{"id":"https://openalex.org/W7225759592","doi":"https://doi.org/10.21203/rs.3.rs-11274215/v1","title":"Lactobacillus iners\u2013Centered Vaginal Microbiota Modules in Early Pregnancy and Risk of Perinatal Complications","display_name":"Lactobacillus iners\u2013Centered Vaginal Microbiota Modules in Early Pregnancy and Risk of Perinatal Complications","publication_year":2026,"publication_date":"2026-11-10","ids":{"openalex":"https://openalex.org/W7225759592","doi":"https://doi.org/10.21203/rs.3.rs-11274215/v1"},"language":"en","primary_location":{"id":"doi:10.21203/rs.3.rs-11274215/v1","doi":"https://doi.org/10.21203/rs.3.rs-11274215/v1","is_oa":true,"landing_page_url":"https://doi.org/10.21203/rs.3.rs-11274215/v1","pdf_url":"https://www.researchsquare.com/article/rs-11274215/latest.pdf","source":{"id":"https://openalex.org/S4306525896","display_name":"Research Square","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":null,"host_organization_name":null,"host_organization_lineage":[],"host_organization_lineage_names":[],"type":"repository"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"submittedVersion","is_accepted":false,"is_published":false,"raw_source_name":"Research Square","raw_type":"posted-content"},"volume":null,"type":"preprint","is_traditional":true,"indexed_in":["crossref"],"open_access":{"is_oa":true,"oa_status":"green","oa_url":"https://www.researchsquare.com/article/rs-11274215/latest.pdf","any_repository_has_fulltext":true},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5072907129","display_name":"Keita Waki","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I64926303","display_name":"Nara Medical University","ror":"https://ror.org/045ysha14","country_code":"JP","type":"education","lineage":["https://openalex.org/I64926303"]}],"countries":["JP"],"is_corresponding":false,"raw_author_name":"Keita Waki","raw_affiliation_strings":["Nara Medical University"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Nara Medical University","institution_ids":["https://openalex.org/I64926303"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5037596548","display_name":"Ryo Maekawa","orcid":"https://orcid.org/0000-0003-0923-376X","observed_orcids":["https://orcid.org/0000-0003-0923-376X"]},"institutions":[{"id":"https://openalex.org/I64926303","display_name":"Nara Medical University","ror":"https://ror.org/045ysha14","country_code":"JP","type":"education","lineage":["https://openalex.org/I64926303"]}],"countries":["JP"],"is_corresponding":false,"raw_author_name":"Ryo Maekawa","raw_affiliation_strings":["Nara Medical University"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Nara Medical University","institution_ids":["https://openalex.org/I64926303"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5064215677","display_name":"Ryuta Miyake","orcid":"https://orcid.org/0000-0002-9655-4459","observed_orcids":["https://orcid.org/0000-0002-9655-4459"]},"institutions":[{"id":"https://openalex.org/I64926303","display_name":"Nara Medical University","ror":"https://ror.org/045ysha14","country_code":"JP","type":"education","lineage":["https://openalex.org/I64926303"]}],"countries":["JP"],"is_corresponding":false,"raw_author_name":"Ryuta Miyake","raw_affiliation_strings":["Nara Medical University"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Nara Medical University","institution_ids":["https://openalex.org/I64926303"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5161376964","display_name":"Ayaka Sonobe","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I173915773","display_name":"Yamaguchi University","ror":"https://ror.org/03cxys317","country_code":"JP","type":"education","lineage":["https://openalex.org/I173915773"]}],"countries":["JP"],"is_corresponding":false,"raw_author_name":"Ayaka Sonobe","raw_affiliation_strings":["Yamaguchi University Graduate School of Medicine"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Yamaguchi University Graduate School of Medicine","institution_ids":["https://openalex.org/I173915773"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5061863751","display_name":"Aya Sugimoto","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I64926303","display_name":"Nara Medical University","ror":"https://ror.org/045ysha14","country_code":"JP","type":"education","lineage":["https://openalex.org/I64926303"]}],"countries":["JP"],"is_corresponding":false,"raw_author_name":"Aya Sugimoto","raw_affiliation_strings":["Nara Medical University"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Nara Medical