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Tozetto-Mendoza TR, Bongiovanni AM, Minis E, Linhares IM, Boester A, Freire WS, Lima SH, de Oliveira NPG, Mendes-Correa MC, Forney LJ, Witkin SS. Torquetenovirus Titer in Vaginal Secretions from Pregnant and Postpartum Women: Association with Absence of Lactobacillus crispatus and Levels of Lactic Acid and Matrix Metalloproteinase-8. Reprod Sci 2020; 27:2075-2081. [PMID: 32944879 DOI: 10.1007/s43032-020-00227-1] [Citation(s) in RCA: 8] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/13/2020] [Accepted: 05/28/2020] [Indexed: 12/13/2022]
Abstract
Vaginal samples from women with term deliveries were tested for torquetenovirus (TTV) by gene amplification, matrix metalloproteinase (MMP)-8 and D- and L-lactic acid by ELISA, and microbiome composition by analysis of the bacterial 16S ribosomal RNA gene. TTV was detected in 43.2%, 31.5%, and 41.4% of first trimester, third trimester, and postpartum samples, respectively. The viral titer was higher in postpartum than in the first (p = 0.0018) or third (p = 0.0013) trimester. The mean gestational age at delivery was lower in women positive for TTV in their first trimester (p = 0.0358). In the first and third trimester, the MMP-8 level was higher if TTV was also present (p < 0.0091). The D-lactic acid level was lower in first trimester samples if TTV was present (p = 0.0334). Lactobacillus crispatus dominance in first and third trimester samples was higher when TTV was absent (p < 0.0033). We conclude that TTV is present in the vagina in many women with normal pregnancy outcomes and that its occurrence is associated with a lack of L. crispatus dominance, an increase in vaginal MMP-8 and a decrease in D-lactic acid.
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Affiliation(s)
- Tania R Tozetto-Mendoza
- Virology laboratory (LIM 52), Tropical Medicine Institute, Medicine School, São Paulo University, Rua Dr. Enéas de Carvalho Aguiar, 470, Cerqueira Cesar, São Paulo, Brazil.
| | | | - Evelyn Minis
- Department of Obstetrics and Gynecology, Weill Cornell Medicine, New York, NY, USA
| | - Iara M Linhares
- Department of Gynecology and Obstetrics, University of Sao Paulo Medical School, Sao Paulo, Brazil
| | - Allison Boester
- Department of Obstetrics and Gynecology, Weill Cornell Medicine, New York, NY, USA
| | - Wilton S Freire
- Virology laboratory (LIM 52), Tropical Medicine Institute, Medicine School, São Paulo University, Rua Dr. Enéas de Carvalho Aguiar, 470, Cerqueira Cesar, São Paulo, Brazil
| | - Silvia H Lima
- Virology laboratory (LIM 52), Tropical Medicine Institute, Medicine School, São Paulo University, Rua Dr. Enéas de Carvalho Aguiar, 470, Cerqueira Cesar, São Paulo, Brazil
| | - Natan P G de Oliveira
- Virology laboratory (LIM 52), Tropical Medicine Institute, Medicine School, São Paulo University, Rua Dr. Enéas de Carvalho Aguiar, 470, Cerqueira Cesar, São Paulo, Brazil
| | - Maria C Mendes-Correa
- Virology laboratory (LIM 52), Tropical Medicine Institute, Medicine School, São Paulo University, Rua Dr. Enéas de Carvalho Aguiar, 470, Cerqueira Cesar, São Paulo, Brazil
| | - Larry J Forney
- Department of Biological Sciences and the Institute for Bioinformatics and Evolutionary Studies, University of Idaho, Moscow, ID, USA
| | - Steven S Witkin
- Virology laboratory (LIM 52), Tropical Medicine Institute, Medicine School, São Paulo University, Rua Dr. Enéas de Carvalho Aguiar, 470, Cerqueira Cesar, São Paulo, Brazil.,Department of Obstetrics and Gynecology, Weill Cornell Medicine, New York, NY, USA
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