2016
DOI: 10.1136/sextrans-2015-052475
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A fruitful alliance: the synergy betweenAtopobium vaginaeandGardnerella vaginalisin bacterial vaginosis-associated biofilm

Abstract: ObjectivesBacterial vaginosis (BV) is characterised by a change in the microbial composition of the vagina. The BV-associated organisms outnumber the health-associated Lactobacillus species and form a polymicrobial biofilm on the vaginal epithelium, possibly explaining the difficulties with antibiotic treatment. A better understanding of vaginal biofilm with emphasis on Atopobium vaginae and Gardnerella vaginalis may contribute to a better diagnosis and treatment of BV.MethodsTo this purpose, we evaluated the … Show more

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Cited by 86 publications
(79 citation statements)
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“…BV is characterized by a change in the microbial composition of the vaginal ecosystem where the prevailing Lactobacillus spp., associated with an optimal vaginal microbiota, are outnumbered by other microorganisms, including species of the genus Gardnerella and Atopobium vaginae (Ferris et al, 2004;Verhelst et al, 2004;dos Santos Santiago et al, 2012;Jung et al, 2017;Muzny et al, 2019). Noteworthy, the involvement of A. vaginae in BV rarely occurs in the absence of Gardnerella (Bradshaw et al, 2006;Hardy et al, 2015Hardy et al, , 2016.…”
Section: Introductionmentioning
confidence: 99%
See 1 more Smart Citation
“…BV is characterized by a change in the microbial composition of the vaginal ecosystem where the prevailing Lactobacillus spp., associated with an optimal vaginal microbiota, are outnumbered by other microorganisms, including species of the genus Gardnerella and Atopobium vaginae (Ferris et al, 2004;Verhelst et al, 2004;dos Santos Santiago et al, 2012;Jung et al, 2017;Muzny et al, 2019). Noteworthy, the involvement of A. vaginae in BV rarely occurs in the absence of Gardnerella (Bradshaw et al, 2006;Hardy et al, 2015Hardy et al, , 2016.…”
Section: Introductionmentioning
confidence: 99%
“…Evidence of a possible dependent relationship between Gardnerella spp. and A. vaginae has been demonstrated on BV-associated biofilms (Swidsinski et al, 2005;Hardy et al, 2015Hardy et al, , 2016. Nevertheless, as biological interactions in BV-associated biofilms are still poorly understood, we aimed to analyze the interactions between G. vaginalis and A. vaginae, using a previously described in vitro dual-species biofilm model .…”
Section: Introductionmentioning
confidence: 99%
“…Furthermore, while L. iners has a lower protective value than the other Lactobacillus [36], the negative edge between L. iners and Atopobium suggests a relationship related to environment protection. Also, the positive edge from Atopobium to Gardnerella is supported by the synergy observed between these two taxa in bacterial vaginosis [37]. Finally, it is important to note that the shifts and composition of the vaginal microbiome vary considerably between each subject.…”
Section: Discussionmentioning
confidence: 99%
“…Later studies of Swidsinski et al [20] confirmed that 1-40% of the mass of biofilm in the clinical material were made up of Atopobium vaginae. Recent studies of the bacterial vaginosis etiology have shown that Atopobium vaginae is found in microbial associations in 80 % to 95 % of cases [21,22].…”
Section: The Aimmentioning
confidence: 99%