Biofilm formation by opportunistic microorganisms isolated from the vaginal biotope
Khusnutdinova T.A., Shalepo K.V., Budilovskaya O.V., Krysanova A.A., Savicheva A.M., Bespalova O.N.
Objective. To assess the ability of opportunistic microorganisms isolated from the vaginal biotope to form single-species biofilms in vitro.
Materials and methods. The study included 142 isolates of opportunistic microorganisms from the vaginal biotope: Lactobacillus crispatus (n=9), Lactobacillus jensenii (n=6), Lactobacillus iners (n=1), Lactobacillus rhamnosus(n=1), Lactobacillus reuteri (n=1), Gardnerella vaginalis (n=13), Escherichia coli (n=23), Streptococcus agalactiae (n=39), Enterococcus faecalis (n=29) and yeast-like fungi of the Candida genus (n=20). Biofilm formation was assessed in a 96-well sterile flat-bottom polystyrene microplate.
Results. In vitro biofilm formation by 108/142 (76.1%) isolates of microorganisms was observed. The biofilm-producing ability of most clinical isolates of Lactobacillus spp. (17/18; 94.4%) was different. L. crispatus (9/9; 100%) and most L. jensenii (5/6; 83.3%) formed weak or moderate biofilms; L. rhamnosus, L. reuteri and one isolate of L. jensenii formed strong biofilms. All isolates of G. vaginalis had biofilm-producing ability: 2/13 (15.4%) were weak biofilm producers, 3/13 (23.1%) were moderate and 8/13 (61.5%) were strong. Among Candida spp. isolates, in vitro biofilms were formed by 18/20 (90%). At the same time, none of them were classified as weak biofilm producers. The biofilm-forming ability of different density was detected in 26/39 (66.7%) S. agalactiae isolates, 15/29 (51.7%) Enterococcus faecalis isolates, and 19/23 (82.6%) E. coli isolates.
Conclusion. Opportunistic microorganisms isolated from the vaginal biotope have the ability to form single-species biofilms in vitro. Further research is needed to create special conditions for formation of mixed-species or polymicrobial biofilms in vitro.
Authors' contributions. Khusnutdinova T.A. – literature review, microbiological testing, analysis of obtained data, manuscript writing and editing; Shalepo K.V. – microbiological testing, analysis of obtained data, manuscript writing and editing; Budilovskaya O.V., Krysanova A.A. – processing and analysis of obtained data; manuscript editing; Savicheva A.M., Bespalova O.N. –the study concept and design, manuscript editing, approval of the final version of the manuscript. All authors have made substantial contributions to the conception of the study, carrying out the study and writing the manuscript. The authors have read and approved the final version before publication.
Conflicts of interest. The authors declare that they have no conflicts of interest related to publication of this article.
Funding. The study was carried out within the framework of Fundamental Scientific Research “Creation of biological models of reproductive disorders for the development of individual approaches to pharmacological correction” (FGWN-2026-0008),
reg. No. 1025102300010-7-3.2.2.
Ethical Approval. The study was approved by the local Ethics Committee of D.O. Ott Research Institute of Obstetrics, Gynecology and Reproductology (protocol No. 147 of March 05, 2026).
Generative Artificial Intelligence. No generative AI was used in preparing this article.
Authors' Data Sharing Statement. The data supporting the findings of this study are available on request from the corresponding author after approval from the principal investigator.
For citation: Khusnutdinova T.A., Shalepo K.V., Budilovskaya O.V., Krysanova A.A., Savicheva A.M.,
Bespalova O.N., Biofilm formation by opportunistic microorganisms isolated from the vaginal biotope.
