Target intelligence / Profile preview

Abnormal Vaginal Lactobacilli

Molecular classification
Bacteria, Microbiome component
01

Overview

Abnormal vaginal lactobacilli refers to deviations in the quantity, species composition, or function of Lactobacillus bacteria within the vaginal microbiome. These abnormalities can manifest as either a deficiency (depletion) or an overgrowth of lactobacilli, each associated with distinct clinical syndromes and implications for vaginal health. These abnormalities are not direct drug targets but rather conditions arising from imbalances in the vaginal microbiome, which are addressed with therapies like antibiotics or alkalinizing agents.

Other names
Vaginal dysbiosisLactobacillus deficiencyLactobacillus overgrowthBacterial vaginosis (BV)Aerobic vaginitisCytolytic vaginosis (CV)Vaginal lactobacillosis
02

Mechanism of action

Antibiotic targeting of anaerobic/aerobic pathogens; Alkalinization to counteract excess lactic acid.

03

Biological functions

Maintenance of vaginal pHProduction of lactic acidProduction of antimicrobial compoundsInhibition of pathogen colonizationEpithelial cell lysis (in overgrowth)
04

Disease associations

Bacterial vaginosisAerobic vaginitisCytolytic vaginosisVaginal lactobacillosisVaginitisIncreased risk for infectionInflammationAdverse pregnancy outcomes
05

Safety considerations

Antibiotic resistanceDisruption of normal vaginal floraMisdiagnosis of cytolytic vaginosis as candidiasisOveruse of antifungals
06

Interacting drugs

Clindamycin

3 more in the full profile.

07

Biomarkers

Nugent scoreVaginal pHMicroscopic examination of vaginal discharge (presence of clue cells, lactobacilli, epithelial cell lysis)

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