University","institution_ids":["https://openalex.org/I64926303"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5104306882","display_name":"Konosuke Yamamoto","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I64926303","display_name":"Nara Medical University","ror":"https://ror.org/045ysha14","country_code":"JP","type":"education","lineage":["https://openalex.org/I64926303"]}],"countries":["JP"],"is_corresponding":false,"raw_author_name":"Konosuke Yamamoto","raw_affiliation_strings":["Nara Medical University"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Nara Medical University","institution_ids":["https://openalex.org/I64926303"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5005248187","display_name":"Tomoka Maehana","orcid":"https://orcid.org/0009-0001-0598-9466","observed_orcids":["https://orcid.org/0009-0001-0598-9466"]},"institutions":[{"id":"https://openalex.org/I64926303","display_name":"Nara Medical University","ror":"https://ror.org/045ysha14","country_code":"JP","type":"education","lineage":["https://openalex.org/I64926303"]}],"countries":["JP"],"is_corresponding":false,"raw_author_name":"Tomoka Maehana","raw_affiliation_strings":["Nara Medical University"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Nara Medical University","institution_ids":["https://openalex.org/I64926303"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5161391083","display_name":"Kaho Yamao","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I64926303","display_name":"Nara Medical University","ror":"https://ror.org/045ysha14","country_code":"JP","type":"education","lineage":["https://openalex.org/I64926303"]}],"countries":["JP"],"is_corresponding":false,"raw_author_name":"Kaho Yamao","raw_affiliation_strings":["Nara Medical University"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Nara Medical University","institution_ids":["https://openalex.org/I64926303"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5161374438","display_name":"Masahide Nakatani","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I64926303","display_name":"Nara Medical University","ror":"https://ror.org/045ysha14","country_code":"JP","type":"education","lineage":["https://openalex.org/I64926303"]}],"countries":["JP"],"is_corresponding":false,"raw_author_name":"Masahide Nakatani","raw_affiliation_strings":["Nara Medical University"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Nara Medical University","institution_ids":["https://openalex.org/I64926303"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5161413437","display_name":"Yuko Makino","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I64926303","display_name":"Nara Medical University","ror":"https://ror.org/045ysha14","country_code":"JP","type":"education","lineage":["https://openalex.org/I64926303"]}],"countries":["JP"],"is_corresponding":false,"raw_author_name":"Yuko Makino","raw_affiliation_strings":["Nara Medical University"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Nara Medical University","institution_ids":["https://openalex.org/I64926303"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5161403672","display_name":"Mai Kimura","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I64926303","display_name":"Nara Medical University","ror":"https://ror.org/045ysha14","country_code":"JP","type":"education","lineage":["https://openalex.org/I64926303"]}],"countries":["JP"],"is_corresponding":false,"raw_author_name":"Mai Kimura","raw_affiliation_strings":["Nara Medical University"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Nara Medical University","institution_ids":["https://openalex.org/I64926303"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5075423731","display_name":"Taihei Tsunemi","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I64926303","display_name":"Nara Medical University","ror":"https://ror.org/045ysha14","country_code":"JP","type":"education","lineage":["https://openalex.org/I64926303"]}],"countries":["JP"],"is_corresponding":false,"raw_author_name":"Taihei Tsunemi","raw_affiliation_strings":["Nara Medical University"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Nara Medical University","institution_ids":["https://openalex.org/I64926303"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5013623852","display_name":"Koji Ui","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I4210113433","display_name":"Nara Medical University Hospital","ror":"https://ror.org/01wvy7k28","country_code":"JP","type":"healthcare","lineage":["https://openalex.org/I4210113433"]}],"countries":["JP"],"is_corresponding":false,"raw_author_name":"Koji Ui","raw_affiliation_strings":["Nara Medical