Altered microbiota in the female reproductive tract as a risk factor for failure of assisted reproductive technologies

Assisted reproductive technologies (ART) are one of the most effective ways in fighting infertility, but their effectiveness is influenced by various factors. Our study focuses on examining importance of risk factors underlying ART failure related to altered microbiome pattern in the female reproduc...

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Autores principales: E A. Lebedeva, S. V. Rishchuk, T. A. Dushenkova, A. S. Mokhov, M. V. Desyatova, E. I. Ermolenko, G. F. Leontyeva, A. V. Svarval, E. E. Shchederkina, V. V. Kolodzhieva, L. Yu. Nilova, E. A. Orishak, A. E. Goncharov
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Publicado: Sankt-Peterburg : NIIÈM imeni Pastera 2021
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Acceso en línea:https://doaj.org/article/6536274d7798462a8753bca36cd4a45f
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spelling oai:doaj.org-article:6536274d7798462a8753bca36cd4a45f2021-11-22T07:09:55ZAltered microbiota in the female reproductive tract as a risk factor for failure of assisted reproductive technologies2220-76192313-739810.15789/2220-7619-CIT-1551https://doaj.org/article/6536274d7798462a8753bca36cd4a45f2021-03-01T00:00:00Zhttps://www.iimmun.ru/iimm/article/view/1551https://doaj.org/toc/2220-7619https://doaj.org/toc/2313-7398Assisted reproductive technologies (ART) are one of the most effective ways in fighting infertility, but their effectiveness is influenced by various factors. Our study focuses on examining importance of risk factors underlying ART failure related to altered microbiome pattern in the female reproductive system. The case-control study was based on conducting a laboratory examination of 129 infertile couples applied to the Department of Assisted Reproductive Technologies due to failure of in vitro fertilization (IVF), whereas control group consisted of females with successful progressive pregnancy after ART. Chlamydia, herpes virus and cytomegalovirus were assessed by using PCR and ELISA, whereas culture method was used to detect Trichomonas vaginalis in vaginal swabs and ejaculate applying Trichomonas Modified CPLM Medium (HiMedia, India) followed by microscopy. In addition, the qualitative and quantitative composition of the vaginal biocenosis was studied with multiplex RT-PCR by using Femoflor-16 kit (DNA-technologies, Russia). Serological tests were based on measuring IgG and IgA antibodies against Chlamydia trachomatis in ELISA (diagnostic kits purchased from Vektor Best, Russia; NovaTec, Germany; ImmunoComb, Israel) as well as antibodies against immediate early HSV-1/2 proteins (BioService, Russia) and immediate early HHV-5 proteins (Vector Best, Russia). C. trachomatis and herpesvirus DNA was measured by using PCR diagnostic kits Amplisens (Interlabservice, Russia). It was found that sexually transmitted infection agents were highly prevalent in infertile couples applying to the hospital for IVF. Significant factors for non-pregnancy were vaginal dysmicrobiocenosis (OR = 7.5 (95% CI 1.04—54.1), p = 0.02) and detected T. vaginalis (OR = 2.6 (95% CI 1.12—6.4), p = 0.01). Dysbiosis of the reproductive system, including those occurring due to trichomonas infection is associated with lowered ART effectiveness. It is evident to timely detect urogenital infections and dysbiosis while preparing infertile couples for IVF cycles.E A. LebedevaS. V. RishchukT. A. DushenkovaA. S. MokhovM. V. DesyatovaE. I. ErmolenkoG. F. LeontyevaA. V. SvarvalE. E. ShchederkinaV. V. KolodzhievaL. Yu. NilovaE. A. OrishakA. E. GoncharovSankt-Peterburg : NIIÈM imeni Pasteraarticleurogenital infectionsmicrobiomeassisted reproductive technologieschlamydial infectiontrichomonas infectionrisk factorsInfectious and parasitic diseasesRC109-216RUInfekciâ i Immunitet, Vol 11, Iss 2, Pp 365-370 (2021)
institution DOAJ
collection DOAJ
language RU
topic urogenital infections
microbiome
assisted reproductive technologies
chlamydial infection
