Mycobiome Study Reveals Different Pathogens of Vulvovaginal Candidiasis Shape Characteristic Vaginal Bacteriome

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Needs review
Citation
PMID PubMed identifier for scientific articles.
DOI Digital object identifier for electronic documents.
URI Uniform resource identifier for web resources.
Authors
Zhao C, Li Y, Chen B, Yue K, Su Z, Xu J, Xue W, Zhao G, Zhang L
Journal
Microbiology spectrum
Year
2023
Keywords:
RTIs, candidiasis, fungal community, mycobiome, vulvovaginal candidiasis
Vulvovaginal candidiasis (VVC) can alter the vaginal microbiome composition and structure, and this may be correlated with its variable treatment efficacy. Integrated analysis of the mycobiome and bacteriome in VVC could facilitate accurate diagnosis of infected patients and further decipher the characterized bacteriome in different types of VVC. Our mycobiome analysis determined two common types of VVC, which were clustered into two community state types (CSTs) featured by Candida glabrata (CST I) and Candida albicans (CST II). Subsequently, we compared the vaginal bacteriome in two CSTs of VVC and two other types of reproductive tract infections (RTIs), bacterial vaginosis (BV) and Ureaplasma urealyticum (UU) infection. The vaginal bacteriome in VVC patients was between the healthy and other RTIs (BV and UU) status, it bore the greatest resemblance to that of healthy subjects. While BV and UU patients have the unique vaginal microbiota community structure, which very different with healthy women. Compared with CST II, the vaginal bacteriome of CST I VVC was characterized by Prevotella, a key signature in BV. In comparison, CST II was featured by Ureaplasma, the pathogen of UU. The findings of our study highlight the need for co-analysis and simultaneous consideration of vaginal mycobiome and bacteriome in the diagnosis and treatment of VVC to solve common clinical problems, such as unsatisfactory cure rates and recurrent symptoms. IMPORTANCE Fungi headed by C. albicans play a critical role in VVC but are not sufficient for its occurrence, indicating the involvement of other factors, such as the vaginal bacteriome. We found that different CST correspond to different bacterial composition in patients with VVC, and this could underlie the alteration of vaginal microorganism environment in VVC patients. We believe that this correlation should not be ignored, and it may be related to the unsatisfactory treatment outcomes and high recurrence rate of VVC. Here, we provided evidence for associations between vaginal bacteriome patterns and fungal infection. Screening specific biomarkers for three common RTIs paves a theoretical basis for further development of personalized precision treatment.

Experiment 1


Needs review

Curated date: 2025/06/03

Curator: Aleru Divine

Revision editor(s): Aleru Divine

Subjects

Location of subjects
China
Host species Species from which microbiome was sampled. Contact us to have more species added.
Homo sapiens
Body site Anatomical site where microbial samples were extracted from according to the Uber Anatomy Ontology
Vagina Distal oviductal region,Distal portion of oviduct,Vaginae,Vagina,vagina
Condition The experimental condition / phenotype studied according to the Experimental Factor Ontology
Vulvovaginal candidiasis Candidal vulvovaginitis,candidal vulvovaginitis,Candidal vulvovaginitis (disorder),Candidal vulvovaginitis NOS (disorder),Candidal: [vulvovaginitis NOS] or [cervix],candidal: [vulvovaginitis NOS] or [cervix],candidal: cervix,Candidiasis of vulva and vagina,candidiasis of vulva and vagina,Candidiasis, Vulvovaginal,Monilial vulvovaginitis,monilial vulvovaginitis,vaginal candidiasis,Vulvovaginal Candidiasis,vulvovaginal candidiasis,Vulvovaginal candidiasis
Group 0 name Corresponds to the control (unexposed) group for case-control studies
Other reproductive tracts Infection (RTI) subjects + Healthy Controls
Group 1 name Corresponds to the case (exposed) group for case-control studies
Vulvovaginal candidiasis (VVC) (I)
Group 1 definition Diagnostic criteria applied to define the specific condition / phenotype represented in the case (exposed) group
The participants in this group belong to the first community state type (CST) identified from the VVC subjects.
Group 0 sample size Number of subjects in the control (unexposed) group
152
Group 1 sample size Number of subjects in the case (exposed) group
9
Antibiotics exclusion Number of days without antibiotics usage (if applicable) and other antibiotics-related criteria used to exclude participants (if any)
1 month

