{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,10]],"date-time":"2026-09-10T12:39:28Z","timestamp":1789043968447,"version":"build-2803163510"},"reference-count":51,"publisher":"Frontiers Media SA","license":[{"start":{"date-parts":[[2024,7,9]],"date-time":"2024-07-09T00:00:00Z","timestamp":1720483200000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"DOI":"10.13039\/100015747","name":"University Grants Commission of Bangladesh","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100015747","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["frontiersin.org"],"crossmark-restriction":true},"short-container-title":["Front. Cell. Infect. Microbiol."],"abstract":"<jats:sec>\n                    <jats:title>Introduction<\/jats:title>\n                    <jats:p>The dysbiosis of vaginal microbiota is recognized as a potential underlying factor contributing to infertility in women. This study aimed to compare the vaginal microbiomes of infertile and fertile women to investigate their relationship with infertility.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>Metagenomic analysis was conducted on samples from 5 infertile and 5 fertile individuals using both amplicon 16S and metagenomics shotgun sequencing methods.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results and discussion<\/jats:title>\n                    <jats:p>\n                      In the infertile group, the bacterial community was primarily represented by three major bacterial genera:\n                      <jats:italic>Lactobacillus<\/jats:italic>\n                      (79.42%),\n                      <jats:italic>Gardnerella<\/jats:italic>\n                      (12.56%) and\n                      <jats:italic>Prevotella<\/jats:italic>\n                      (3.33%), whereas, the fertile group exhibited a more diverse composition with over 8 major bacterial genera, accompanied by significantly reduced abundance of\n                      <jats:italic>Lactobacillus<\/jats:italic>\n                      (48.79%) and\n                      <jats:italic>Gardnerella<\/jats:italic>\n                      (6.98%). At the species level, higher abundances of\n                      <jats:italic>L. iners, L. gasseri<\/jats:italic>\n                      and\n                      <jats:italic>G. vaginalis<\/jats:italic>\n                      were observed in the infertile group. Regarding the microbiome composition, only one fertile and two infertile subjects exhibited the healthiest Community State Types, CST-1, while CST-3 was observed among two infertile and one fertile subject, and CST-4 in three other fertile and one infertile subject. Overall, alpha diversity metrics indicated greater diversity and lower species richness in the control (fertile) group, while the infertile group displayed the opposite trend. However, beta-diversity analysis did not show distinct clustering of samples associated with any specific group; instead, it demonstrated CST-type specific clustering. Shotgun metagenomics further confirmed the dominance of Firmicutes, with a greater abundance of\n                      <jats:italic>Lactobacillus<\/jats:italic>\n                      species in the infertile group. Specifically,\n                      <jats:italic>L. iners<\/jats:italic>\n                      and\n                      <jats:italic>G. vaginalis<\/jats:italic>\n                      were identified as the most dominant and highly abundant in the infertile group. Fungi were only identified in the control group, dominated by\n                      <jats:italic>Penicillium citrinum<\/jats:italic>\n                      (62.5%). Metagenome-assembled genomes (MAGs) corroborated read-based taxonomic profiling, with the taxon\n                      <jats:italic>L. johnsonii<\/jats:italic>\n                      identified exclusively in disease samples. MAG identities shared by both groups include Shamonda orthobunyavirus,\n                      <jats:italic>L. crispatus<\/jats:italic>\n                      , Human endogenous retrovirus K113,\n                      <jats:italic>L. iners<\/jats:italic>\n                      , and\n                      <jats:italic>G. vaginalis<\/jats:italic>\n                      . Interestingly, the healthy microbiomes sequenced in this study contained two clusters,\n                      <jats:italic>Penicillium<\/jats:italic>\n                      and\n                      <jats:italic>Staphylococcus haemolyticus<\/jats:italic>\n                      , not found in the public dataset. In conclusion, this study suggests that lower species diversity with a higher abundance of\n                      <jats:italic>L. iners, L. gasseri<\/jats:italic>\n                      and\n                      <jats:italic>G. vaginalis<\/jats:italic>\n                      , may contribute to female infertility in our study datasets. However, larger sample sizes are necessary to further evaluate such association.\n                    <\/jats:p>\n                  <\/jats:sec>","DOI":"10.3389\/fcimb.2024.1390088","type":"journal-article","created":{"date-parts":[[2024,7,8]],"date-time":"2024-07-08T08:00:40Z","timestamp":1720425640000},"update-policy":"https:\/\/doi.org\/10.3389\/crossmark-policy","source":"Crossref","is-referenced-by-count":11,"title":["An insight into the vaginal microbiome of infertile women in Bangladesh using metagenomic approach"],"prefix":"10.3389","volume":"14","author":[{"given":"Zahid","family":"Hasan","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Michael","family":"Netherland","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nur A.","family":"Hasan","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nurjahan","family":"Begum","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mahmuda","family":"Yasmin","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sangita","family":"Ahmed","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1965","published-online":{"date-parts":[[2024,7,9]]},"reference":[{"key":"B1","doi-asserted-by":"publisher","DOI":"10.3389\/fimmu.2020.00378","article-title":"The interplay between reproductive tract microbiota and immunological system in human reproduction","volume":"11","author":"Al-Nasiry","year":"2020","journal-title":"Front. Immunol."},{"key":"B2","doi-asserted-by":"publisher","DOI":"10.3389\/fmed.2018.00181","article-title":"The vaginal microenvironment: The physiologic role of Lactobacilli","volume":"5","author":"Amabebe","year":"2018","journal-title":"Front. Med"},{"key":"B3","doi-asserted-by":"publisher","first-page":"238","DOI":"10.2307\/2136806","article-title":"Stress from infertility, marriage factors, and subjective well-being of wives and husbands","volume":"32","author":"Andrews","year":"1991","journal-title":"J. Health Soc. Behav."},{"key":"B4","doi-asserted-by":"publisher","first-page":"130","DOI":"10.1186\/s12905-017-0489-5","article-title":"Trichomoniasis and associated co-infections of the genital tract among pregnant women presenting at two hospitals in Ghana","volume":"17","author":"Asmah","year":"2017","journal-title":"BMC Women\u2019s Health"},{"key":"B5","doi-asserted-by":"publisher","DOI":"10.7860\/JCDR\/2017\/28296.10417","article-title":"Comparative study on the vaginal flora and incidence of asymptomatic vaginosis among healthy women and in women with infertility problems of reproductive age","volume":"11","author":"Babu","year":"2017","journal-title":"J.  Clin.  Diagn. Res"},{"key":"B6","doi-asserted-by":"publisher","first-page":"1580","DOI":"10.1111\/1471-0528.13072","article-title":"Differential expression of lactic acid isomers, extracellular matrix metalloproteinase inducer, and matrix metalloproteinase-8 in vaginal fluid from women with vaginal disorders","volume":"122","author":"Beghini","year":"2015","journal-title":"BJOG: Int. J. Obstetrics Gynaecol."},{"key":"B7","doi-asserted-by":"publisher","DOI":"10.1128\/spectrum.00105-22","article-title":"Metagenomic Shotgun Sequencing of Endocervical, Vaginal, and Rectal Samples among Fijian Women with and without Chlamydia trachomatis Reveals Disparate Microbial Populations and Function across Anatomic Sites: a Pilot Study","volume":"10","author":"Bommana","year":"2022","journal-title":"Microbiol. Spectr."},{"key":"B8","doi-asserted-by":"publisher","first-page":"16967","DOI":"10.1038\/s41598-022-20527-7","article-title":"Gut microbiome insights from 16S rRNA analysis of 17-year periodical cicadas (Hemiptera: Magicicada spp.) Broods II, VI and X","volume":"12","author":"Brumfield","year":"2022","journal-title":"Sci. Rep."