PAPILOCARE HCP BOOKLET 2025

VAGINAL MICROBIOTA: FIRST LINE OF DEFENSE AGAINST HPV

Oral Lactobacillus Crispatus M247* administration, enhances HPV clearance 1

HPV clearance 1

Dominance of CST I 1

Baseline

At 90 days of treatment

100

100

90

90

100%

94.3%

80

80

70

70

60

60

68.6%

50

50

40

40

30

30

29%

28.6%

20

20

10

10

CST I 0%

CST II 0%

2.9% CST II

2.9% 2.9%

0

0

CST I

Baseline

90 days

CST III

CST IV

CST III

CST IV

Lactobacilli protect the women's genital tract from pathogens by: 2-4

pH

Adhesion at cervical epithelium avoiding the anchorage of pathogens 2

Decrease of pH through lactic acid production 2-4

Production of antimicrobial compounds 2

*M247 is the probiotic strain of PharmExtracta's Crispact® product

1. DI Pierro, Francesco et al. “Oral administration of Lactobacillus crispatus M247 to papillomavirus-infected women: results of a preliminary, uncontrolled, open trial.” Minerva obstetrics and gynecology vol. 73,5 (2021): 621-631. doi:10.23736/S2724-606X.21.04752-7 2. Łaniewski, Paweł et al. “The microbiome and gynaecological cancer development, prevention and therapy.” Nature reviews. Urology vol. 17,4 (2020): 232-250. doi:10.1038/s41585-020-0286-z 3. Brotman, Rebecca M et al. “Interplay between the temporal dynamics of the vaginal microbiota and human papillomavirus detection.”The Journal of infectious diseases vol. 210,11 (2014): 1723-33. doi:10.1093/infdis/jiu330 4. Kyrgiou, Maria et al. “Does the vaginal microbiota play a role in the development of cervical cancer?.” Translational research : the journal of laboratory and clinical medicine vol. 179 (2017): 168-182.doi:10.1016/j.trsl.2016.07.004

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