Lab analysis

Sequencing type
16S
16S variable region One or more hypervariable region(s) of the bacterial 16S gene
V1-V2
Sequencing platform Manufacturer and experimental platform used for quantifying microbial abundance
Illumina

Statistical Analysis

Data transformation Data transformation applied to microbial abundance measurements prior to differential abundance testing (if any).
relative abundances
Statistical test
LEfSe
Significance threshold p-value or FDR threshold used for differential abundance testing (if any)
0.05
MHT correction Have statistical tests be corrected for multiple hypothesis testing (MHT)?
No
LDA Score above Threshold for the linear discriminant analysis (LDA) score for studies using the popular LEfSe tool
2.0


Signature 1

Needs review

Curated date: 2025/06/04

Curator: Aleru Divine

Revision editor(s): Aleru Divine

Source: Figure 4

Description: Differentially abundant taxa between three RTIs and healthy control groups

Abundance in Group 1: increased abundance in Vulvovaginal candidiasis (VVC) (I)

NCBI Quality ControlLinks
Aerococcus
Bacteroides uniformis
Bifidobacterium
Bifidobacterium adolescentis

Revision editor(s): Aleru Divine

Experiment 2


Needs review

Curated date: 2025/06/04

Curator: Aleru Divine

Revision editor(s): Aleru Divine

Differences from previous experiment shown

Subjects

Group 1 name Corresponds to the case (exposed) group for case-control studies
Vulvovaginal candidiasis (VVC) (II)
Group 1 definition Diagnostic criteria applied to define the specific condition / phenotype represented in the case (exposed) group
The participants in this group belong to the second community state type (CST) identified from the VVC subjects.
Group 0 sample size Number of subjects in the control (unexposed) group
126
Group 1 sample size Number of subjects in the case (exposed) group
35

Lab analysis

Statistical Analysis

Signature 1

Needs review

Curated date: 2025/06/04

Curator: Aleru Divine

Revision editor(s): Aleru Divine

Source: Figure 4

Description: Differentially abundant taxa between three RTIs and healthy control groups

Abundance in Group 1: increased abundance in Vulvovaginal candidiasis (VVC) (II)

NCBI Quality ControlLinks
Bacteroides
Gardnerella

Revision editor(s): Aleru Divine

Experiment 3


Needs review

Curated date: 2025/06/04

Curator: Aleru Divine

Revision editor(s): Aleru Divine

Differences from previous experiment shown

Subjects

Condition The experimental condition / phenotype studied according to the Experimental Factor Ontology
Bacterial vaginosis BACT VAGINITIDES,BACT VAGINITIS,BACT VAGINOSES,BACT VAGINOSIS,Bacterial Vaginitides,Bacterial Vaginitis,Bacterial Vaginoses,bacterial vaginosis,BV,Nonspecific Vaginitis,VAGINITIDES BACT,Vaginitides, Bacterial,VAGINITIS BACT,Vaginitis, Bacterial,Vaginitis, Nonspecific,VAGINOSES BACT,Vaginoses, Bacterial,VAGINOSIS BACT,Vaginosis, Bacterial,Bacterial vaginosis
Group 1 name Corresponds to the case (exposed) group for case-control studies
Bacterial Vaginosis (BV)
Group 1 definition Diagnostic criteria applied to define the specific condition / phenotype represented in the case (exposed) group
The participants in this group were diagnosed with bacterial vaginosis
Group 0 sample size Number of subjects in the control (unexposed) group
124
Group 1 sample size Number of subjects in the case (exposed) group
37

Lab analysis

Statistical Analysis

Signature 1

Needs review

Curated date: 2025/06/04

Curator: Aleru Divine

Revision editor(s): Aleru Divine

Source: Figure 4

Description: Differentially abundant taxa between three RTIs and healthy control groups