University Hospital"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Nara Medical University Hospital","institution_ids":["https://openalex.org/I4210113433"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5090319623","display_name":"Masahito Ohnishi","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I4210113433","display_name":"Nara Medical University Hospital","ror":"https://ror.org/01wvy7k28","country_code":"JP","type":"healthcare","lineage":["https://openalex.org/I4210113433"]}],"countries":["JP"],"is_corresponding":false,"raw_author_name":"Masahito Ohnishi","raw_affiliation_strings":["Nara Medical University Hospital"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Nara Medical University Hospital","institution_ids":["https://openalex.org/I4210113433"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5023252008","display_name":"Tomoko Uchiyama","orcid":"https://orcid.org/0000-0002-7916-6323","observed_orcids":["https://orcid.org/0000-0002-7916-6323"]},"institutions":[{"id":"https://openalex.org/I64926303","display_name":"Nara Medical University","ror":"https://ror.org/045ysha14","country_code":"JP","type":"education","lineage":["https://openalex.org/I64926303"]}],"countries":["JP"],"is_corresponding":false,"raw_author_name":"Tomoko Uchiyama","raw_affiliation_strings":["Nara Medical University"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Nara Medical University","institution_ids":["https://openalex.org/I64926303"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5015740193","display_name":"Akihiko Yoshizawa","orcid":"https://orcid.org/0000-0003-1462-7341","observed_orcids":["https://orcid.org/0000-0003-1462-7341"]},"institutions":[{"id":"https://openalex.org/I64926303","display_name":"Nara Medical University","ror":"https://ror.org/045ysha14","country_code":"JP","type":"education","lineage":["https://openalex.org/I64926303"]}],"countries":["JP"],"is_corresponding":false,"raw_author_name":"Akihiko Yoshizawa","raw_affiliation_strings":["Nara Medical University"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Nara Medical University","institution_ids":["https://openalex.org/I64926303"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5076163894","display_name":"Yoshiyuki Asai","orcid":"https://orcid.org/0000-0001-5519-4306","observed_orcids":["https://orcid.org/0000-0001-5519-4306"]},"institutions":[{"id":"https://openalex.org/I173915773","display_name":"Yamaguchi University","ror":"https://ror.org/03cxys317","country_code":"JP","type":"education","lineage":["https://openalex.org/I173915773"]}],"countries":["JP"],"is_corresponding":false,"raw_author_name":"Yoshiyuki Asai","raw_affiliation_strings":["Yamaguchi University Graduate School of Medicine"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Yamaguchi University Graduate School of Medicine","institution_ids":["https://openalex.org/I173915773"]}]},{"author_position":"last","author":{"id":"https://openalex.org/A5068823987","display_name":"Fuminori Kimura","orcid":"https://orcid.org/0000-0002-9840-4227","observed_orcids":["https://orcid.org/0000-0002-9840-4227"]},"institutions":[{"id":"https://openalex.org/I64926303","display_name":"Nara Medical University","ror":"https://ror.org/045ysha14","country_code":"JP","type":"education","lineage":["https://openalex.org/I64926303"]}],"countries":["JP"],"is_corresponding":false,"raw_author_name":"Fuminori Kimura","raw_affiliation_strings":["Nara Medical University"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Nara Medical University","institution_ids":["https://openalex.org/I64926303"]}]}],"institutions":[],"countries_distinct_count":1,"institutions_distinct_count":3,"corresponding_author_ids":[],"corresponding_institution_ids":[],"apc_list":null,"apc_paid":null,"fwci":null,"has_fulltext":true,"cited_by_count":0,"citation_normalized_percentile":null,"cited_by_percentile_year":null,"biblio":{"volume":null,"issue":null,"first_page":null,"last_page":null},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T10428","display_name":"Reproductive tract infections research","score":0.9970999956130981,"subfield":{"id":"https://openalex.org/subfields/2404","display_name":"Microbiology"},"field":{"id":"https://openalex.org/fields/24","display_name":"Immunology and Microbiology"},"domain":{"id":"https://openalex.org/domains/1","display_name":"Life Sciences"}},"topics":[{"id":"https://openalex.org/T10428","display_name":"Reproductive tract infections research","score":0.9970999956130981,"subfield":{"id":"https://openalex.org/subfields/2404","display_name":"Microbiology"},"field":{"id":"https://openalex.org/fields/24","display_name":"Immunology