Objective
To evaluate the changes of vaginal microbiota during cervical carcinogenesis in women with high-risk human papillomavirus infection.
Materials and methods
Vaginal microbiota was analyzed using next-generation sequencing in women with normal, cervical intraepithelial neoplasia (CIN), or cervical cancer.
Results
A marked decrease of
Lactobacillus crispatus
was found in the CIN/cancer groups compared with that in the normal group. The diversity of microorganisms increased in patients with CIN or cervical cancer with HPV infection.
Atopobium vaginae
(OR 4.33, 95% CI 1.15–16.32),
Dialister invisus
(OR 4.89, 95% CI 1.20–19.94),
Finegoldia magna
(OR 6.00, 95% CI 1.08–33.27),
Gardnerella vaginalis
(OR 7.43, 95% CI 1.78–31.04),
Prevotella buccalis
(OR 11.00, 95% CI 2.00–60.57), and
Prevotella timonensis
(OR 6.00, 95% CI 1.46–24.69) were significantly associated with the risk of CIN 2/3 or cervical cancer.
Conclusion
Women with the CIN and cervical cancer showed a high diversity in vaginal microbiota. Depletion of
Lactobacillus crispatus
and increased abundance of anaerobic bacteria were detected in women with cervical disease.