Akusherstvo i Ginekologiya/Obstetrics and Gynecology. 2026; (9): 117-125 (in Russian)
https://dx.doi.org/10.18565/aig.2026.109
Keywords
References
- Радзинский В.Е., Савичева А.М., ред. Биоценоз влагалища. Норма. Нарушения. Восстановление. М.: Редакция журнала Status Praesens; 2023. 360 с. https://dx.doi.org/10.29039/978-5-907218-72-7 [Radzinsky V.E., Savicheva A.M., eds. Vaginal biocenosis. Standard. Violations. Restoration. Moscow: Editorial Board of the Status Praesens journal; 2023. 360 p. (in Russian). https://dx.doi.org/10.29039/978-5-907218-72-7].
- Зайцев А.В., Аполихина И.А., Ходырева Л.А., Берников А.Н., Куприянов Ю.А., Строганов Р.В., Арефьева О.А., Тетерина Т.А. Роль нарушения микробиоты влагалища в патогенезе рецидивирующей инфекции нижних мочевыводящих путей: современный взгляд на проблему. Акушерство и гинекология. 2021; 5: 40-6. https://dx.doi.org/10.18565/aig.2021.5.40-46 [Zaitsev A.V., Apolikhina I.A., Khodyreva L.A., Bernikov A.N., Kupriyanov Yu.A., Stroganov R.V., Arefyeva O.A., Teterina T.A. Role of abnormal vaginal microbiota in the pathogenesis of recurrent lower urinary tract infection: a modern view of the problem. Obstetrics and Gynecology. 2021; (5): 40-6 (in Russian). https://dx.doi.org/10.18565/aig.2021.5.40-46].
- Доброхотова Ю.Э., Маркова Э.А. Смешанный вагинит в современных условиях: особенности течения и выбор подходов к лечению. Проблемы репродукции. 2022; 28(4): 137-44. https://dx.doi.org/10.17116/repro202228041137 [Dobrokhotova Yu.E., Markova E.A. Mixed vaginitis. What's new? Features of the course and therapy of mixed vaginitis. Russian Journal of Human Reproduction. 2022; 28(4): 137-44 (in Russian). https://dx.doi.org/10.17116/repro202228041137].
- Ильина Т.С., Романова Ю.М. Бактериальные биопленки: роль в хронических инфекционных процессах и поиск средств борьбы с ними. Молекулярная генетика, микробиология и вирусология. 2021; 39(2): 14 24. https://dx.doi.org/10.17116/molgen20213902114 [Ilyina T.S., Romanova Yu. M. Bacterial biofilms: their role in chronical infection processes and the means to combat them. Molecular Genetics, Microbiology and Virology. 2021; 39(2): 14-24. (in Russian). https://dx.doi.org/10.17116/molgen20213902114].
- Нурузова З.А., Байматов Р.А., Толипова Г.К. Биопленка микроорганизмов – апробированные методы исследования. Биология и интегративная медицина. 2019; 3(31): 5-17. [Nuruzova Z.A., Baimatov R.A., Tolipova G.K. Microbial biofilm – proven research methods. Biology and Integrative Medicine. 2019; 3(31): 5-17 (in Russian)].
- Шалепо К.В., Спасибова Е.В., Крысанова А.А, Хуснутдинова Т.А., Будиловская О.В., Сторожева К.В, Тапильская Н.И., Савичева А.М., Коган И.Ю. Сравнение методов выявления биопленочного синдрома при бактериальном вагинозе. Акушерство и гинекология. 2025; 7: 121-9. https://doi.org/10.18565/aig.2025.117 [Shalepo K.V.,Spasibova E.V., Krysanova A.A., Khusnutdinova T.A., Budilovskaya O.V., Storozheva K.V., Tapilskaya N.I., Savicheva A.M., Kogan I.Yu. Comparison of methods for detecting biofilm syndrome in bacterial vaginosis. Obstetrics and Gynecology. 2025; (7): 121-9 (in Russian). https://dx.doi.org/10.18565/aig.2025.117].
