2019
DOI: 10.3389/fcimb.2019.00358
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Rectal Microbiota Associated With Chlamydia trachomatis and Neisseria gonorrhoeae Infections in Men Having Sex With Other Men

Abstract: Chlamydia trachomatis (CT) and Neisseria gonorrhoeae (NG) represent the most common agents of sexually transmitted rectal infections among men having sex with other men (MSM). In this study, we assessed the bacterial composition of the rectal microbiota associated with CT and/or NG infections in a cohort of men reporting unsafe rectal intercourse. A total of 125 rectal swabs were collected and four groups were compared: non-infected subjects (n = 53), patients with CT (n = 37), or NG rectal infection (n = 17) … Show more

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Cited by 15 publications
(22 citation statements)
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References 41 publications
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“…Anal samples were mainly characterized by the presence of Firmicutes, Proteobacteria and Bacteroidota, being Prevotella one of the most represented genus. This taxonomic composition is similar to previously described bacterial communities of the ano-rectal mucosa in subjects reporting unsafe anal intercourse [25,26]. Recent studies revealed that the microbiota in stools and anal swabs was similar and that differences between swab and stool samples within the same subject were significantly lower than those from samples between subjects [27,28].…”
Section: Discussionsupporting
confidence: 87%
See 1 more Smart Citation
“…Anal samples were mainly characterized by the presence of Firmicutes, Proteobacteria and Bacteroidota, being Prevotella one of the most represented genus. This taxonomic composition is similar to previously described bacterial communities of the ano-rectal mucosa in subjects reporting unsafe anal intercourse [25,26]. Recent studies revealed that the microbiota in stools and anal swabs was similar and that differences between swab and stool samples within the same subject were significantly lower than those from samples between subjects [27,28].…”
Section: Discussionsupporting
confidence: 87%
“…In a previous paper focused on 'men having sex with men', we found similar microbial shifts in ano-rectal bacterial composition during sexually transmitted infections due to CT or N. gonorrhoeae. Indeed, infected patients were characterized by a depletion of Escherichia species, associated with an increase in anaerobic genera, including Peptoniphilus, Peptostreptococcus, and Parvimonas [26]. Even though the reasons behind these microbial changes are still unknown, we can make several hypotheses: (i) Chlamydia could elicit an inflammatory response (i.e., recruitment of natural killer cells and neutrophils with the production of cytokines and metalloproteinases) [33], able to alter the equilibrium of the bacterial communities of the anal microbiota, with the depletion of or increase in some species; (ii) the oxygen consumption by CT-infected cells or by the recruited leukocytes could favor the proliferation of strict anaerobes; (iii) Chlamydia can modify specific metabolic pathways for its nutritional requirement, leading to the preferential proliferation of selected microbial species in the anal microbiota.…”
Section: Discussionmentioning
confidence: 99%
“…Similar changes were recently noticed also in the rectal microbiome during N. gonorrhoeae infection: NG-positive individuals showed a more marked imbalance between aerobe and anaerobe genera, with lower levels of Escherichia species and higher relative abundance of Peptoniphilus, Peptostreptococcus and Parvimonas, compared to non-infected patients [12].…”
Section: Discussionsupporting
confidence: 78%
“…Hypervariable V3-V4 regions of the bacterial 16S rRNA gene from pharyngeal swab genomic DNA were amplified, starting from the remaining part of Versant PCR plate DNA eluate. This approach has been previously and successfully used for the analysis of human microbiome [12].…”
Section: Analysis Of the Pharyngeal Microbiotamentioning
confidence: 99%
“…Rectal STIs Nowak et al [77] observed that enrichment in Fusobacterium in MSM rectal microbiota was positively associated with oncogenic anal HPV-16 and negatively associated with oncogenic anal HPV-35, and Serrano-Villar et al [66] correlated a few (non-Prevotella) taxa with the detection of precancerous anal lesions in MSM. Nowak et al [65] noted an increase in Prevotella in MSM positive for rectal gonorrhea, and Ceccarani et al [148] noted some differences in a number of (non-Prevotella) taxa associated with rectal gonorrhea and chlamydia infection. However, all of these data were cross-sectional and failed to control for exposures such as number of sexual partners.…”
Section: What Are the Possible Implications Of A Distinct Msm-associated Gut Microbiota For The Health Of This Population?mentioning
confidence: 99%