Creation of the tools to determine more accurate cervicotypes for the South African FRESH cohort
# FRESH Cervicotype Project
**Multi-marker molecular profiling for species-level cervicovaginal community typing in South African women**
## Overview
Standard 16S-based cervicovaginal community typing cannot resolve the species-level variation within diverse (non-*Lactobacillus*) communities that dominate in sub-Saharan African women, and this resolution gap obscures the biological mechanisms linking specific bacterial species, fungi, and Mollicutes to HIV acquisition risk.
This project develops an integrated multi-marker approach (cpn60 + pheS + ITS + 16S + Mollicute-specific PCR) for species-level cervicotyping, applied to the FRESH cohort (Females Rising through Education, Support and Health) in Durban, South Africa.
## Project structure
```
FRESH_cervicotype/
├── databases/ # Reference databases and classifiers
│ ├── cpn60/ # cpnDB references, cpn60-Classifier training sets
│ ├── pheS/ # Wuyts et al. framework + NCBI supplements
│ ├── ITS/ # UNITE v10.0 classifier
│ ├── 16S/ # SILVA/GG2 classifier + VALENCIA centroids
│ ├── mollicute_primers/ # MgPa, M. hominis 16S, ureC primer sequences
│ └── fredricks_bv_primers/ # BVAB1, BVAB2, Megasphaera, Fannyhessea primers
├── pipelines/ # Analysis pipelines
│ ├── cpn60/ # DADA2 → cpn60-Classifier
│ ├── pheS/ # DADA2 → custom pheS classifier
│ ├── ITS/ # ITSxpress → DADA2 → UNITE
│ ├── 16S/ # DADA2 → SILVA → VALENCIA
│ └── integration/ # Multi-marker merge and cervicotype assignment
├── validation/ # Testing with public datasets
│ ├── public_data/ # Downloaded SRA data (gitignored)
│ └── results/ # Validation outputs
├── docs/ # Documentation
│ ├── study_plan/ # Study plans and rationale
│ └── background/ …