trichomonas infection
risk factors
Infectious and parasitic diseases
RC109-216
spellingShingle urogenital infections
microbiome
assisted reproductive technologies
chlamydial infection
trichomonas infection
risk factors
Infectious and parasitic diseases
RC109-216
E A. Lebedeva
S. V. Rishchuk
T. A. Dushenkova
A. S. Mokhov
M. V. Desyatova
E. I. Ermolenko
G. F. Leontyeva
A. V. Svarval
E. E. Shchederkina
V. V. Kolodzhieva
L. Yu. Nilova
E. A. Orishak
A. E. Goncharov
Altered microbiota in the female reproductive tract as a risk factor for failure of assisted reproductive technologies
description Assisted reproductive technologies (ART) are one of the most effective ways in fighting infertility, but their effectiveness is influenced by various factors. Our study focuses on examining importance of risk factors underlying ART failure related to altered microbiome pattern in the female reproductive system. The case-control study was based on conducting a laboratory examination of 129 infertile couples applied to the Department of Assisted Reproductive Technologies due to failure of in vitro fertilization (IVF), whereas control group consisted of females with successful progressive pregnancy after ART. Chlamydia, herpes virus and cytomegalovirus were assessed by using PCR and ELISA, whereas culture method was used to detect Trichomonas vaginalis in vaginal swabs and ejaculate applying Trichomonas Modified CPLM Medium (HiMedia, India) followed by microscopy. In addition, the qualitative and quantitative composition of the vaginal biocenosis was studied with multiplex RT-PCR by using Femoflor-16 kit (DNA-technologies, Russia). Serological tests were based on measuring IgG and IgA antibodies against Chlamydia trachomatis in ELISA (diagnostic kits purchased from Vektor Best, Russia; NovaTec, Germany; ImmunoComb, Israel) as well as antibodies against immediate early HSV-1/2 proteins (BioService, Russia) and immediate early HHV-5 proteins (Vector Best, Russia). C. trachomatis and herpesvirus DNA was measured by using PCR diagnostic kits Amplisens (Interlabservice, Russia). It was found that sexually transmitted infection agents were highly prevalent in infertile couples applying to the hospital for IVF. Significant factors for non-pregnancy were vaginal dysmicrobiocenosis (OR = 7.5 (95% CI 1.04—54.1), p = 0.02) and detected T. vaginalis (OR = 2.6 (95% CI 1.12—6.4), p = 0.01). Dysbiosis of the reproductive system, including those occurring due to trichomonas infection is associated with lowered ART effectiveness. It is evident to timely detect urogenital infections and dysbiosis while preparing infertile couples for IVF cycles.
format article
author E A. Lebedeva
S. V. Rishchuk
T. A. Dushenkova
A. S. Mokhov
M. V. Desyatova
E. I. Ermolenko
G. F. Leontyeva
A. V. Svarval
E. E. Shchederkina
V. V. Kolodzhieva
L. Yu. Nilova
E. A. Orishak
A. E. Goncharov
author_facet E A. Lebedeva
S. V. Rishchuk
T. A. Dushenkova
A. S. Mokhov
M. V. Desyatova
E. I. Ermolenko
G. F. Leontyeva
A. V. Svarval
E. E. Shchederkina
V. V. Kolodzhieva
L. Yu. Nilova
E. A. Orishak
A. E. Goncharov
author_sort E A. Lebedeva
title Altered microbiota in the female reproductive tract as a risk factor for failure of assisted reproductive technologies
title_short Altered microbiota in the female reproductive tract as a risk factor for failure of assisted reproductive technologies
title_full Altered microbiota in the female reproductive tract as a risk factor for failure of assisted reproductive technologies
title_fullStr Altered microbiota in the female reproductive tract as a risk factor for failure of assisted reproductive technologies
title_full_unstemmed Altered microbiota in the female reproductive tract as a risk factor for failure of assisted reproductive technologies
title_sort altered microbiota in the female reproductive tract as a risk factor for failure of assisted reproductive technologies
publisher Sankt-Peterburg : NIIÈM imeni Pastera
publishDate 2021
url https://doaj.org/article/6536274d7798462a8753bca36cd4a45f
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