Characteristics of the vaginal microbiome in cross-border female sex workers in China: a case-control study

PeerJ. 2019 Nov 29:7:e8131. doi: 10.7717/peerj.8131. eCollection 2019.

Abstract

Background: Female sex workers (FSWs) are key groups in the transmission of sexual transmitted infections (STI), and vaginal microbiome variations play an important role in transmission. We aimed to explore the characteristics of vaginal microbiome among FSWs.

Materials and methods: A total of 24 cross-border FSWs were randomly selected from a cross-sectional survey for female sex workers in southwest China. Thirty-seven female non-sex workers (FNSWs) were randomly selected from the gynecology clinic and health examination center. Vaginal swabs were collected, bacterial DNA extracted and 16S rRNA genes were sequenced. Differences in the vaginal microbiome between both groups were compared using bioinformatics analysis.

Results: One DNA sample was excluded due to unqualified concentration, therefore 60 samples were sequenced. FSWs had significantly different vaginal microbiota β diversity, but undifferentiated α diversity when compared with non-sex workers. The average relative abundance of Sneathia, Shigella, Neisseria, Chlamydia, Prevotella, Enterococcus and Ureaplasma among FSWs was higher than FNSWs, and relative abundance of Atopobium in FSWs was lower than FNSWs. The Lactobacillus genus was the major genus in both groups. At the species level, Lactobacllus crispatus, Lactobacllus gasseri and Lactobacllus jensenii, in female sex workers, were lower when compared to FNSWs.

Conclusion: There were distinct differences in vaginal bacteria variety between FSWs and FNSWs. Some disease-related genus were also more abundant in FSWs. Based on these observations, further research is required to identify microbiome communities related to high STI risks and other diseases in these cohorts.

Keywords: Female non-sex workers; Female sex workers; Lactobacillus; Vaginal microbiome.

Associated data

  • figshare/10.6084/m9.figshare.8479301.v1

Grants and funding

This work was supported by the National Natural Science Foundation of China (No. 81872634), the Fundamental Research Funds for the Central Universities (2242016K40025) and the Postgraduate Research and Practice Innovation Program of Jiangsu Province (KYCX17_0184). The funders had no role in study design, data collection and analysis, decision to publish, or preparation of the manuscript.