Increased risk for HIV acquisition was associated with bacterial vaginosis, greater microbial diversity, and higher concentrations of certain vaginal bacteria.
To explore the potential role of the vaginal microbiome in HIV acquisition, researchers conducted a nested case-control study in 55 HIV-positive women and 55 matched HIV-negative (control) women within a cohort of 349 women from 6 sub-Saharan African countries. Following broad-range polymerase chain reaction (PCR) analysis in vaginal samples from the entire cohort, the 20 most common bacterial species were selected for taxon-directed real-time PCR.
In the case-control comparison, lower relative abundance of Lactobacillus iners was associated with significantly higher probability of HIV acquisition. Real-time PCR in the full cohort showed that higher concentrations of Parvimonas species type 1 and type 2, Gemella asaccharolytica, Mycoplasma h…
Reviewing Author
DisclosuresConsultant/Advisory BoardUNAIDS; WHO; Bill and Melinda Gates Foundation, Population Council
Grant/Research SupportNIH; National Institute of Allergy and Infectious Diseases; Tides Foundation/MAC AIDS Fund; USAID; South African National Research Foundation; European Union; South African Medical Research Council
Editorial BoardsNew England Journal of Medicine; AIDS Reviews; AIDS Research and Human Retroviruses; mBio; Indian Journal of Medical Research; JAIDS: Journal of Acquired Immune Deficiency Syndromes
DisclosuresConsultant/Advisory BoardUNAIDS; WHO; Bill and Melinda Gates Foundation, Population Council
Grant/Research SupportNIH; National Institute of Allergy and Infectious Diseases; Tides Foundation/MAC AIDS Fund; USAID; South African National Research Foundation; European Union; South African Medical Research Council
Editorial BoardsNew England Journal of Medicine; AIDS Reviews; AIDS Research and Human Retroviruses; mBio; Indian Journal of Medical Research; JAIDS: Journal of Acquired Immune Deficiency Syndromes