Assessing the Cervicovaginal Microbiota in the Context of hrHPV Infections: Temporal Dynamics and Therapeutic Strategies

ABSTRACT Cervical cancer is the third leading cause of female cancers globally, resulting in more than 300,000 deaths every year. The majority of all cervical cancers are caused by persistent infections with high-risk human papillomaviruses (hrHPV) that can progress to cancer via a series of premali...

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Main Authors: Mariano A. Molina, Britt A. Coenen, William P. J. Leenders, Karolina M. Andralojc, Martijn A. Huynen, Willem J. G. Melchers
Format: Article
Language:English
Published: American Society for Microbiology 2022-10-01
Series:mBio
Subjects:
Online Access:https://journals.asm.org/doi/10.1128/mbio.01619-22
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author Mariano A. Molina
Britt A. Coenen
William P. J. Leenders
Karolina M. Andralojc
Martijn A. Huynen
Willem J. G. Melchers
author_facet Mariano A. Molina
Britt A. Coenen
William P. J. Leenders
Karolina M. Andralojc
Martijn A. Huynen
Willem J. G. Melchers
author_sort Mariano A. Molina
collection DOAJ
description ABSTRACT Cervical cancer is the third leading cause of female cancers globally, resulting in more than 300,000 deaths every year. The majority of all cervical cancers are caused by persistent infections with high-risk human papillomaviruses (hrHPV) that can progress to cancer via a series of premalignant lesions. Most women, however, clear this infection within a year, concomitant with disease regression. Both hrHPV clearance and disease regression have been associated with the composition of the cervicovaginal microenvironment, which is defined by the host immune system and the cervicovaginal microbiome (CVM). A healthy microbiome is generally characterized by a high abundance of Lactobacillus species, and a change in the composition may cause bacterial vaginosis (BV), which is associated with an increased susceptibility to persistent hrHPV infections and disease. In this review, the composition of the CVM is discussed, with emphasis on the possible causes that drive changes in the cervicovaginal microbiota in relation to hrHPV infections, disease progression, and disease regression. The literature search focused on the composition of the CVM and its correlation with hrHPV infections and neoplastic lesions as well as the current efforts to adjust the microbiome against adverse viral outcomes.
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spelling doaj.art-d351133fdbdc452cb567b31ef98645ea2022-12-22T03:28:59ZengAmerican Society for MicrobiologymBio2150-75112022-10-0113510.1128/mbio.01619-22Assessing the Cervicovaginal Microbiota in the Context of hrHPV Infections: Temporal Dynamics and Therapeutic StrategiesMariano A. Molina0Britt A. Coenen1William P. J. Leenders2Karolina M. Andralojc3Martijn A. Huynen4Willem J. G. Melchers5Department of Medical Microbiology, Radboud University Medical Center, Nijmegen, The NetherlandsDepartment of Medical Microbiology, Radboud University Medical Center, Nijmegen, The NetherlandsDepartment of Biochemistry, Radboud Institute for Molecular Life Sciences, Nijmegen, The NetherlandsDepartment of Medical Microbiology, Radboud University Medical Center, Nijmegen, The NetherlandsCenter for Molecular and Biomolecular Informatics, Radboud Institute for Molecular Life Sciences, Nijmegen, The NetherlandsDepartment of Medical Microbiology, Radboud University Medical Center, Nijmegen, The NetherlandsABSTRACT Cervical cancer is the third leading cause of female cancers globally, resulting in more than 300,000 deaths every year. The majority of all cervical cancers are caused by persistent infections with high-risk human papillomaviruses (hrHPV) that can progress to cancer via a series of premalignant lesions. Most women, however, clear this infection within a year, concomitant with disease regression. Both hrHPV clearance and disease regression have been associated with the composition of the cervicovaginal microenvironment, which is defined by the host immune system and the cervicovaginal microbiome (CVM). A healthy microbiome is generally characterized by a high abundance of Lactobacillus species, and a change in the composition may cause bacterial vaginosis (BV), which is associated with an increased susceptibility to persistent hrHPV infections and disease. In this review, the composition of the CVM is discussed, with emphasis on the possible causes that drive changes in the cervicovaginal microbiota in relation to hrHPV infections, disease progression, and disease regression. The literature search focused on the composition of the CVM and its correlation with hrHPV infections and neoplastic lesions as well as the current efforts to adjust the microbiome against adverse viral outcomes.https://journals.asm.org/doi/10.1128/mbio.01619-22microbiomecervicovaginal microbiotamicrobial communitiesCVMCSTshuman papillomavirus
spellingShingle Mariano A. Molina
Britt A. Coenen
William P. J. Leenders
Karolina M. Andralojc
Martijn A. Huynen
Willem J. G. Melchers
Assessing the Cervicovaginal Microbiota in the Context of hrHPV Infections: Temporal Dynamics and Therapeutic Strategies
mBio
microbiome
cervicovaginal microbiota
microbial communities
CVM
CSTs
human papillomavirus
title Assessing the Cervicovaginal Microbiota in the Context of hrHPV Infections: Temporal Dynamics and Therapeutic Strategies
title_full Assessing the Cervicovaginal Microbiota in the Context of hrHPV Infections: Temporal Dynamics and Therapeutic Strategies
title_fullStr Assessing the Cervicovaginal Microbiota in the Context of hrHPV Infections: Temporal Dynamics and Therapeutic Strategies
title_full_unstemmed Assessing the Cervicovaginal Microbiota in the Context of hrHPV Infections: Temporal Dynamics and Therapeutic Strategies
title_short Assessing the Cervicovaginal Microbiota in the Context of hrHPV Infections: Temporal Dynamics and Therapeutic Strategies
title_sort assessing the cervicovaginal microbiota in the context of hrhpv infections temporal dynamics and therapeutic strategies
topic microbiome
cervicovaginal microbiota
microbial communities
CVM
CSTs
human papillomavirus
url https://journals.asm.org/doi/10.1128/mbio.01619-22
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