Ureaplasma parvum

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Ureaplasma parvum
Scientific classification OOjs UI icon edit-ltr.svg
Domain: Bacteria
Phylum: Mycoplasmatota
Class: Mollicutes
Order: Mycoplasmatales
Family: Mycoplasmataceae
Genus: Ureaplasma
Species:
U. parvum
Binomial name
Ureaplasma parvum
Robertson et al. 2002

Ureaplasma parvum is a species of Ureaplasma , a genus of bacteria belonging to the family Mycoplasmataceae. [1]

Contents

Ureaplasma parvum was formerly known as Ureaplasma urealyticum biovar 1. [2] Ureaplasma parvum has been identified as being a commensal in the uterus as part of the microbiome in healthy women of reproductive age. [3] [4]

Classification

Ureaplasma spp. are one of the smallest known clonal bacteria. They are closely related to mycoplasmas as they lack a peptidoglycan cell wall, metabolize cholesterol, and require urea for ATP synthesis. [5] The Ureaplasma genus has 14 serotypes that are classified based on the 16S rRNA gene, the urease gene, and the multiple-banded antigen (MBA) gene. [6] U. parvum has four serotypes (-1, -3, -6, -14) that were differentiated by variations in the MBA gene, a Ureaplasma surface antigen protein. [7] Although U. parvum is known to be a commensal microorganism within healthy humans, its ability to become pathogenic may be due to its ability to easily acquire new genes via horizontal gene transfer (HGT). [8] Sequencing of U. parvum samples isolated from clinical patients reveals a much more diverse set of strains (at least 19), suggesting that further methods of classifying U. parvum should be investigated. [8]

Clinical relevance

The clinical implications concerning the pathogenicity of U. parvum have yet to be determined because of its recent establishment as a separate species from U. urealyticum. Due to the species heterogeneity in Ureaplasma spp. not being noted in clinical studies prior to their distinction from each other, it is possible that U. urealyticum is disproportionately overrepresented compared to U. parvum. [5] As a consequence, interpreting data on Ureaplasma parvum can be difficult since there are currently few studies that differentiate between the Ureaplasma spp. Therefore, there is little substantial evidence that U. parvum causes any of the diseases that have been associated with U. urealyticum, specifically inflammatory vulvovaginitis, male infertility and non-gonococcal urethritis (NGU), female urethritis and urethral pain syndrome, pelvic inflammatory disease, cervicitis, ectopic pregnancy, and female infertility. [9] [ unreliable medical source? ] It is important for future studies to accurately differentiate between U. urealyticum and U. parvum, as this will aid in the etiological analysis of NGU and other diseases.

There is no evidence of any role of U. parvum in cervicitis. [10]

Ureaplasma spp. lack a cell wall and are therefore resistant to antimicrobials that specifically attack the cell wall. For this reason, Ureaplasma spp. are particularly difficult to diagnose and eradicate, and unnecessary treatment can further encourage antimicrobial resistance. [11] As a result, extensive testing and treatment of the Ureaplasma spp. is not always recommended. [11] Ureaplasma parvum is usually part of the normal genital flora. Rarely can it cause invasive infections such as genitourinary infections, septic arthritis, or meningitis.

Commensalism

Ureaplasma parvum is commensal in both males and females, where it attaches itself to the mucosal lining of the urogenital tract. Damage to mucosal linings results in the relocation of Ureaplasma spp. to other physiological areas of the body, which can lead to infection and disease.[ citation needed ]U. parvum has been investigated as an opportunistic pathogen, however current studies question its contribution to urogenital infections. [12] [ unreliable medical source? ] For example, a study conducted by Rumyantseva et al. [13] [ unreliable medical source? ] showed that in female patients with varying vaginal microflora, U. parvum was the most prevalent mycoplasma. In normal vaginal microflora, 43.5% of samples were U. parvum positive. Bacterial vaginosis and aerobic vaginitis samples were 59.9% and 23.9% U. parvum positive, respectively. This study supports the symbiotic considerations between vaginal microflora (primarily normal and bacterial vaginosis) and mycoplasma such as U. parvum.

