Relationship between Human Papillomavirus Status and the Cervicovaginal Microbiome in Cervical Cancer

Hong Duc Thi Nguyen, Tan Minh Le, Eunmi Lee, Donghyeon Lee, Yeseul Choi, Junghwan Cho, Nora Jee Young Park, Gun Oh Chong, Incheol Seo, Hyung Soo Han

Research output: Contribution to journalReview articlepeer-review

11 Scopus citations

Abstract

Uterine cervical cancer (CC) is a complex, multistep disease primarily linked to persistent infection with high-risk human papillomavirus (HR-HPV). However, it is widely acknowledged that HR-HPV infection alone cannot account for the formation and progression of CC. Emerging evidence suggests that the cervicovaginal microbiome (CVM) also plays a significant role in HPV-related CC. Certain bacteria, such as Fusobacterium spp., Porphyromonas, Prevotella, and Campylobacter, are currently being considered as potential microbiomarkers for HPV-positive CC. However, the composition of the CVM in CC is inconsistent; thus, further studies are needed. This review comprehensively discusses the complex interplay between HPV and the CVM in cervical carcinogenesis. It is postulated that the dynamic interaction between HPV and the CVM creates an imbalanced cervicovaginal microenvironment that triggers dysbiosis, enhances HPV persistence, and promotes cervical carcinogenesis. Moreover, this review aims to provide updated evidence on the potential role of bacteriotherapy, particularly probiotics, in the treatment of CC.

Original languageEnglish
Article number1417
JournalMicroorganisms
Volume11
Issue number6
DOIs
StatePublished - Jun 2023

Keywords

  • bacteriotherapy
  • cervical cancer
  • cervical intraepithelial lesion
  • cervicovaginal microbiome
  • human papillomavirus

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