← Reviews
Open AccessVollständige AnalyseJun 21, 2026

Lactobacillus gasseri K9: genomic and in vitro characterization of vaginal probiotic potential

Genomic and in vitro analysis of a vaginal L. gasseri strain shows absence of virulence and antibiotic resistance genes alongside favorable preclinical functional traits — no human clinical efficacy data exist.

The question (PICO)
PopulationSingle L. gasseri K9 strain isolated from a healthy woman's vaginal sample
InterventionComplete genomic characterization (sequencing, annotation, pangenome analysis of 278 genomes) and in vitro phenotypic assays (stress tolerance, adhesion, biofilm, pathogen inhibition, gastrointestinal simulation)
VergleichNo clinical comparator; genomic comparison with 278 L. gasseri genomes from databases
EndpunktPresence/absence of virulence and antibiotic resistance genes; in vitro functional traits (adhesion, biofilm, acid/bile tolerance, antimicrobial inhibition)
DEvidenz
Studie
In vitro study
Stichprobe
1
Effekt
Unzureichend
Zusammenfassung der Ergebnisse nach Endpunkt
EndpunktGradRichtungEffektStudien
Absence of virulence genesD Günstigqualitative: not detected by VFDB (no numeric effect size)1
Absence of antibiotic resistance determinantsD Günstigqualitative: not detected by CARD and ResFinder (no numeric effect size)1
Adhesion and biofilm formation traits in vitroD Günstigqualitative: presence of adhesion genes confirmed; in vitro assays positive (no IC reported)1
Tolerance to simulated gastrointestinal stressD Günstigqualitative: survival reported in simulated conditions (no numeric IC)1
Pathogen inhibition in vitroD Günstigqualitative: inhibition zones reported (no numeric IC or effect size)1
Safety: absence of hemolysis and mucin degradationD Günstigqualitative: negative results in hemolysis and mucin degradation assays (no numeric IC)1
Unique genomic sequences in pangenome (12 sequences exclusive to K9/Q9001)D Unzureichenddescriptive: 12 unique sequences identified vs 278 genomes; functional relevance unknown1
Absence of virulence genesD
Richtung Günstig
Effektqualitative: not detected by VFDB (no numeric effect size)
Studien1
Absence of antibiotic resistance determinantsD
Richtung Günstig
Effektqualitative: not detected by CARD and ResFinder (no numeric effect size)
Studien1
Adhesion and biofilm formation traits in vitroD
Richtung Günstig
Effektqualitative: presence of adhesion genes confirmed; in vitro assays positive (no IC reported)
Studien1
Tolerance to simulated gastrointestinal stressD
Richtung Günstig
Effektqualitative: survival reported in simulated conditions (no numeric IC)
Studien1
Pathogen inhibition in vitroD
Richtung Günstig
Effektqualitative: inhibition zones reported (no numeric IC or effect size)
Studien1
Safety: absence of hemolysis and mucin degradationD
Richtung Günstig
Effektqualitative: negative results in hemolysis and mucin degradation assays (no numeric IC)
Studien1
Unique genomic sequences in pangenome (12 sequences exclusive to K9/Q9001)D
Richtung Unzureichend
Effektdescriptive: 12 unique sequences identified vs 278 genomes; functional relevance unknown
Studien1

Kontext

Lactobacillus-dominated vaginal microbiota is associated with protection against infections. L. gasseri is a frequent vaginal commensal classified as GRAS by the FDA. Identifying strains with verified safety profiles and probiotic traits is a necessary step before any formulation development.

Was die Studie zeigte

The 1,872,894 bp genome with 1,779 genes and 34.83% GC content revealed no virulence genes (VFDB) and no antibiotic resistance determinants (CARD, ResFinder). Functional annotations identified genes for adhesion, carbohydrate metabolism, and secondary metabolite biosynthesis. Pangenome analysis across 278 genomes identified 12 sequences unique to K9 and Q9001, mostly encoding hypothetical proteins. No numeric clinical effect sizes were reported; all outcomes are in vitro or genomic.

Wie es durchgeführt wurde

In vitro and genomic single-strain study. Complete genome sequencing with annotation via multiple platforms (RAST, KEGG, COG, CAZyme, BAGEL4, AntiSMASH). Phenotypic assays included simulated acid and bile tolerance, adhesion, auto-aggregation, biofilm formation, hemolysis, mucin degradation, and pathogen inhibition. No clinical control group, human participants, or temporal follow-up.

Effektgröße

No calculable clinical effect size. Data are qualitative (gene presence/absence) or semi-quantitative in vitro without reported 95% CI.

Einschränkungen

Exclusively preclinical study (in vitro + genomic); no animal models, human epithelial cells, or clinical trials. No formal risk-of-bias tool applied (RoB 2, ROBINS-I, AMSTAR-2), as this is a descriptive single-strain study. Inferred genomic traits do not equal demonstrated in vivo function. Absence of resistance genes detected by CARD/ResFinder does not exclude phenotypic resistance.

In der klinischen Praxis

No clinical recommendation is supported by this study. Practitioners must not extrapolate in vitro results to patient efficacy or safety. The study is relevant only as characterization of a candidate for future development.

Was noch fehlt

Studies in vaginal epithelial models, animal experiments, and subsequently RCTs in women with bacterial vaginosis or recurrent candidiasis are needed to establish clinical efficacy and safety.

Microbiota Weekly

Die Mikrobiota-Evidenz der Woche, in Ihrer Sprache. Strukturierte Zusammenfassungen, rückverfolgbar zur Quelle.