ORIGINAL RESEARCH

The use of real-time PCR for evaluation of endometrial microbiota

Voroshilina ES1,2, Zornikov DL2, Koposova OV2, Islamidi DK1,2, Ignatova KYu1, Abakumova EI1, Kurbatova NV1, Plotko EE1
About authors

1 Medical Center “Garmonia”, Yekaterinburg, Russia

2 Ural State Medical University of the Ministry of health, Yekaterinburg, Russia

Correspondence should be addressed: Еkaterina S. Voroshilina
Furmanova, 30, Yekaterinburg, 620142; moc.liamg@anilihsorov

About paper

Compliance with ethical standards: the study was approved by the Ethics Committee of Ural State Medical University (Protocol № 7 dated September 20, 2019). Informed consent was obtained from all study participants.

Acknowledgement: the authors thank Khayutin V, director of “Garmonia” Medical Center (Yekaterinburg), for letting them use its facilities for this research study. We thank to the Center for Precision Genome Editing and Genetic Technologies for Biomedicine (Moscow) for the genetic research methods.

Author contribution: Voroshilina ES organized the study, reviewed the literature, performed real-time PCR and statistical analysis, contributed to manuscript preparation; Zornikov DL reviewed the literature, conducted statistical analysis, contributed to manuscript preparation; Koposova OV reviewed the literature, performed molecular genetic assays; Islamidi DK analyzed medical histories, recruited patients, performed endometrial aspiration and pipelle biopsies, contributed to manuscript preparation; Ignatova KY conducted histological examinations; Abakumova EI reviewed medical histories, recruited patients, performed endometrial aspiration and pipelle biopsies; Kurbatova NV reviewed medical histories, recruited patients, performed endometrial aspiration and pipelle biopsies; Plotko EE organized the study, reviewed the literature, contributed to manuscript preparation.

Received: 2020-02-03 Accepted: 2020-02-17 Published online: 2020-02-29
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Chronic endometritis (CE) in women of the reproductive age is associated with infertility and recurrent pregnancy loss. The aim of this study was to evaluate the endometrial microbiota by means of real-time PCR in reproductive-age women depending on the morphological pattern of the endometrium. Using the Androflor real-time PCR kit, we analyzed endometrial aspirate collected from 23 patients with chronic endometritis, 30 patients with endometrial hyperplasia, and 19 healthy women. DNA of up to 9 groups of microorganisms was detected in all the analyzed samples in the amounts exceeding negative control. The total bacterial load (TBL) of the detected microorganisms was 103–106,4 (median 103,8) GE/ml. Lactobacillus spp. were detected the most often (86.1% of all samples). Opportunistic microorganisms (OM) were identified in 36.1% of all samples, including 22.2% of samples with lactobacilli and 13.9% — without lactobacilli. The variant of microbiota composition with Lactobacillus-dominance (more than 90%. in the TBL) was detected significantly less often in women with chronic endometritis compared to healthy women. Real-time PCR could be used for assessment of endometrial microbiota and allows us to determine its characteristics depending on the morphological pattern.

Keywords: Lactobacillus spp, real-time PCR, endometrial microbiota, chronic endometritis

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