Ureaplasma parvum in males

Ureaplasma parvum (and U. urealyticum) have been linked to nongonococcal urethritis (NGU), but the Ureaplasma spp. have also been found in many healthy men, allowing for considerable skepticism that the two are correlated. Similarly, links to prostatitis and infertility are difficult to establish due to its presence in control groups. In andrology studies, the presence of U. parvum in semen has been found to be significant. Various Ureaplasma spp. isolates have been detected in semen via polymerase chain reaction (PCR) and immunofluorescent antibody assay. In 36.6% of washed samples, U. parvum was present. Andrology studies surrounding U. parvum demonstrated that the bacteria can remain on the spermatozoa even after washing. [5]

Related Research Articles

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Mycoplasma genitalium is a sexually transmitted, small and pathogenic bacterium that lives on the mucous epithelial cells of the urinary and genital tracts in humans. Medical reports published in 2007 and 2015 state that Mgen is becoming increasingly common. Resistance to multiple antibiotics, including the macrolide azithromycin, which until recently was the most reliable treatment, is becoming prevalent. The bacteria was first isolated from the urogenital tract of humans in 1981, and was eventually identified as a new species of Mycoplasma in 1983. It can cause negative health effects in men and women. It also increases the risk factor for HIV spread with higher occurrences in those previously treated with the azithromycin antibiotics.

<span class="mw-page-title-main">Pelvic inflammatory disease</span> Infection of uterus, fallopian tubes, ovaries or the inner surface of pelvis

Pelvic inflammatory disease, also known as pelvic inflammatory disorder (PID), is an infection of the upper part of the female reproductive system, namely the uterus, fallopian tubes, and ovaries, and inside of the pelvis. Often, there may be no symptoms. Signs and symptoms, when present, may include lower abdominal pain, vaginal discharge, fever, burning with urination, pain with sex, bleeding after sex, or irregular menstruation. Untreated PID can result in long-term complications including infertility, ectopic pregnancy, chronic pelvic pain, and cancer.

Urethritis is the inflammation of the urethra. The most common symptoms include painful or difficult urination and urethral discharge. It is a commonly treatable condition usually caused by infection with bacteria. This bacterial infection is often sexually transmitted, but not in every instance; it can be idiopathic, for example. Some incidence of urethritis can appear asymptomatic as well.

<i>Mycoplasma</i> Genus of bacteria

Mycoplasma is a genus of bacteria that, like the other members of the class Mollicutes, lack a cell wall, and its peptidoglycan, around their cell membrane. The absence of peptidoglycan makes them naturally resistant to antibiotics such as the beta-lactam antibiotics that target cell wall synthesis. They can be parasitic or saprotrophic. Several species are pathogenic in humans, including M. pneumoniae, which is an important cause of "walking" pneumonia and other respiratory disorders, and M. genitalium, which is believed to be involved in pelvic inflammatory diseases. Mycoplasma species are among the smallest organisms yet discovered, can survive without oxygen, and come in various shapes. For example, M. genitalium is flask-shaped, while M. pneumoniae is more elongated, many Mycoplasma species are coccoid. Hundreds of Mycoplasma species infect animals.

Nongonococcal urethritis (NGU) is inflammation of the urethra that is not caused by gonorrheal infection.

Mycoplasma hominis is a species of bacteria in the genus Mycoplasma. M. hominis has the ability to penetrate the interior of human cells. Along with ureaplasmas, mycoplasmas are the smallest free-living organisms known.

<i>Ureaplasma urealyticum</i> Species of bacterium

Ureaplasma urealyticum is a bacterium belonging to the genus Ureaplasma and the family Mycoplasmataceae in the order Mycoplasmatales. This family consists of the genera Mycoplasma and Ureaplasma. Its type strain is T960. There are two known biovars of this species; T960 and 27. These strains of bacteria are commonly found as commensals in the urogenital tracts of human beings, but overgrowth can lead to infections that cause the patient discomfort. Unlike most bacteria, Ureaplasma urealyticum lacks a cell wall making it unique in physiology and medical treatment.

<span class="mw-page-title-main">Mycoplasmataceae</span> Family of bacteria

Mycoplasmataceae is a family of bacteria in the order Mycoplasmatales. This family consists of the genera Mycoplasma and Ureaplasma.

