The Female Reproductive Tract Microbiome-Implications for Gynecologic Cancers and Personalized Medicine
Overview
Affiliations
The microbial colonization of the lower female reproductive tract has been extensively studied over the past few decades. In contrast, the upper female reproductive tract including the uterine cavity and peritoneum where the ovaries and fallopian tubes reside were traditionally assumed to be sterile under non-pathologic conditions. However, recent studies applying next-generation sequencing of the bacterial 16S ribosomal RNA gene have provided convincing evidence for the existence of an upper female reproductive tract microbiome. While the vaginal microbiome and its importance for reproductive health outcomes has been extensively studied, the microbiome of the upper female reproductive tract and its relevance for gynecologic cancers has been less studied and will be the focus of this article. This targeted review summarizes the pertinent literature on the female reproductive tract microbiome in gynecologic malignancies and its anticipated role in future research and clinical applications in personalized medicine.
Understanding the Associations of Urogenital Microbiomes With Fertility and In Vitro Fertilization.
Berard A, Brubaker D, Nemecio D, Farr Zuend C Am J Reprod Immunol. 2025; 93(2):e70035.
PMID: 39945201 PMC: 11822749. DOI: 10.1111/aji.70035.
Liang L, Li S, Huang M, Peng H, Lu Z, Zhang Z Front Microbiol. 2024; 15:1407324.
PMID: 38933024 PMC: 11203603. DOI: 10.3389/fmicb.2024.1407324.
Kaya Y, de Zoete M, Steba G Semin Reprod Med. 2024; 41(5):160-171.
PMID: 38262440 PMC: 11444813. DOI: 10.1055/s-0043-1778067.
Blancafort C, Llacer J Front Endocrinol (Lausanne). 2023; 13:1081830.
PMID: 36743917 PMC: 9893107. DOI: 10.3389/fendo.2022.1081830.
The Microbiome-Immune Axis Therapeutic Effects in Cancer Treatments.
Son Y, Kim J J Microbiol Biotechnol. 2022; 32(9):1086-1097.
PMID: 36116940 PMC: 9628962. DOI: 10.4014/jmb.2208.08002.