Academic Title:
Professor
Primary Appointment:
Epidemiology & Public Health
Location:
Institute for Genome Sciences, Health Sciences Facility III, 670 West Baltimore St, Baltimore 21201
Phone (Primary):
410-706-6767
Fax:
410-706-1482
Education and Training
- Washington University, St. Louis, MO, BA, 1996
- Johns Hopkins University Bloomberg School of Public Health, MPH, Reproductive Epidemiology, 2001
- Johns Hopkins University Bloomberg School of Public Health, PhD, Department of Epidemiology Infectious Diseases Program, 2007
- National Institutes of Health: National Institute of Child Health and Human Development, Intramural Research Training Award (IRTA)
Longitudinal Study of Vaginal Flora, 2005-2007 - Division of Epidemiology, Statistics and Prevention Research (DESPR), Predoctoral Fellow, Rockville, MD, 2005-2007
- University of Maryland School of Medicine, Postdoctoral Fellow, Institute for Genome Sciences, 2007-2008
Biosketch
Dr. Brotman is an infectious diseases epidemiologist who has integrated the study of genomics into public health research. Over the past 20 years, she has developed a research career in various aspects of the human microbiome with an emphasis on urogenital health. Her research has ranged between the role of the vaginal microbiome in susceptibility to sexually transmitted infections (STIs) and the behavioral and biological factors associated with the development of bacterial vaginosis (BV).
Research/Clinical Keywords
infectious diseases, genomics, public health research, human microbiome, urogenital health, vaginal microbiome in susceptibility to sexually transmitted infections, STIs, bacterial vaginosis, BV
Highlighted Publications
Brotman RM, Ghanem KG, Klebanoff MA, Taha TE, Scharfstein DO, Zenilman JM: The effect of vaginal douching cessation on bacterial vaginosis: a pilot study. J. Obstet. Gynecol. 2008 Jun;198(6):628.e1-7. PMCID: PMC2494605.
Brotman RM, Klebanoff MA, Nansel TR, Andrews WW, Schwebke JR, Zhang J, Yu KF, Zenilman JM, Scharfstein DO. A longitudinal study of vaginal douching and bacterial vaginosis — A marginal structural modeling analysis. Am J Epidemiol. 2008 Jul 15;168(2):188-96. PMCID:
Brotman RM, Ravel J. [Invited Commentary] Ready or not: The molecular diagnosis of bacterial vaginosis. Clin Infect Dis. 2008 Jul 1;47(1):44-6. PMCID: N/A.
Brotman RM, Ravel J, Cone RA, Zenilman JM: Rapid fluctuation of the vaginal microbiota measured by Gram stain analysis. Sex Transm Infect 86:297-302, 2010 PMCID: PMC3534767.
Ravel J, Gajer P, Abdo Z, Schneider GM, Koenig SS, McCulle SL, Karlebach S, Gorle R, Russell J, Tacket CO, Brotman RM, Davis CC, Ault K, Peralta L, Forney LJ: Vaginal microbiome of reproductive-age women. Proc Natl Acad Sci U S A 108 Suppl 1:4680-4687, 2011. PMCID: PMC3063603.
Brotman RM, Klebanoff MA, Nansel TR, Yu KF, Andrews WW, Zhang J, Schwebke JR: Bacterial vaginosis assessed by gram stain and diminished colonization resistance to incident gonococcal, chlamydial, and trichomonal genital infection. J Infect Dis 202:1907-1915, 2010. PMCID: PMC3053135.
Gajer P*, Brotman RM*, Bai G, Sakamoto J, Schutte UM, Zhong X, Koenig SS, Fu L, Ma ZS, Zhou X, Abdo Z, Forney LJ, Ravel J: Temporal dynamics of the human vaginal microbiota. Sci Transl Med 4:132ra52, 2012. *contributed equally as first author PMCID: PMC3722878.
Brotman RM, Shardell MD, Gajer P, Fadrosh D, Chang K, Silver M, Viscidi RP, Burke AE, Ravel J, Gravitt PG. Association between the vaginal microbiota, menopausal status, and vulvovaginal symptoms. 2014 May;21(5):450-8. PMCID: PMC3994184.
Brotman RM, Shardell MD, Gajer P, Tracy JK, Zenilman JM, Ravel J, Gravitt PE. Interplay between the temporal dynamics of the vaginal microbiota and human papillomavirus detection. J Infect Dis. 2014 Dec 1;210(11):1723-33. PMCID: PMC4296189.
Robinson CK, Brotman RM, Ravel J. Intricacies of assessing the human microbiome in epidemiologic studies. Ann Epidemiol 2016, 26(5):311-321. PMCID: PMC4892937.
Nelson TM, Borgogna JC, Michalek RD, Roberts DW, Rath JM, Glover ED, Ravel J, Shardell MD, Yeoman CJ, Brotman RM. Cigarette smoking is associated with an altered vaginal tract metabolomic profile. Nature Scientific Reports 2018, 8(1):852. PMCID: PMC5770521.
Klebanoff MA, Brotman RM: Treatment of bacterial vaginosis to prevent preterm birth. Lancet 2018, 392(10160):2141-2142.