},{"key":"B9","doi-asserted-by":"publisher","first-page":"59","DOI":"10.1038\/nmeth.3176","article-title":"Fast and sensitive protein alignment using DIAMOND","volume":"12","author":"Buchfink","year":"2015","journal-title":"Nat. Methods"},{"key":"B10","doi-asserted-by":"publisher","first-page":"1681","DOI":"10.1002\/jcp.25806","article-title":"Subclinical alteration of the cervical\u2013vaginal microbiome in women with idiopathic infertility","volume":"232","author":"Campisciano","year":"2017","journal-title":"J. Cell. Physiol."},{"key":"B11","doi-asserted-by":"publisher","DOI":"10.3390\/microorganisms9010039","article-title":"Lactobacillus iners and gasseri, Prevotella bivia and HPV Belong to the Microbiological Signature Negatively Affecting Human Reproduction","volume":"9","author":"Campisciano","year":"2020","journal-title":"Microorganisms"},{"key":"B12","doi-asserted-by":"publisher","DOI":"10.3390\/pathogens9030204","article-title":"Improved metagenomic taxonomic profiling using a curated core gene-based bacterial database reveals unrecognized species in the genus streptococcus","volume":"9","author":"Chalita","year":"2020","journal-title":"Pathogens"},{"key":"B13","doi-asserted-by":"publisher","first-page":"203","DOI":"10.1186\/s12934-020-01464-4","article-title":"Vaginal microbiota and the potential of Lactobacillus derivatives in maintaining vaginal health","volume":"19","author":"Chee","year":"2020","journal-title":"Microbial Cell Factories"},{"key":"B14","doi-asserted-by":"publisher","DOI":"10.3389\/fcimb.2021.631972","article-title":"The female vaginal microbiome in health and bacterial vaginosis","volume":"11","author":"Chen","year":"2021","journal-title":"Front. Cell. Infection Microbiol."},{"key":"B15","doi-asserted-by":"publisher","first-page":"198","DOI":"10.1186\/s12866-019-1568-6","article-title":"Contrasting diversity of vaginal lactobacilli among the females of Northeast India","volume":"19","author":"Das Purkayastha","year":"2019","journal-title":"BMC Microbiol."},{"key":"B16","doi-asserted-by":"publisher","DOI":"10.1038\/s41572-018-0058-8","article-title":"Female subfertility","volume":"5","author":"Farquhar","year":"2019","journal-title":"Nat. Rev. Dis. Primers"},{"key":"B17","doi-asserted-by":"publisher","first-page":"342","DOI":"10.1186\/s12889-021-10360-4","article-title":"High-resolution mapping of reproductive tract infections among women of childbearing age in Bangladesh: a spatial-temporal analysis of the demographic and health survey","volume":"21","author":"Feng","year":"2021","journal-title":"BMC Public Health"},{"key":"B18","doi-asserted-by":"publisher","DOI":"10.3390\/life13061251","article-title":"The impact of the microbiological vaginal swab on the reproductive outcome in infertile women","volume":"13","author":"Findeklee","year":"2023","journal-title":"Life"},{"key":"B19","doi-asserted-by":"publisher","DOI":"10.3389\/fmicb.2023.1257587","article-title":"The analysis of Lactobacillus spp. distribution in the vaginal microbiota of Polish women with abnormal Pap smear result","volume":"14","author":"Fr\u0105szczak","year":"2023","journal-title":"Front. Microbiol."},{"key":"B20","doi-asserted-by":"publisher","first-page":"1899","DOI":"10.1056\/NEJMoa043802","article-title":"Molecular identification of bacteria associated with bacterial vaginosis","volume":"353","author":"Fredricks","year":"2005","journal-title":"New Engl. J. Med."},{"key":"B21","doi-asserted-by":"publisher","DOI":"10.1016\/j.micpath.2023.105980","article-title":"Review of the evidence of the effects of human papillomavirus infection and Gardnerella vaginalis, and their co-infection on infertility","volume":"175","author":"Gholizadeh","year":"2023","journal-title":"Microbial Pathogenesis"},{"key":"B22","doi-asserted-by":"publisher","first-page":"530","DOI":"10.3343\/alm.2019.39.6.530","article-title":"Application of the whole genome-based bacterial identification system, trueBac ID, using clinical isolates that were not identified with three matrix-assisted laser desorption\/ionization time-of-flight mass spectrometry (MALDI-TOF MS) systems","volume":"39","author":"Ha","year":"2019","journal-title":"Ann. Lab. Med."