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Community State Type (CST)

Definition

A classification of vaginal microbiome profiles into distinct clusters. Most CSTs are dominated by a single Lactobacillus species; one CST (often called CST IV) is Lactobacillus-sparse and associated with diverse anaerobes, which can reduce the distinctiveness of the vaginal microbial signature.

Abbreviation
CST
Field
Microbiome-based body fluid identification
Basis
Vaginal microbiome clustering by dominant bacterial genus
Notable subtype
CST IV, Lactobacillus-sparse, diverse anaerobes
Forensic effect
CST IV weakens the distinctiveness of the vaginal signature

Common questions

Why does CST classification matter for forensic body fluid identification?+

Vaginal fluid identification methods that rely on a Lactobacillus-dominated signature work reliably for most donors, but a donor whose community falls into CST IV lacks that dominant Lactobacillus signal, so the same assay can give a weaker or ambiguous result depending purely on which CST the donor happens to have.

Is CST IV rare or unusual among individuals?+

No, it is a well-documented, naturally occurring community type found in a meaningful proportion of women across populations, not a pathological or abnormal state, though its prevalence varies by ethnicity and geography in published microbiome studies.

Related terms

16S rRNA Gene
The gene encoding the 16S ribosomal RNA subunit present in all bacteria and archaea. Conserved regions allow universal amplification; hypervariable regions (V1-V9)...
Amplicon Sequencing
A sequencing approach where a specific locus (here the 16S hypervariable region) is amplified from all members of a microbial community and...
Microbiome
The total community of microorganisms (bacteria, archaea, fungi, viruses) inhabiting a body site, along with their collective genetic material. Each body site...
OTU / ASV
Operational Taxonomic Unit (OTU) and Amplicon Sequence Variant (ASV) are the units of microbial diversity in 16S data. OTUs cluster reads at...
Shotgun Metagenomics
Sequencing all DNA in a sample rather than just the 16S amplicon. Provides taxonomic resolution beyond 16S and can characterise viruses and...

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