<span class="mw-page-title-main">Reactive arthritis</span> Medical condition

Reactive arthritis, also known as Reiter's syndrome, is a form of inflammatory arthritis that develops in response to an infection in another part of the body (cross-reactivity). Coming into contact with bacteria and developing an infection can trigger the disease. By the time the patient presents with symptoms, often the "trigger" infection has been cured or is in remission in chronic cases, thus making determination of the initial cause difficult.

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Vaginal flora, vaginal microbiota or vaginal microbiome are the microorganisms that colonize the vagina. They were discovered by the German gynecologist Albert Döderlein in 1892 and are part of the overall human flora. The amount and type of bacteria present have significant implications for an individual's overall health. The primary colonizing bacteria of a healthy individual are of the genus Lactobacillus, such as L. crispatus, and the lactic acid they produce is thought to protect against infection by pathogenic species.

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Miocamycin is a macrolide antibiotic. It has a spectrum activity similar to that of Erythromycin, but shows higher antimicrobial effect against certain bacteria including Legionella pneumophila, Mycoplasma hominis, and Ureaplasma urealyticum. In-vivo studies have further expounded on Miocamycin's efficacy, reporting that the medication is more effective than in-vitro data suggests.

<span class="mw-page-title-main">Sexually transmitted infection</span> Infection transmitted through human sexual behavior

A sexually transmitted infection (STI), also referred to as a sexually transmitted disease (STD) and the older term venereal disease (VD), is an infection that is spread by sexual activity, especially vaginal intercourse, anal sex, oral sex, or sometimes manual sex. STIs often do not initially cause symptoms, which results in a risk of transmitting them on to others. The term sexually transmitted infection is generally preferred over sexually transmitted disease or venereal disease, as it includes cases with no symptomatic disease. Symptoms and signs of STIs may include vaginal discharge, penile discharge, ulcers on or around the genitals, and pelvic pain. Some STIs can cause infertility.

Protein M is an immunoglobulin-binding protein originally found on the cell surface of the human pathogenic bacterium Mycoplasma genitalium. It is presumably a universal antibody-binding protein, as it is known to be reactive against all antibody types tested so far. It is capable of preventing the antigen-antibody interaction due to its high binding affinity to any antibody. The Scripps Research Institute announced its discovery in 2014. It was detected from the bacterium while investigating its role in patients with a cancer, multiple myeloma.

Ureaplasma gallorale is a species of Ureaplasma, a genus of bacteria belonging to the family Mycoplasmataceae. It has been isolated from chickens and barnyard fowl. It possesses the sequence accession no. (16S rRNA gene) for the type strain: U62937. It is a commensal species with its host organism but has the ability to colonize and create infection. In the presence of virulence factors (H2O2, antigen proteins, etc.) is when these species start to over colonize. They have relatively small genomes, utilizing their host organisms natural processes to further their growth and survival. Nutrient required by the Ureaplasma species to continue metabolism are taken directly from the host. They proliferate in environments with a pH of 6.0-6.5 and a temperature of 35-37 °C. These characteristics are common to most biological environments which is why Ureaplasma species regularly cause infection. These infections can be found in the genital and respiratory tracks of avian species (chickens and turkey). Ureaplasma gallorale infections cannot always be managed by the host due to the mechanisms the bacteria have adapted. A host will release immune signals of IgA molecules to the bacterial cells to signify infection but the Ureaplasmas can secrete an enzyme known as IgAse that destroys IgA, rendering the signal inactive and leaving the host susceptible to health concerns. These infections, known as the condition Ureaplasmosis, have further ramifications for the barnyard fowl such as low egg production, weight loss, reduced feed conversion efficiency and even death. These health issues are a serious concern in maintaining adequate production for the agricultural industry.

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<span class="mw-page-title-main">Uterine microbiome</span>

The uterine microbiome is the commensal, nonpathogenic, bacteria, viruses, yeasts/fungi present in a healthy uterus, amniotic fluid and endometrium and the specific environment which they inhabit. It has been only recently confirmed that the uterus and its tissues are not sterile. Due to improved 16S rRNA gene sequencing techniques, detection of bacteria that are present in low numbers is possible. Using this procedure that allows the detection of bacteria that cannot be cultured outside the body, studies of microbiota present in the uterus are expected to increase.

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References

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