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ovarian cycling and reproductive state shape the vaginal microbiota in wild baboons

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Miller et al Microbiome (2017) 5:8 DOI 10.1186/s40168-017-0228-z RESEARCH Open Access Ovarian cycling and reproductive state shape the vaginal microbiota in wild baboons Elizabeth A Miller1*, Joshua A Livermore1, Susan C Alberts2,4, Jenny Tung2,3,4,5 and Elizabeth A Archie1,2 Abstract Background: The vaginal microbiome is an important site of bacterial-mammalian symbiosis This symbiosis is currently best characterized for humans, where lactobacilli dominate the microbial community and may help defend women against infectious disease However, lactobacilli not dominate the vaginal microbiota of any other mammal studied to date, raising key questions about the forces that shape the vaginal microbiome in nonhuman mammals Results: We used Illumina sequencing of the bacterial 16S rRNA gene to investigate variation in the taxonomic composition of the vaginal microbiota in 48 baboons (Papio cynocephalus), members of a well-studied wild population in Kenya Similar to prior studies, we found that the baboon vaginal microbiota was not dominated by lactobacilli Despite this difference, and similar to humans, reproductive state was the dominant predictor of baboon vaginal microbiota, with pregnancy, postpartum amenorrhea, and ovarian cycling explaining 18% of the variance in community composition Furthermore, among cycling females, a striking 39% of variance in community composition was explained by ovarian cycle phase, with an especially distinctive microbial community around ovulation Periovulatory females exhibited the highest relative abundance of lactic acid-producing bacteria compared to any other phase, with a mean relative abundance of 44% To a lesser extent, sexual behavior, especially a history of shared sexual partners, also predicted vaginal microbial similarity between baboons Conclusions: Despite striking differences in their dominant microbes, both human and baboon vaginal microbiota exhibit profound changes in composition in response to reproductive state, ovarian cycle phase, and sexual behavior We found major shifts in composition during ovulation, which may have implications for disease risk and conception success These findings highlight the need for future studies to account for fine-scale differences in reproductive state, particularly differences between the various phases of the ovarian cycle Overall, our work contributes to an emerging understanding of the forces that explain intra- and inter-individual variation in the mammalian vaginal microbiome, with particular emphasis on its role in host health and disease risk Keywords: Vaginal microbiome, Primate, Reproductive state, Ovulation, Transmission Background The composition of the human vaginal microbiome varies considerably between individuals and within the same individual over time [1, 2] Such variation is important because it can have major consequences for a woman’s vaginal health, disease risk, and fertility [3–5] In contrast to humans, we know very little about the * Correspondence: emille18@nd.edu Department of Biological Sciences, University of Notre Dame, Notre Dame, IN, USA Full list of author information is available at the end of the article causes and consequences of inter-individual variation in the vaginal microbiomes of non-human mammals Furthermore, human vaginal microbiomes differ considerably from those of other mammals, including other primates [6], raising key questions about whether the forces that shape the human vaginal microbiome are unique to humans or are shared with other primates or mammals Answering this question is important to understanding both (i) the generalizability of factors that explain inter-individual variation in the vaginal microbiome in different species and (ii) the ways in which © The Author(s) 2017 Open Access This article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated Miller et al Microbiome (2017) 5:8 non-human primates can serve as useful models for human vaginal microbial communities Unlike other primates, the human vaginal microbiota is usually dominated by members of the genus Lactobacillus, which typically comprise 70% or more of resident bacteria [1, 2] Lactobacilli dominance is important for understanding both the forces shaping the human vaginal microbiome as well as its hypothesized functional properties Specifically, lactobacilli produce lactic acid from the breakdown products of glycogen (e.g., maltose) in vaginal fluid [7–13] This reaction creates an acidic environment (pH ≤ 4.5) that is thought to protect women against sexually transmitted diseases (STDs) and inhibit the proliferation of opportunistic endogenous bacteria ([10, 14, 15], reviewed in [4]) Indeed, the loss of a lactobacillidominated community and subsequent increase in vaginal pH can lead to the overgrowth of anaerobic bacteria, referred to as bacterial vaginosis (BV), which is associated with infertility, preterm birth, maternal infections, and increased risk of STDs [3, 16–19] In humans, a variety of endogenous and exogenous factors alter the relative abundance of Lactobacillus and vaginal microbial composition [20, 21] In particular, estrogen stimulates the proliferation of the vaginal epithelium, increasing available glycogen in the vagina [22, 23] As such, the bacterial composition of the vaginal microbiome is strongly affected by normal fluctuations in estrogen that occur during puberty and menopause, between reproductive states, and over the menstrual cycle (e.g., [24–26]) In particular, estrogen peaks during ovulation and this peak is linked to high relative abundance of Lactobacillus spp., low microbial diversity, low vaginal pH, and a stable bacterial community [2, 27, 28] In addition to estrogen, sexual contact and exposure to maternal bacteria during birth may also influence the vaginal microbiome During sexual contact, transmission of novel bacteria or neutralization of vaginal acidity by seminal fluid may impact the vaginal environment [29–33] In support, sexual promiscuity is linked to greater instability in vaginal bacteria and increased risk of BV [20, 34, 35] Additionally, close contact with the mother’s vaginal canal during birth leads to the vertical transmission of maternal vaginal bacteria to offspring [36–38] In contrast to humans, the vaginal microbiota of nonhuman primates (NHPs)—at least all NHPs studied to date—have few lactobacilli (typically

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