Quantitative modeling predicts mechanistic links between pre-treatment microbiome composition and metronidazole efficacy in bacterial vaginosis
Bacterial vaginosis (BV) is typically caused by a shift in the vaginal microbiota from a Lactobacillus-dominant community to one colonised by strains of Gardenerella vaginalis and treatment with the antibiotic metronidazole (MNZ) often results in failure and recurrence. Here, the authors use modelli...
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Nature Portfolio
2020
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oai:doaj.org-article:9d83bafea6184047b1ac4bc5543da3b92021-12-02T14:41:02ZQuantitative modeling predicts mechanistic links between pre-treatment microbiome composition and metronidazole efficacy in bacterial vaginosis10.1038/s41467-020-19880-w2041-1723https://doaj.org/article/9d83bafea6184047b1ac4bc5543da3b92020-12-01T00:00:00Zhttps://doi.org/10.1038/s41467-020-19880-whttps://doaj.org/toc/2041-1723Bacterial vaginosis (BV) is typically caused by a shift in the vaginal microbiota from a Lactobacillus-dominant community to one colonised by strains of Gardenerella vaginalis and treatment with the antibiotic metronidazole (MNZ) often results in failure and recurrence. Here, the authors use modelling and in vitro assays to show that sequestration of MNZ by Lactobacillus is critical in reducing efficacy and women with a higher pre-treatment Lactobacillus/Gardnerella ratio are more likely to recur.Christina Y. LeeRyan K. CheuMelissa M. LemkeAndrew T. GustinMichael T. FranceBenjamin HampelAndrea R. ThurmanGustavo F. DoncelJacques RavelNichole R. KlattKelly B. ArnoldNature PortfolioarticleScienceQENNature Communications, Vol 11, Iss 1, Pp 1-12 (2020) |
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Science Q Christina Y. Lee Ryan K. Cheu Melissa M. Lemke Andrew T. Gustin Michael T. France Benjamin Hampel Andrea R. Thurman Gustavo F. Doncel Jacques Ravel Nichole R. Klatt Kelly B. Arnold Quantitative modeling predicts mechanistic links between pre-treatment microbiome composition and metronidazole efficacy in bacterial vaginosis |
description |
Bacterial vaginosis (BV) is typically caused by a shift in the vaginal microbiota from a Lactobacillus-dominant community to one colonised by strains of Gardenerella vaginalis and treatment with the antibiotic metronidazole (MNZ) often results in failure and recurrence. Here, the authors use modelling and in vitro assays to show that sequestration of MNZ by Lactobacillus is critical in reducing efficacy and women with a higher pre-treatment Lactobacillus/Gardnerella ratio are more likely to recur. |
format |
article |
author |
Christina Y. Lee Ryan K. Cheu Melissa M. Lemke Andrew T. Gustin Michael T. France Benjamin Hampel Andrea R. Thurman Gustavo F. Doncel Jacques Ravel Nichole R. Klatt Kelly B. Arnold |
author_facet |
Christina Y. Lee Ryan K. Cheu Melissa M. Lemke Andrew T. Gustin Michael T. France Benjamin Hampel Andrea R. Thurman Gustavo F. Doncel Jacques Ravel Nichole R. Klatt Kelly B. Arnold |
author_sort |
Christina Y. Lee |
title |
Quantitative modeling predicts mechanistic links between pre-treatment microbiome composition and metronidazole efficacy in bacterial vaginosis |
title_short |
Quantitative modeling predicts mechanistic links between pre-treatment microbiome composition and metronidazole efficacy in bacterial vaginosis |
title_full |
Quantitative modeling predicts mechanistic links between pre-treatment microbiome composition and metronidazole efficacy in bacterial vaginosis |
title_fullStr |
Quantitative modeling predicts mechanistic links between pre-treatment microbiome composition and metronidazole efficacy in bacterial vaginosis |
title_full_unstemmed |
Quantitative modeling predicts mechanistic links between pre-treatment microbiome composition and metronidazole efficacy in bacterial vaginosis |
title_sort |
quantitative modeling predicts mechanistic links between pre-treatment microbiome composition and metronidazole efficacy in bacterial vaginosis |
publisher |
Nature Portfolio |
publishDate |
2020 |
url |
https://doaj.org/article/9d83bafea6184047b1ac4bc5543da3b9 |
work_keys_str_mv |
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