotta
Lucrezia Bottalico
Ioannis Alexandros Charitos
Marica Colella
Skender Topi
Emilio Jirillo
author_sort Luigi Santacroce
collection DOAJ
description The female genital tract (FGT) performs several functions related to reproduction, but due to its direct exposure to the external environment, it may suffer microbial infections. Both the upper (uterus and cervix) and lower (vagina) FGT are covered by an epithelium, and contain immune cells (macrophages, dendritic cells, T and B lymphocytes) that afford a robust protection to the host. Its upper and the lower part differ in terms of <i>Lactobacillus</i> spp., which are dominant in the vagina. An alteration of the physiological equilibrium between the local microbiota and immune cells leads to a condition of dysbiosis which, in turn, may account for the outcome of FGT infection. Aerobic vaginitis, bacterial vaginosis, and <i>Chlamydia trachomatis</i> are the most frequent infections, and can lead to severe complications in reproduction and pregnancy. The use of natural products, such as probiotics, polyphenols, and lactoferrin in the course of FGT infections is an issue of current investigation. In spite of positive results, more research is needed to define the most appropriate administration, according to the type of patient.
first_indexed 2024-03-11T00:54:08Z
format Article
id doaj.art-bb7c266f22074e21a1b228fffed32eef
institution Directory Open Access Journal
issn 2075-1729
language English
last_indexed 2024-03-11T00:54:08Z
publishDate 2023-07-01
publisher MDPI AG
record_format Article
series Life
spelling doaj.art-bb7c266f22074e21a1b228fffed32eef2023-11-18T20:09:48ZengMDPI AGLife2075-17292023-07-01137153110.3390/life13071531Crosstalk between the Resident Microbiota and the Immune Cells Regulates Female Genital Tract HealthLuigi Santacroce0Raffaele Palmirotta1Lucrezia Bottalico2Ioannis Alexandros Charitos3Marica Colella4Skender Topi5Emilio Jirillo6Microbiology and Virology Section, Interdisciplinary Department of Medicine, School of Medicine, University of Bari “Aldo Moro”, 70124 Bari, ItalyMicrobiology and Virology Section, Interdisciplinary Department of Medicine, School of Medicine, University of Bari “Aldo Moro”, 70124 Bari, ItalyDepartment of Clinical Disciplines, School of Technical Medical Sciences, “Alexander Xhuvani” University of Elbasan, 3001 Elbasan, AlbaniaRespiratory Rehabilitation Unit, Clinical Scientific Institutes Maugeri (IRCCS), 70124 Bari, ItalyMicrobiology and Virology Section, Interdisciplinary Department of Medicine, School of Medicine, University of Bari “Aldo Moro”, 70124 Bari, ItalyDepartment of Clinical Disciplines, School of Technical Medical Sciences, “Alexander Xhuvani” University of Elbasan, 3001 Elbasan, AlbaniaMicrobiology and Virology Section, Interdisciplinary Department of Medicine, School of Medicine, University of Bari “Aldo Moro”, 70124 Bari, ItalyThe female genital tract (FGT) performs several functions related to reproduction, but due to its direct exposure to the external environment, it may suffer microbial infections. Both the upper (uterus and cervix) and lower (vagina) FGT are covered by an epithelium, and contain immune cells (macrophages, dendritic cells, T and B lymphocytes) that afford a robust protection to the host. Its upper and the lower part differ in terms of <i>Lactobacillus</i> spp., which are dominant in the vagina. An alteration of the physiological equilibrium between the local microbiota and immune cells leads to a condition of dysbiosis which, in turn, may account for the outcome of FGT infection. Aerobic vaginitis, bacterial vaginosis, and <i>Chlamydia trachomatis</i> are the most frequent infections, and can lead to severe complications in reproduction and pregnancy. The use of natural products, such as probiotics, polyphenols, and lactoferrin in the course of FGT infections is an issue of current investigation. In spite of positive results, more research is needed to define the most appropriate administration, according to the type of patient.https://www.mdpi.com/2075-1729/13/7/1531female genital tractmicrobiotaimmunitylactoferrinpolyphenolsprobiotics
spellingShingle Luigi Santacroce
Raffaele Palmirotta
Lucrezia Bottalico
Ioannis Alexandros Charitos
Marica Colella
Skender Topi
Emilio Jirillo
Crosstalk between the Resident Microbiota and the Immune Cells Regulates Female Genital Tract Health
Life
female genital tract
microbiota
immunity
lactoferrin
polyphenols
probiotics
title Crosstalk between the Resident Microbiota and the Immune Cells Regulates Female Genital Tract Health
title_full Crosstalk between the Resident Microbiota and the Immune Cells Regulates Female Genital Tract Health
title_fullStr Crosstalk between the Resident Microbiota and the Immune Cells Regulates Female Genital Tract Health
title_full_unstemmed Crosstalk between the Resident Microbiota and the Immune Cells Regulates Female Genital Tract Health
title_short Crosstalk between the Resident Microbiota and the Immune Cells Regulates Female Genital Tract Health
title_sort crosstalk between the resident microbiota and the immune cells regulates female genital tract health
topic female genital tract
microbiota
immunity
lactoferrin
polyphenols
probiotics
url https://www.mdpi.com/2075-1729/13/7/1531
work_keys_str_mv AT luigisantacroce crosstalkbetweentheresidentmicrobiotaandtheimmunecellsregulatesfemalegenitaltracthealth
AT raffaelepalmirotta crosstalkbetweentheresidentmicrobiotaandtheimmunecellsregulatesfemalegenitaltracthealth
AT lucreziabottalico crosstalkbetweentheresidentmicrobiotaandtheimmunecellsregulatesfemalegenitaltracthealth
AT ioannisalexandroscharitos crosstalkbetweentheresidentmicrobiotaandtheimmunecellsregulatesfemalegenitaltracthealth
AT maricacolella crosstalkbetweentheresidentmicrobiotaandtheimmunecellsregulatesfemalegenitaltracthealth
AT skendertopi crosstalkbetweentheresidentmicrobiotaandtheimmunecellsregulatesfemalegenitaltracthealth
AT emiliojirillo crosstalkbetweentheresidentmicrobiotaandtheimmunecellsregulatesfemalegenitaltracthealth