Borgogna JC, Shardell MD, Santori EK, Nelson TM, Rath JM, Glover ED, Ravel J, Gravitt PE, Yeoman CJ, Brotman RM: The vaginal metabolome and microbiota of cervical HPV-positive and HPV-negative women: a cross-sectional analysis. BJOG 2020, 127(2):182-192. PMCID: PMC6982399.
France MT, Ma B, Gajer P, Brown S, Humphrys MS, Holm JB, Waetjen LE, Brotman RM, Ravel J: VALENCIA: a nearest centroid classification method for vaginal microbial communities based on composition. Microbiome 2020, 8(1):166. PMCID: PMC7684964.
Turpin R, Tuddenham S, He X, Ghanem KG, Klebanoff MA, Brotman RM. Bacterial Vaginosis and Behavioral Factors Associated with Incident Pelvic Inflammatory Disease in the Longitudinal Study of Vaginal Flora, J Infect Dis. 2021 Aug 16;224 (Supplement 2):S137-S144. PMCID: PMC8499701.
Shardell MD, Gravitt PE, Burke AE, Ravel J, Brotman RM. Association of Vaginal Microbiota with Signs and Symptoms Associated with the Genitourinary Syndrome of Menopause across Reproductive Stages. J Gerontol A Biol Sci Med Sci, 2021 Apr 27. PMCID: PMC8361365.
Holm JB, France MT, Gajer P, Ma B, Brotman RM, Shardell M, Forney L, Ravel J: Integrating compositional and functional content to describe vaginal microbiomes in health and disease. Microbiome 2023, 11(1):259.PMCID: PMC10688475.
Klasner C, Macintyre AN, Brown SE, Bavoil P, Ghanem KG, Nylander E, Ravel J, Tuddenham S, Brotman RM: A Narrative Review on Spontaneous Clearance of Urogenital Chlamydia trachomatis: Host, Microbiome, and Pathogen-Related Factors. Sex Transm Dis 2024, 51(2):112-117. PMCID: PMC11017733.
Stennett C, France M, Shardell M, Robbins SJ, Brown SE, Johnston ED, Mark K, Ravel J, Brotman RM. Temporal dynamics of the vaginal microbiota of peri- and postmenopausal women: a pilot prospective cohort study, Menopause journal, IN PRESS.
Carter KA, Tuddenham S, Brotman RM. Dequalinium Chloride: An Emerging Option in the Sparse Landscape of Bacterial Vaginosis Therapies. JAMA Netw Open. 2024;7(5):e248606.
Awards and Affiliations
2001 - 2003
Ruth L. Kirschstein National Research Service Award (T32)
2005 - 2007
Intramural Research Training Award (NIH)
2007
NIH Fellows Award for Research Excellence (travel award)
2011
American Sexually Transmitted Diseases Association (ASTDA) Young Investigator Award
http://depts.washington.edu/astda/about/awards.html
2013
GenomeWeb Young Investigator Award
http://www.genomeweb.com/genomeweb-feature-eighth-annual-young-investigators
2013
The North American Menopause Society (NAMS) New Investigator Award
http://www.menopause.org/annual-meetings/2013-meeting/award-scholarship-recipients
2013
The Infectious Diseases Society for Obstetrics and Gynecology Young Investigator Award
2015
Best Paper Award, North American Menopause Society/Lippincott Williams & Wilkins Menopause Journal
2023
American Sexually Transmitted Diseases Association (ASTDA) Achievement Award
Grants and Contracts
Active Grants
“Mechanisms of Successful Vaginal Estrogen Prophylaxis for Postmenopausal Women with Recurrent Urinary Tract Infections: Urogenital Microbiota and Host Immune Responses"
06/01/2022 – 05/31/2026
MPI, Ravel, J
“Cervicovaginal microbiome, mucosal immunity, and pathogen factors that contribute to spontaneous clearance of Chlamydia trachomatis
NIH / NIAID R01-AI167629
09/01/2021 – 08/30/2026
MPI, Shardell
“Methods to Test the Role of Age-related Lifestyle and Vaginal Microenvironment Changes in the Prevention, Treatment, and Progression of the Genitourinary Syndrome of Menopause”
NIH / NIA R01-AG069915
07/1/2018 – 06/30/2023
Co-I
“Technology Enhanced Community Health Precision Nursing to Prevent Recurrent STIs”
NIH / NINR R01 NR013507
02/05/2016 – 01/31/2021
PI
“Lubricant Use and the Vaginal Microbiome”
NIH / NIAID R01-AI119012
05/01/2015 – 04/30/2021
PI
“Longitudinal study of the vaginal microbiome prior to incident STI”
NIH / NIAID R01-AI116799
Professional Activity
Academic Appointments
2020 - present
Professor
University of Maryland School of Medicine
Department of Epidemiology and Public Health
Institute for Genome Sciences
2016 - 2020
Associate Professor
University of Maryland School of Medicine
Department of Epidemiology and Public Health
Institute for Genome Sciences
2008 - 2016
Assistant Professor
University of Maryland School of Medicine
Department of Epidemiology and Public Health
Institute for Genome Sciences
2014 - present
Full Member, Population Research Program
University of Maryland Marlene and Stewart Greenebaum Comprehensive Cancer Center