The vaginal epithelial barrier, which integrates mechanical, immune, chemical, and microbial defenses, is pivotal in safeguarding against external pathogens and upholding the vaginal microecological equilibrium. Although the widely used metronidazole effectively curtails
Gardnerella vaginalis, a key pathogen in bacterial vaginosis, it falls
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The vaginal epithelial barrier, which integrates mechanical, immune, chemical, and microbial defenses, is pivotal in safeguarding against external pathogens and upholding the vaginal microecological equilibrium. Although the widely used metronidazole effectively curtails
Gardnerella vaginalis, a key pathogen in bacterial vaginosis, it falls short in restoring the vaginal barrier or reducing recurrence rates. Our prior research highlighted
Lactobacillus crispatus CCFM1339, a vaginally derived
Lactobacillus strain, for its capacity to modulate the vaginal epithelial barrier. In cellular models,
L. crispatus CCFM1339 fortified the integrity of the cellular monolayer, augmented cellular migration, and facilitated repair. Remarkably, in animal models,
L. crispatus CCFM1339 substantially abated the secretion of the barrier disruption biomarker E-cadherin (from 101.45 to 82.90 pg/mL) and increased the anti-inflammatory cytokine IL-10 (35.18% vs. the model), consequently mitigating vaginal inflammation in mice. Immunological assays in vaginal tissues elucidated increased secretory IgA levels (from 405.56 to 740.62 ng/mL) and curtailed
IL-17 gene expression. Moreover,
L. crispatus CCFM1339 enhanced
Lactobacilli abundance and attenuated
Enterobacterium and
Enterococcus within the vaginal microbiome, underscoring its potential in probiotic applications for vaginal barrier regulation.
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