Fannyhessea vaginae (formerly Atopobium vaginae) vulvovaginal infections

Fannyhessea vaginae (formerly Atopobium vaginae) has a negative effect on cells, causing inflammation and increased gene expression of mucin-producing cells. 

F. vaginae is strongly associated with recurrent bacterial vaginosis and is often found with Gardnerella vaginalis.

Fannyhessea vaginae (formerly Atopobium vaginae) is a gram positive cocci shaped bacterium highly specific to Bacterial Vaginosis (BV) (Sousa et al, 2021). This organism alone typically does not cause BV, rather in combination with Gardnerella spp.

  • As an anaerobe
  • Creates polymicrobial biofilms that layer the vaginal epithelial cells providing the anaerobic conditions for optimal growth (Sousa et al, 2021)
  • The biofilms produced by this microbe serves as a diagnostic marker for BV

Genes of Fannyhessea

  • 24 different strains
  • Primary genome DSM 15829 is sequenced at 1.5 mbp, with the smallest strain only 461 bp
  • Most of the genes are protein coding, with 1200 genes coding over 18,000 proteins.
  • Encoded in this genome are sucrose metabolic pathways, glycan biosynthesis, and termination factor rho. In addition, the NusB protein involved in RNA biosynthesis within eubacteria is regulated by modulating transcription and antitermination efficiency.

Bacterial morphology of Fannyhessea

  • Gram-positive
  • Non-motile
  • Non spore forming
  • Rarely are found in single species planktonic state, but rather synergistically in the biofilms they create
  • Utilises carbohydrates through a glycolysis and pentose phosphorous pathway
  • The anaerobic glycolytic pathway breaks down glycerin-p to pyruvate to be used in the production of energy
  • Pentose phosphorous pathway breaks down fructose-6p that can end up in the input of the glycolytic pathway
  • In a further complex fashion, after the break down of the glycerin-p rather than continuing the production of pyruvate, this organism can switch its metabolism into an anabolic pathway to build the amino acid methionine from the serine intermediate
  • Rarely found in the microbiota of healthy individuals.
  • Once F. vaginae creates biofilms and attach to the vaginal epithelial wall, it causes anoxic conditions that exacerbating pH issues from lactic acid production, and increases discharge.

Sousa, L. G., Castro, J., França, A., Almeida, C., Muzny, C. A., & Cerca, N. (2021). A new PNA-fish probe targeting Fannyhessea Vaginae. Frontiers in Cellular and Infection Microbiology, 11. https://doi.org/10.3389/fcimb.2021.779376

Mendling, Werner, et al. “An update on the role of Atopobium Vaginae in bacterial vaginosis: What to consider when choosing a treatment? A mini review.” Archives of Gynecology and Obstetrics, vol. 300, no. 1, 2019, pp. 1–6, https://doi.org/10.1007/s00404-019-05142-8

https://bacdive.dsmz.de/strain/3043
Condition typeBacteria
Affected systemsReproductive
Sexually TransmissibleYes
Genitourinary Incidencevery common
Age group affected

Microbial information

Anaerobe / Aerobe
Gram stainGram-positive
Best tests to detect
  • PCR
  • Culture
Pathogen of
  • Vagina
Commensal of
(Can naturally inhabit, but not necessarily as a healthy addition)
  • Gut
Optimal growth pH
Conditions correlated with
  • Bacterial vaginosis (BV)
  • Vaginal dysbiosis
Cellular adherence capacitiesMedium
Found in healthy vaginasNo
Biofilm-forming capacities
  • Low
Cellular Morphology
  • Coccobacillus (between round and rod-shaped)
Microbe MotilityMotile
Colony Colour
  • Grey-white
Substances Produced
Sexually TransmissibleYes

What are the symptoms of Fannyhessea vaginae (formerly Atopobium vaginae) vulvovaginal infections?

What causes Fannyhessea vaginae (formerly Atopobium vaginae) vulvovaginal infections?

  • No causes found for Fannyhessea vaginae (formerly Atopobium vaginae) vulvovaginal infections, yet.

What are the risk factors associated with Fannyhessea vaginae (formerly Atopobium vaginae) vulvovaginal infections?

  • No risk factors for Fannyhessea vaginae (formerly Atopobium vaginae) vulvovaginal infections, yet.

How do you diagnose Fannyhessea vaginae (formerly Atopobium vaginae) vulvovaginal infections?

  • No diagnoses found for Fannyhessea vaginae (formerly Atopobium vaginae) vulvovaginal infections, yet.

How do you treat Fannyhessea vaginae (formerly Atopobium vaginae) vulvovaginal infections?

Treatments for Fannyhessea vaginae (formerly Atopobium vaginae) vulvovaginal infections are only for practitioners and people who purchased the book Killing BV and Killing BV for men.

Which treatments are likely to be ineffective for Fannyhessea vaginae (formerly Atopobium vaginae) vulvovaginal infections?

What complications are associated with Fannyhessea vaginae (formerly Atopobium vaginae) vulvovaginal infections?

  • No complications found for Fannyhessea vaginae (formerly Atopobium vaginae) vulvovaginal infections, yet.

References

Atopobium vaginae - an overview | ScienceDirect Topics, https://www.sciencedirect.com/topics/medicine-and-dentistry/atopobium-vaginaeDe Backer, E. et al., 2006. Antibiotic susceptibility of Atopobium vaginae. BMC Infectious Diseases, 6, pp.1–6, https://www.ncbi.nlm.nih.gov/pmc/articles/PMC1468414/Medical Diagnostic Laboratories, Atopobium vaginae papers, https://www.mdlab.com/forms/TechBulletin/Atopobium_Vaginae.pdfPendharkar, S. et al., 2010. Bacterial Vaginosis, Atopobium vaginae and Nifuratel. BMC Infectious Diseases, 13(1), p.488, http://www.biomedcentral.com/1471-2334/13/43Ferris, MJ et al, 2004. Association of Atopobium vaginae, a recently described metronidazole resistant anaerobe, with bacterial vaginosis. BMC Infectious Diseases 4: 5. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC362875/Maftoon, Amirmozafari, and Kashanian, 2016, Isolation of Atopobium vaginae in Vaginal and Urine Samples of Iranian Women, the first report. Journal of Applied Biological Sciences 10 (3): 43-46 https://www.researchgate.net/publication/316504184_Isolation_of_Atopobium_vaginae_in_vaginal_and_urine_samples_of_Iranian_women_the_first_report

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