},{"key":"B23","doi-asserted-by":"publisher","first-page":"21","DOI":"10.1016\/j.micpath.2018.11.046","article-title":"Bacterial vaginosis: An insight into the prevalence, alternative treatments regimen and it\u2019s associated resistance patterns","volume":"127","author":"Javed","year":"2019","journal-title":"Microbial Pathogenesis"},{"key":"B24","doi-asserted-by":"publisher","first-page":"D353","DOI":"10.1093\/nar\/gkw1092","article-title":"KEGG: new perspectives on genomes, pathways, diseases and drugs","volume":"45","author":"Kanehisa","year":"2017","journal-title":"Nucleic Acids Res."},{"key":"B25","doi-asserted-by":"publisher","DOI":"10.1016\/j.micpath.2014.03.010","article-title":"Spermagglutinating Escherichia coli and its role in infertility: In vivo study","author":"Kaur","year":"2014","journal-title":"Microbial Pathogenesis"},{"key":"B26","doi-asserted-by":"publisher","first-page":"2446","DOI":"10.1093\/humrep\/deu222","article-title":"Intra-uterine microbial colonization and occurrence of endometritis in women with endometriosis\u2020","volume":"29","author":"Khan","year":"2014","journal-title":"Hum. Reprod."},{"key":"B27","doi-asserted-by":"publisher","first-page":"357","DOI":"10.1038\/nmeth.1923","article-title":"Fast gapped-read alignment with Bowtie 2","volume":"9","author":"Langmead","year":"2012","journal-title":"Nat. Methods"},{"key":"B28","doi-asserted-by":"publisher","first-page":"1076","DOI":"10.1038\/s41467-022-28724-8","article-title":"HPV infection alters vaginal microbiome through down-regulating host mucosal innate peptides used by Lactobacilli as amino acid sources","volume":"13","author":"Lebeau","year":"2022","journal-title":"Nat. Commun."},{"key":"B29","doi-asserted-by":"publisher","first-page":"20736","DOI":"10.1038\/s41598-020-77673-z","article-title":"Emotional well-being and gut microbiome profiles by enterotype","volume":"10","author":"Lee","year":"2020","journal-title":"Sci. Rep."},{"key":"B30","doi-asserted-by":"publisher","first-page":"2078","DOI":"10.1093\/bioinformatics\/btp352","article-title":"The sequence alignment\/map format and SAMtools","volume":"25","author":"Li","year":"2009","journal-title":"Bioinformatics"},{"key":"B31","doi-asserted-by":"publisher","DOI":"10.1186\/s13059-014-0550-8","article-title":"Moderated estimation of fold change and dispersion for RNA-seq data with DESeq2","volume":"15","author":"Love","year":"2014","journal-title":"Genome Biol."},{"key":"B32","doi-asserted-by":"publisher","first-page":"158","DOI":"10.4236\/jbm.2022.104014","article-title":"Types of infertility and its risk factors among infertile women: A prospective study in dhaka city","volume":"10","author":"Magdum","year":"2022","journal-title":"J. Biosci. Medicines"},{"key":"B33","doi-asserted-by":"publisher","DOI":"10.3892\/br.2019.1194","article-title":"Genital tract infection and associated factors affect the reproductive outcome in fertile females and females undergoing in vitro fertilization","volume":"10","author":"Moragianni","year":"2019","journal-title":"Biomed. Rep"},{"key":"B34","doi-asserted-by":"publisher","DOI":"10.3389\/fcimb.2020.00168","article-title":"Gardnerella vaginalis as a Cause of Bacterial Vaginosis: Appraisal of the Evidence From in vivo Models","volume":"10","author":"Morrill","year":"2020","journal-title":"Front. Cell. Infection Microbiol."},{"key":"B35","doi-asserted-by":"publisher","DOI":"10.1093\/infdis\/jiy243","article-title":"Identification of key bacteria involved in the induction of incident bacterial vaginosis: A prospective study","volume":"218","author":"Muzny","year":"2018","journal-title":"J. Infect. Dis"},{"key":"B36","doi-asserted-by":"publisher","DOI":"10.5653\/cerm.2016.43.4.185","article-title":"Chronic endometritis and infertility","volume":"43","author":"Park","year":"2016","journal-title":"Clin. Exp. Reprod. Med."},{"key":"B37","doi-asserted-by":"publisher","first-page":"3355","DOI":"10.1038\/s41598-019-40304-3","article-title":"Detection of vaginal lactobacilli as probiotic candidates","volume":"9","author":"Pino","year":"2019","journal-title":"Sci. Rep."