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. 2021 Jul 28;12:694447. doi: 10.3389/fmicb.2021.694447

TABLE 1.

List of human post-mortem microbiome studies which include female reproductive tract, skin and/or oral cavity samples in the last 5 years.

Niches Study aim Sequencing Population and sample size Main outcome Main pitfall References
Brain, heart, liver, spleen, prostate, and uterus Estimating minimum PMI and cause of death 16S rRNA gene amplicon sequencing 158 samples Reproductive organs (uterus and prostate) were the last internal organs to decay during human decomposition Larger population size is needed to further account for variation due to (a)biotic factors Lutz et al., 2020
40 human bodies (14 female, 26 male)
6 body sites

Skin: nose and ear Estimating minimum PMI 16S rRNA gene amplicon sequencing 144 samples Machine learning model predicted the PMI with an average error of 2 days Model was based on only four human bodies that were sampled longitudinally Johnson et al., 2016
21 human bodies
2 body sites

Skin: left hip, right hip, left bicep, right bicep, left upper hip, right upper hip, left knee, groin, head Understanding microbially mediated processes during decomposition on different soil substrates 16S rRNA gene amplicon sequencing 18S rRNA gene amplicon sequencing ITS amplicon sequencing 2 human bodies during winter Soil type was not a dominant factor driving community development in the process of decomposition Limited population size with no information on sex Metcalf et al., 2016
3 skin sites
143 days
2 human bodies during spring
8 skin sites
82 days

Eyes, ears, mouth, nose, rectum, thigh skin Estimating minimum PMI for buried bodies 16S rRNA gene amplicon sequencing 2 male bodies Multidisciplinary methodology identified temporal changes in morphology, skeletal muscle protein decomposition, entomology, and microbiome for buried bodies Model was based on only two human bodies of which multiple samples were taken Pittner et al., 2020
10 timepoints

Skin: right hand palm Linking objects at the death scene to deceased individuals 16S rRNA gene amplicon sequencing 11 male bodies Objects could be traced to deceased individual 75% of the time Ante-mortem population was not always a demographic representation of the deceased study population Kodama et al., 2019
5 female bodies
30 living individuals
79 skin samples
98 object samples

Eyes, nose,ears, mouth, umbilicus rectum 1. Predicting the ante-mortem health condition of the deceased 2. Comparing three machine learning methods to predict PMI, location of death, and manner of death 3. Predicting cause and manner of death 16S rRNA gene amplicon sequencing 47 male bodies 141 female bodies 6 body sites 1 timepoint 1. Microbial biodiversity from the mouth could predict ante-mortem host health condition (e.g., heart disease) 2. Analysis of post-mortem microbiota from more than thee anatomic areas had limited additional value 3. Beta-dispersion, and case demographic data reflected forensic death determination Only one timepoint (majority of cases with estimated PMI of <72 h) which does not account for variability within a body 1. Pechal et al., 2018 2. Zhang et al., 2019 3. Kaszubinski et al., 2020a

Mouth: palate, tongue, inner cheek mucosa and tooth surfaces Estimating minimum PMI 16S rRNA gene amplicon sequencing 1 male body Post-mortem microbial succession in the oral cavity changed in a temporal way according to oxygen availability Limited population size with large variability Adserias-Garriga et al., 2017b
2 female bodies
8 timepoints
5 body sites

External auditory canal, eyes, nares, mouth, umbilicus, and rectum Studying the impact of coexisting conditions such as frozen affect the human microbiome at the time of discovery 16S rRNA gene amplicon sequencing 1 male body
1 female body
3 timepoints
The microbial diversity increased throughout the thawing process Association with time since death or cause of death Pechal et al., 2017

Blood, brain, buccal cavity, heart, liver, and spleen Estimating minimum PMI 16S rRNA gene amplicon sequencing 66 samples Microbial communities demonstrated time-, organ-, and sex-dependent changes Niche sampling was not equal for all deceased individuals Javan et al., 2016b
27 human bodies (12 female, 15 male)
6 body sites

Mouth, external left/right cheeks external left/right bicep region, torso, and rectum Studying outdoor decomposition under natural conditions 16S rRNA gene amplicon sequencing and 454 pyro- sequencing 1 male body Shifts in community structure were recorded and associated with major decomposition and related events Limited population size with large variability Hyde et al., 2015
1 female body
10 timepoints

The bold terms refer to the most relevant niches.