and Microbiology"},"domain":{"id":"https://openalex.org/domains/1","display_name":"Life Sciences"}},{"id":"https://openalex.org/T11290","display_name":"Preterm Birth and Chorioamnionitis","score":0.0010999999940395355,"subfield":{"id":"https://openalex.org/subfields/2729","display_name":"Obstetrics and Gynecology"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T10066","display_name":"Gut microbiota and health","score":0.000699999975040555,"subfield":{"id":"https://openalex.org/subfields/1312","display_name":"Molecular Biology"},"field":{"id":"https://openalex.org/fields/13","display_name":"Biochemistry, Genetics and Molecular Biology"},"domain":{"id":"https://openalex.org/domains/1","display_name":"Life Sciences"}}],"keywords":[],"concepts":[{"id":"https://openalex.org/C2780206646","wikidata":"https://www.wikidata.org/wiki/Q1061596","display_name":"Lactobacillus","level":3,"score":0.7699999809265137},{"id":"https://openalex.org/C2779245376","wikidata":"https://www.wikidata.org/wiki/Q28693","display_name":"Miscarriage","level":3,"score":0.6597999930381775},{"id":"https://openalex.org/C2779952448","wikidata":"https://www.wikidata.org/wiki/Q804521","display_name":"Bacterial vaginosis","level":2,"score":0.5927000045776367},{"id":"https://openalex.org/C2779234561","wikidata":"https://www.wikidata.org/wiki/Q11995","display_name":"Pregnancy","level":2,"score":0.5842000246047974},{"id":"https://openalex.org/C46973012","wikidata":"https://www.wikidata.org/wiki/Q28627","display_name":"Gestation","level":3,"score":0.5828999876976013},{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.5503000020980835},{"id":"https://openalex.org/C2776651480","wikidata":"https://www.wikidata.org/wiki/Q1607640","display_name":"Lactobacillus rhamnosus","level":4,"score":0.5117999911308289},{"id":"https://openalex.org/C131872663","wikidata":"https://www.wikidata.org/wiki/Q5284418","display_name":"Obstetrics","level":1,"score":0.5005999803543091},{"id":"https://openalex.org/C68557331","wikidata":"https://www.wikidata.org/wiki/Q14865007","display_name":"Early pregnancy factor","level":4,"score":0.4921000003814697},{"id":"https://openalex.org/C160798450","wikidata":"https://www.wikidata.org/wiki/Q4230870","display_name":"Concordance","level":2,"score":0.45239999890327454},{"id":"https://openalex.org/C72563966","wikidata":"https://www.wikidata.org/wiki/Q1303415","display_name":"Cohort","level":2,"score":0.399399995803833},{"id":"https://openalex.org/C2777744392","wikidata":"https://www.wikidata.org/wiki/Q5880","display_name":"Vagina","level":2,"score":0.3831999897956848},{"id":"https://openalex.org/C201903717","wikidata":"https://www.wikidata.org/wiki/Q1778788","display_name":"Cohort study","level":2,"score":0.3785000145435333},{"id":"https://openalex.org/C86803240","wikidata":"https://www.wikidata.org/wiki/Q420","display_name":"Biology","level":0,"score":0.33889999985694885},{"id":"https://openalex.org/C2778536940","wikidata":"https://www.wikidata.org/wiki/Q1975869","display_name":"Lactobacillus gasseri","level":4,"score":0.32739999890327454},{"id":"https://openalex.org/C29456083","wikidata":"https://www.wikidata.org/wiki/Q1221899","display_name":"Gynecology","level":1,"score":0.3260999917984009},{"id":"https://openalex.org/C2780018483","wikidata":"https://www.wikidata.org/wiki/Q127375","display_name":"Gardnerella vaginalis","level":3,"score":0.3131999969482422},{"id":"https://openalex.org/C42407357","wikidata":"https://www.wikidata.org/wiki/Q521","display_name":"Physiology","level":1,"score":0.27549999952316284},{"id":"https://openalex.org/C89423630","wikidata":"https://www.wikidata.org/wiki/Q7193","display_name":"Microbiology","level":1,"score":0.27410000562667847},{"id":"https://openalex.org/C23131810","wikidata":"https://www.wikidata.org/wiki/Q818574","display_name":"Observational study","level":2,"score":0.2630999982357025},{"id":"https://openalex.org/C2909981330","wikidata":"https://www.wikidata.org/wiki/Q857288","display_name":"Gram-positive bacterial infections","level":3,"score":0.25690001249313354},{"id":"https://openalex.org/C2776210078","wikidata":"https://www.wikidata.org/wiki/Q351870","display_name":"Reproductive medicine","level":3,"score":0.25279998779296875},{"id":"https://openalex.org/C2777831542","wikidata":"https://www.wikidata.org/wiki/Q537478","display_name":"Vaginal flora","level":3,"score":0.2524999976158142}],"mesh":[],"locations_count":1,"locations":[{"id":"doi:10.21203/rs.3.rs-11274215/v1","doi":"https://doi.org/10.21203/rs.3.rs-11274215/v1","is_oa":true,"landing_page_url":"https://doi.org/10.21203/rs.3.rs-11274215/v1","pdf_url":"https://www.researchsquare.com/article/rs-11274215/latest.pdf","source":{"id":"https://openalex.org/S4306525896","display_name":"Research