- Rather M.A., Gupta K., Mandal M. Microbial biofilm: formation, architecture, antibiotic resistance, and control strategies. Braz. J. Microbiol. 2021; 52(4): 1701-18. https://doi.org/10.1007/s42770-021-00624-x
- Jamal M., Ahmad W., Andleeb S., Jalil F., Imran M., Nawaz M.A. et al. Bacterial biofilm and associated infections. J. Chin. Med. Assoc. 2018; 81(1): 7-11. https://doi.org/10.1016/j.jcma.2017.07.012
- Хрянин А.А. Биопленки микроорганизмов: современные представления. Антибиотики и Химиотерапия. 2020; 65(5-6): 70-7. https://dx.doi.org/10.37489/0235-2990-2020-65-5-6-70-77 [Khryanin A.A. Microbial biofilms: modern concepts. Antibiotics and Chemotherapy. 2020; 65(5-6): 70-7 (in Russian). https://dx.doi.org/10.37489/0235-2990-2020-65-5-6-70-77].
- Zhao X., Yu Z., Ding T. Quorum-sensing regulation of antimicrobial resistance in bacteria. Microorganisms. 2020; 8(3): 425. https://dx.doi.org/10.3390/microorganisms8030425
- Parolin C., Croatti V., Giordani B., Vitali B. Vaginal Lactobacillus impair Candida dimorphic switching and biofilm formation. Microorganisms. 2022; 10(10): 2091. https://dx.doi.org/10.3390/microorganisms10102091
- Arias Valverde J., Alvarado Fernández M.L., Alvarado Mora M.L., Arias Alvarado M.J., Vanegas Navarro P. Probiotics as a preventive strategy for recurrent bacterial vaginosis: a narrative review. Cureus. 2025; 17(8): e89764. https://dx.doi.org/10.7759/cureus.89764
- Verstraelen H., Swidsinski A. The biofilm in bacterial vaginosis: implications for epidemiology, diagnosis and treatment: 2018 update. Curr. Opin. Infect. Dis. 2019; 32(1): 38-42. https://dx.doi.org/10.1097/QCO.0000000000000516
- Qin H., Liu Y., Zhai Z., Xiao B. Biofilm-forming capacity and drug resistance of different Gardnerella subgroups associated with bacterial vaginosis. Microorganisms. 2023; 11(9): 2186. https://dx.doi.org/10.3390/microorganisms11092186
- Faustino M., Ferreira C.M.H., Pereira A.M., Carvalho A.P. Candida albicans: the current status regarding vaginal infections. Appl. Microbiol. Biotechnol. 2025; 109(1): 91. https://dx.doi:10.1007/s00253-025-13478-2
- Mohammadi F., Hemmat N., Bajalan Z., Javadi A. Analysis of biofilm-related genes and antifungal susceptibility pattern of vaginal Candida albicans and non-Candida albicans species. Biomed. Res. Int. 2021; 2021: 5598907. https://dx.doi.org/10.1155/2021/5598907
- Rodríguez-Cerdeira C., Gregorio M.C., Molares-Vila A., López-Barcenas A., Fabbrocini G., Bardhi B. et al. Biofilms and vulvovaginal candidiasis. Colloids Surf. B Biointerfaces. 2019; 174: 110-125. https://dx.doi.org/10.1016/j.colsurfb.2018.11.011
- Ma X., Wu M., Wang C., Li H., Fan A., Wang Y., Han C., Xue F. The pathogenesis of prevalent aerobic bacteria in aerobic vaginitis and adverse pregnancy outcomes: a narrative review. Reprod. Health. 2022; 19: 21. https://dx.doi.org/10.1186/s12978-021-01292-8
- Mahale R.P. K. A., Princy A., Maheshwarappa Y.D., Sumana M.N. Comparative evaluation of biofilm-forming capacity in uropathogenic and commensal Escherichia coli. Front. Cell. Infect. Microbiol. 2025; 15: 1570422. https://dx.doi.org/10.3389/fcimb.2025.1570422
