1. Comparison of the Diversity of the Vaginal Microbiota in HIV-Infected and HIV Uninfected Women with or without Bacterial Vaginosis.
- Author
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Spear, Gregory T., Sikaroodi, Masoumeh, Zariffard, M. Reza, Landay, Alan L., French, Audrey L., and Gillevet, Patrick M.
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HIV ,HIV infections ,GENITALIA ,HIV-positive women ,DISEASES in women ,VAGINAL diseases ,HETEROGENEITY ,POLYMERASE chain reaction ,LACTOBACILLUS ,IMMUNODEFICIENCY - Abstract
Background. Whether human immunodeficiency virus (HIV) infection is associated with a change in the diversity of genital microbiota in women was investigated. Methods. Amplicon length heterogeneity polymerase chain reaction (LH-PCR) analysis and pyrosequencing of the 16S ribosomal RNA gene were used to analyze the diversity of the microbiota in HIV-positive (HIV
+ ) and HIV-negative (HIV- ) women with or without bacterial vaginosis (BV). Results. LH-PCR analysis revealed significantly more microbiota diversity in BV-positive (BV+ ) women than in BV-negative (BV- ) women, but no significant difference was noted between HIV+ women and HIV- women. Pyrosequencing revealed that Lactobacillus organisms constituted a median of 96% of the bacteria in BV- women. BV+ women had a significantly higher number of taxa found at ⩾1% of the total genital microbiota (median, 11 taxa). Commontaxa in BV+ women were Prevotella, Megasphaera, Gardnerella, Coriobacterineae, Lachnospira, and Sneathia. There was a trend (P = .07) toward the presence of a higher number of taxa in HIV+ BV+ women than in HIV- BV+ women. Propionibacterineae, Citrobacter, and Anaerococcus were the taxa found only in HIV+ women (P <.05). Conclusions. The present study demonstrated that both LH-PCR analysis and pyrosequencing differentiated microbiota in BV+ women from that in BV- women and that pyrosequencing indicated a trend toward increased diversity in BV+ HIV+ women, suggesting that HIV infection is associated with changes in the diversity of genital microbiota. [ABSTRACT FROM AUTHOR]- Published
- 2008
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