Abundance in Group 1: increased abundance in Bacterial Vaginosis (BV)

NCBI Quality ControlLinks
Arcanobacterium
Atopobium
Campylobacter
Clostridium
Dialister
Filifactor
Finegoldia
Gemella
Megamonas
Megasphaera
Mobiluncus
Moryella
Mycoplasma
Neisseria
Neisseria subflava
Parvimonas
Peptoniphilus
Peptostreptococcus
Peptostreptococcus anaerobius
Porphyromonas
Prevotella
Prevotella melaninogenica
Segatella copri
Shuttleworthella
Sneathia
Sporobacterium sp. WAL 1855D
Sutterella

Revision editor(s): Aleru Divine

Experiment 4


Needs review

Curated date: 2025/06/04

Curator: Aleru Divine

Revision editor(s): Aleru Divine

Differences from previous experiment shown

Subjects

Condition The experimental condition / phenotype studied according to the Experimental Factor Ontology
Ureaplasma urealyticum urethritis infection, Ureaplasma,infections, Ureaplasma,Ureaplasma caused disease or disorder,Ureaplasma disease or disorder,Ureaplasma infection,Ureaplasma Infections,Ureaplasma infectious disease,Ureaplasma urethritis,Ureaplasma urealyticum urethritis,ureaplasma urealyticum urethritis
Group 1 name Corresponds to the case (exposed) group for case-control studies
Ureaplasma urealyticum (UU) infection
Group 1 definition Diagnostic criteria applied to define the specific condition / phenotype represented in the case (exposed) group
The participants in this group were women diagnosed with Ureaplasma urealyticum (UU) infection
Group 0 sample size Number of subjects in the control (unexposed) group
128
Group 1 sample size Number of subjects in the case (exposed) group
33

Lab analysis

Statistical Analysis

Signature 1

Needs review

Curated date: 2025/06/04

Curator: Aleru Divine

Revision editor(s): Aleru Divine

Source: Figure 4

Description: Differentially abundant taxa between three RTIs and healthy control groups

Abundance in Group 1: increased abundance in Ureaplasma urealyticum (UU) infection

NCBI Quality ControlLinks
Streptococcus
Anaerococcus
Ureaplasma
Veillonella
Fusobacterium
Veillonella dispar
Porphyromonas endodontalis
Bifidobacterium longum
Pseudomonas
Corynebacterium
Acinetobacter
Renibacterium
Actinomyces

Revision editor(s): Aleru Divine

Experiment 5


Needs review

Curated date: 2025/06/04

Curator: Aleru Divine

Revision editor(s): Aleru Divine

Differences from previous experiment shown

Subjects

Condition The experimental condition / phenotype studied according to the Experimental Factor Ontology
Female reproductive system disease disease of female genital system,disease of female reproductive system,disease or disorder of female reproductive system,disorder of female genital system,disorder of female genital tract,disorder of female reproductive system,female reproductive disease,female reproductive system disease,female reproductive system disease or disorder,female reproductive system disorder,gynecological disease,Female reproductive system disease
Group 0 name Corresponds to the control (unexposed) group for case-control studies
Other reproductive tracts Infection (RTI) subjects
Group 1 name Corresponds to the case (exposed) group for case-control studies
Healthy Controls
Group 1 definition Diagnostic criteria applied to define the specific condition / phenotype represented in the case (exposed) group
The participants in this group were healthy women
Group 0 sample size Number of subjects in the control (unexposed) group
114
Group 1 sample size Number of subjects in the case (exposed) group
47

Lab analysis

Statistical Analysis

Signature 1

Needs review

Curated date: 2025/06/04

Curator: Aleru Divine

Revision editor(s): Aleru Divine

Source: Figure 4

Description: Differentially abundant taxa between three RTIs and healthy control groups

Abundance in Group 1: increased abundance in Healthy Controls

NCBI Quality ControlLinks
Lactobacillus
Streptococcus anginosus

Revision editor(s): Aleru Divine