},{"key":"B38","doi-asserted-by":"publisher","first-page":"36","DOI":"10.2174\/157488412799218824","article-title":"Bacterial vaginosis, atopobium vaginae and nifuratel","volume":"7","author":"Polatti","year":"2012","journal-title":"Curr. Clin. Pharmacol."},{"key":"B39","doi-asserted-by":"publisher","first-page":"841","DOI":"10.1093\/bioinformatics\/btq033","article-title":"BEDTools: a flexible suite of utilities for comparing genomic features","volume":"26","author":"Quinlan","year":"2010","journal-title":"Bioinformatics"},{"key":"B40","doi-asserted-by":"publisher","first-page":"220","DOI":"10.1136\/bmj.319.7204.220","article-title":"Influence of bacterial vaginosis on conception and miscarriage in the first trimester: cohort study","volume":"319","author":"Ralph","year":"1999","journal-title":"BMJ"},{"key":"B41","doi-asserted-by":"publisher","first-page":"4680","DOI":"10.1073\/pnas.1002611107","article-title":"Vaginal microbiome of reproductive-age women","volume":"108","author":"Ravel","year":"2011","journal-title":"Proc. Natl. Acad. Sci."},{"key":"B42","doi-asserted-by":"publisher","first-page":"251","DOI":"10.1016\/j.ajog.2020.10.019","article-title":"Bacterial vaginosis and its association with infertility, endometritis, and pelvic inflammatory disease","volume":"224","author":"Ravel","year":"2021","journal-title":"Am. J. Obstetrics Gynecol."},{"key":"B43","first-page":"1121","article-title":"Bacterial agents as a cause of infertility in humans","volume":"39","author":"Ruggeri","year":"2016","journal-title":"New Microbiol."},{"key":"B44","doi-asserted-by":"publisher","DOI":"10.3390\/microorganisms8060874","article-title":"Changes in the intestinal microbiota of patients with inflammatory bowel disease with clinical remission during an 8-week infliximab infusion cycle","volume":"8","author":"Seong","year":"2020","journal-title":"Microorganisms"},{"key":"B45","doi-asserted-by":"publisher","DOI":"10.3389\/fmicb.2012.00392","article-title":"Health-promoting properties of lactobacillus helveticus","volume":"3","author":"Taverniti","year":"2012","journal-title":"Front. Microbiol."},{"key":"B46","doi-asserted-by":"publisher","first-page":"1","DOI":"10.1016\/j.ajog.2016.08.008","article-title":"Sexually transmitted diseases and infertility","volume":"216","author":"Tsevat","year":"2017","journal-title":"Am. J. Obstetrics Gynecol."},{"key":"B47","unstructured":""},{"key":"B48","doi-asserted-by":"publisher","first-page":"257","DOI":"10.1186\/s13059-019-1891-0","article-title":"Improved metagenomic analysis with Kraken 2","volume":"20","author":"Wood","year":"2019","journal-title":"Genome Biol."},{"key":"B49","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pcbi.1000465","article-title":"A parsimony approach to biological pathway reconstruction\/inference for genomes and metagenomes","volume":"5","author":"Ye","year":"2009","journal-title":"PloS Comput. Biol."},{"key":"B50","doi-asserted-by":"publisher","first-page":"1613","DOI":"10.1099\/ijsem.0.001755","article-title":"Introducing EzBioCloud: a taxonomically united database of 16S rRNA gene sequences and whole-genome assemblies","volume":"67","author":"Yoon","year":"2017","journal-title":"Int. J. Systematic Evolutionary Microbiol."},{"key":"B51","doi-asserted-by":"publisher","DOI":"10.3389\/fcimb.2021.792787","article-title":"Contribution of lactobacillus iners to vaginal health and diseases: A systematic review","volume":"11","author":"Zheng","year":"2021","journal-title":"Front. Cell. Infection Microbiol."}],"container-title":["Frontiers in Cellular and Infection Microbiology"],"original-title":[],"link":[{"URL":"https:\/\/www.frontiersin.org\/articles\/10.3389\/fcimb.2024.1390088\/full","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2024,7,8]],"date-time":"2024-07-08T08:00:44Z","timestamp":1720425644000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.frontiersin.org\/articles\/10.3389\/fcimb.2024.1390088\/full"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024,7,9]]},"references-count":51,"alternative-id":["10.3389\/fcimb.2024.1390088"],"URL":"https:\/\/doi.org\/10.3389\/fcimb.2024.1390088","relation":{},"ISSN":["2235-2988"],"issn-type":[{"value":"2235-2988","type":"electronic"}],"subject":[],"published":{"date-parts":[[2024,7,9]]},"article-number":"1390088"}}