IgA coating of vaginal bacteria is reduced in the setting of bacterial vaginosis (BV) and preferentially targets BV-associated species

Immunoglobulin (Ig) bacterial coating has been described in the gastrointestinal tract and linked to inflammatory bowel disease; however, little is known about Ig coating of vaginal bacteria and whether it plays a role in vaginal health including bacterial vaginosis (BV). We examined Ig coating in 18 women with symptomatic BV followed longitudinally before, 1 week, and 1 month after oral metronidazole treatment. Immunoglobulin A (IgA) and/or immunoglobulin G (IgG) coating of vaginal bacteria was assessed by flow cytometry, and Ig coated and uncoated bacteria were sorted and characterized using 16S rRNA sequencing. Despite higher levels of IgG compared to IgA in cervicovaginal fluid, the predominant Ig coating the bacteria was IgA. The majority of bacteria were uncoated at all visits, but IgA coating significantly increased after treatment for BV. Despite similar amounts of uncoated and IgA coated majority taxa ( >1% total) across all visits, there was preferential IgA coating of minority taxa (0.2%-1% total) associated with BV including Sneathia, several Prevotella species, and others. At the time of BV, we identified a principal component (PC) driven by proinflammatory mediators that correlated positively with an uncoated BV-associated bacterial community and negatively with an IgA coated protective Lactobacillus bacterial community. The preferential coating of BV-associated species, increase in coating following metronidazole treatment, and positive correlation between uncoated BV-associated species and inflammation suggest that coating may represent a host mechanism designed to limit bacterial diversity and reduce inflammatory responses. Elucidating the role of Ig coating in vaginal mucosal immunity may promote new strategies to prevent recurrent BV.

Medienart:

E-Artikel

Erscheinungsjahr:

2024

Erschienen:

2024

Enthalten in:

Zur Gesamtaufnahme - volume:92

Enthalten in:

Infection and immunity - 92(2024), 1 vom: 16. Jan., Seite e0037323

Sprache:

Englisch

Beteiligte Personen:

Murphy, Kerry [VerfasserIn]
Gromisch, Matthew [VerfasserIn]
Srinivasan, Sujatha [VerfasserIn]
Wang, Tao [VerfasserIn]
Wood, Lianna [VerfasserIn]
Proll, Sean [VerfasserIn]
Liu, Congzhou [VerfasserIn]
Fiedler, Tina [VerfasserIn]
Valint, D J [VerfasserIn]
Fredricks, David N [VerfasserIn]
Keller, Marla J [VerfasserIn]
Herold, Betsy C [VerfasserIn]

Links:

Volltext

Themen:

140QMO216E
BV
Bacterial vaginosis
Dysbiosis
Ig-SEQ
IgA
IgA coating
Immunoglobulin A
Immunoglobulin G
Journal Article
Metronidazole
RNA, Ribosomal, 16S
Vaginal microbiome

Anmerkungen:

Date Completed 17.01.2024

Date Revised 10.02.2024

published: Print-Electronic

Citation Status MEDLINE

doi:

10.1128/iai.00373-23

funding:

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

NLM365903191