Square","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":null,"host_organization_name":null,"host_organization_lineage":[],"host_organization_lineage_names":[],"type":"repository"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"submittedVersion","is_accepted":false,"is_published":false,"raw_source_name":"Research Square","raw_type":"posted-content"}],"best_oa_location":{"id":"doi:10.21203/rs.3.rs-11274215/v1","doi":"https://doi.org/10.21203/rs.3.rs-11274215/v1","is_oa":true,"landing_page_url":"https://doi.org/10.21203/rs.3.rs-11274215/v1","pdf_url":"https://www.researchsquare.com/article/rs-11274215/latest.pdf","source":{"id":"https://openalex.org/S4306525896","display_name":"Research Square","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":null,"host_organization_name":null,"host_organization_lineage":[],"host_organization_lineage_names":[],"type":"repository"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"submittedVersion","is_accepted":false,"is_published":false,"raw_source_name":"Research Square","raw_type":"posted-content"},"sustainable_development_goals":[],"study_designs":[],"awards":[],"funders":[],"has_content":{"pdf":true,"grobid_xml":true},"content_urls":{"pdf":"https://content.openalex.org/works/W7225759592.pdf","grobid_xml":"https://content.openalex.org/works/W7225759592.grobid-xml"},"referenced_works_count":13,"referenced_works":["https://openalex.org/W1966327575","https://openalex.org/W2047767617","https://openalex.org/W2113977541","https://openalex.org/W2142678478","https://openalex.org/W2170486072","https://openalex.org/W2397246897","https://openalex.org/W2550100707","https://openalex.org/W2572899228","https://openalex.org/W2734785751","https://openalex.org/W2740951628","https://openalex.org/W2807194798","https://openalex.org/W4391541380","https://openalex.org/W4410369528"],"related_works":[],"abstract_inverted_index":{"Abstract":[0],"Perinatal":[1],"complications":[2],"such":[3],"as":[4,132,178],"spontaneous":[5,152],"preterm":[6,8,153],"birth,":[7,154],"premature":[9],"rupture":[10],"of":[11,21,30,54,188],"membranes,":[12],"cervical":[13],"insufficiency,":[14],"and":[15,81,98,111,151],"recurrent":[16,149],"miscarriage":[17,150],"may":[18],"share":[19],"disruption":[20],"the":[22,31,77,85,103,113,129,156],"cervical-vaginal":[23],"ecosystem.":[24],"We":[25],"investigated":[26],"whether":[27],"network-level":[28],"characterization":[29],"early-pregnancy":[32],"vaginal":[33,47,172],"microbiota":[34,173],"was":[35,118,145],"associated":[36,147],"with":[37,67,148],"subsequent":[38,189],"perinatal":[39,190],"complications.":[40,167,191],"In":[41,102],"this":[42],"single-center":[43],"observational":[44],"cohort":[45],"study,":[46],"swabs":[48],"were":[49,90],"collected":[50],"at":[51,185],"8\u201312":[52],"weeks":[53],"gestation":[55],"from":[56,137],"113":[57],"pregnant":[58],"women.":[59],"Species-level":[60],"16S":[61],"rRNA":[62],"sequencing":[63],"showed":[64],"high":[65],"concordance":[66],"matrix-assisted":[68],"laser":[69],"desorption/ionization":[70],"time-of-flight":[71],"mass":[72],"spectrometry,":[73],"exceeding":[74],"82.4%":[75],"for":[76,182],"most":[78,87,104],"abundant":[79,88],"species":[80,89,117],"reaching":[82],"100%":[83],"when":[84],"two":[86],"considered.":[91],"Hierarchical":[92],"clustering":[93],"identified":[94],"one":[95],"Lactobacillus-dominant":[96],"group":[97],"four":[99],"anaerobe-dominant":[100],"subgroups.":[101],"dysbiotic":[105],"subgroup,":[106],"characterized":[107],"by":[108],"Gardnerella,":[109],"Fannyhessea,":[110],"Megasphaera,":[112],"only":[114],"detectable":[115],"Lactobacillus":[116,119,138],"iners.":[120],"Co-occurrence":[121],"network":[122],"analysis":[123],"further":[124],"placed":[125],"L.":[126,141,157],"iners":[127],"in":[128,164,175],"same":[130],"module":[131,144,159],"bacterial":[133],"vaginosis-associated":[134,143],"taxa,":[135],"distinct":[136],"crispatus.":[139],"This":[140],"iners/bacterial":[142],"significantly":[146],"whereas":[155],"crispatus-centered":[158],"tended":[160],"to":[161],"be":[162],"enriched":[163],"women":[165,184],"without":[166],"These":[168],"findings":[169],"support":[170],"network-based":[171],"assessment":[174],"early":[176],"pregnancy":[177],"a":[179],"potential":[180],"tool":[181],"identifying":[183],"increased":[186],"risk":[187]},"counts_by_year":[],"updated_date":"2026-11-11T12:16:26.678958","created_date":"2026-11-11T00:00:00"}