- Tamrat E., Asmare Z., Geteneh A., Sisay A., Getachew E., Kassanew B. et al. The global prevalence of biofilm-forming Enterococcus faecalis in clinical isolates: a systematic review and meta-analysis. BMC Infect. Dis. 2025; 25(1): 981. https://dx.doi.org/10.1186/s12879-025-11399-z
- Kaminska D., Ratajczak M., Szumała-Kąkol A., Dlugaszewska J., Nowak-Malczewska D.M., Gajecka M. Increasing resistance and changes in distribution of serotypes of Streptococcus agalactiae in Poland. Pathogens. 2020; 9(7): 526. https://dx.doi.org/10.3390/pathogens9070526
- Shang X., Bai H., Fan L., Zhang X., Zhao X., Liu Z. In vitro biofilm formation of Gardnerella vaginalis and Escherichia coli associated with bacterial vaginosis and aerobic vaginitis. Front. Cell. Infect. Microbiol. 2024; 14:1387414. https://dx.doi.org/10.3389/fcimb.2024.1387414
- Giordani B., Naldi M., Croatti V., Parolin C., Erdoğan Ü., Bartolini M. et al. Exopolysaccharides from vaginal lactobacilli modulate microbial biofilms. Microb. Cell. Fact. 2023; 22(1): 45. https://doi.org/10.1186/s12934-023-02053-x
- Li M., Zeng Z., Wang X., Liu Y., Wei H., Liu J. et al. Mechanisms ofS. agalactiae promoting G. vaginalis biofilm formation leading to recurrence of BV. NPJ Biofilms Microbiomes. 2024; 10(1): 138. https://dx.doi.org/10.1038/s41522-024-00601-w
Received 02.04.2026
Accepted 03.09.2026
About the Authors
Tatiana A. Khusnutdinova, PhD, Senior Researcher of the Experimental Microbiology Group, D.O. Ott Research Institute of Obstetrics, Gynecology and Reproductology,3 Mendeleyevskaya Line, 199034, St. Petersburg, Russia, husnutdinovat@yandex.ru, https://orcid.org/0000-0002-2742-2655
Kira V. Shalepo, PhD, Senior Researcher of the Experimental Microbiology Group, D.O. Ott Research Institute of Obstetrics, Gynecology and Reproductology,
3 Mendeleyevskaya Line, 199034, St. Petersburg, Russia, 2474151@mail.ru, https://orcid.org/ 0000-0002-3002-3874
Olga V. Budilovskaya, PhD, Senior Researcher of the Experimental Microbiology Group, D.O. Ott Research Institute of Obstetrics, Gynecology and Reproductology,
3 Mendeleyevskaya Line, 199034, St. Petersburg, Russia, o.budilovskaya@gmail.com, https://orcid.org/0000-0001-7673-6274
Anna A. Krysanova, PhD, Senior Researcher of the Experimental Microbiology Group, D.O. Ott Research Institute of Obstetrics, Gynecology and Reproductology,
3 Mendeleyevskaya Line, 199034, St. Petersburg, Russia, krusanova.anna@mail.ru, https://orcid.org/ 0000-0003-4798-1881
Alevtina M. Savicheva, Dr. Med. Sci., Professor, Head of the Department of Medical Microbiology, D.O. Ott Research Institute of Obstetrics, Gynecology and Reproductology, 3 Mendeleyevskaya Line, 199034, St. Petersburg, Russia, savitcheva@mail.ru, https://orcid.org/ 0000-0003-3870-5930
Olesya N. Bespalova, Dr. Med. Sci., Deputy Director of the Institute for Scientific Work, D.O. Ott Research Institute of Obstetrics, Gynecology and Reproductology»,
3 Mendeleyevskaya Line, 199034, St. Petersburg, Russia, shiggerra@mail.ru, https://orcid.org/0000-0002-6542-5953
Corresponding author: Tatiana A. Khusnutdinova, husnutdinovat@yandex.ru



