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Gut and vaginal microbiomes on steroids: implications for women's health

期刊

TRENDS IN ENDOCRINOLOGY AND METABOLISM
卷 32, 期 8, 页码 554-565

出版社

CELL PRESS
DOI: 10.1016/j.tem.2021.04.014

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资金

  1. Clinical and Translational Science Award (CTSA)from the National Center for Advancing Translational Science [KL2 TR002379]
  2. National Institutes of Health (NIH) [P50 CA136393]
  3. Wellesley College Jenkins Distinguished Chair in Neuroscience Funds

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Women's health is influenced by the interactions of steroids with the gut and vaginal microbiomes at different life stages, with the microbiota playing a crucial role. Despite well-defined associations between host health and microbiome composition, the exact mechanistic role of the microbiome in women's health outcomes remains largely unknown.
This review discusses the interactions of steroids with the gut and vaginal microbiomes within each life phase of adult women and the implications for women's health. Each phase of a woman's life is characterized by distinct hormonal states which drive overall physiology of both host and commensal microbes. These host-microbiome interactions underlie disease pathology in disorders that affect women across their lifetime, including bacterial vaginosis, gestational diabetes, polycystic ovary syndrome (PCOS), anxiety, depression, and obesity. Although many associations between host health and microbiome composition are well defined, the mechanistic role of the microbiome in women's health outcomes is largely unknown. This review addresses potential mechanisms by which the microbiota influences women's health and highlights gaps in current knowledge.

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