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Article detail · 2025

Determination of Effect of Morus alba Extract and Lactobacillus rhamnosus on Vaginal Microbiota and SAP Gene (1–10) Profile With Candida albicans Exosome Administration in Rats

MicrobiologyOpen

YÖKSİS OpenAlex Open access · gold SJR Q2 JCR Q2 Citations 0 Percentile 25.0% FWCI 0.0
Year
2025
ISSN
2045-8827
Type
article

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Abstract

English (OpenAlex)

Vaginal microbiota is essential for mucosal immunity, pathogen defense, and homeostasis. Disruption of this balance can promote opportunistic infections, notably by Candida albicans. This study investigates the therapeutic potential of Morus alba (MA) extract and Lactobacillus rhamnosus (LR) in a rat model exposed to Candida albicans exosomes (CAE). CAE induced a 1.3-5.1-fold upregulation in SAP1-10 gene expression, with SAP4 showing the highest increase (p ≤ 0.05). MA and LR monotherapies selectively suppressed SAP6 (41%) and SAP4 (23%), respectively. Notably, combination therapy (CAE+MA+LR) synergistically inhibited all SAP genes (0.8-1.1-fold, p ≤ 0.05). 16S rRNA analysis showed that LR-containing groups maintained Lactobacillales abundance (37.77%-38.7%), while MA reduced Mycobacteriales by 68.5% (p = 0.004). Microbial diversity was lower in the MA group (H = 3.242) but higher in LR groups (H = 5.493-5.598). Histopathology revealed severe ovarian inflammation in the CAE group (87.4%, p = 0.0022) with a 4.2-fold increase in IL-6, while combination therapy reduced inflammation and IL-6 levels by 60%-72% (p ≤ 0.05). Immunofluorescence confirmed downregulation of TLR4 and Caspase-3 with treatment. FIB-SEM and NTA analyses showed that CAE exosomes had a heterogeneous morphology (99.3 ± 31.1 nm) and high polydispersity (PDI = 0.31). These results suggest that MA and LR synergistically reduce fungal virulence, restore microbial balance, and offer a promising adjuvant strategy against vaginal candidiasis.

Topics

  • Reproductive tract infections research
  • Gut microbiota and health
  • Dermatology and Skin Diseases

Primary topic Reproductive tract infections research

Authors

  1. MAHMUT UÇAR
  2. DEMET ÇELEBİ
  3. ÖZGÜR ÇELEBİ
  4. SÜMEYYE BAŞER
  5. MUSTAFA CAN GÜLER
  6. AYHAN TANYELİ ATATÜRK ÜNİVERSİTESİ
  7. METİN KİLİÇLİOĞLU
  8. Ahmet Yılmaz
  9. SERKAN YILDIRIM