19.2 Microbiome and health Flashcards

1
Q

When do we aquire the gut microbiome?

A

passage through birth canal

early stages of breastfeeding

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2
Q

What are the 5 main functions of the microbiome?

A
host defence
metabolism
immune system development
intestinal epithelial cell maintenance and cell renewal
gut brain axis
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3
Q

How might the gut microbiome aid us in metabolism?

A

fermentation of carbs that we cant digest
improved lipid digestion
activation of pro-nutrients (polyphenolic compounds)
biotransformation of bile

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4
Q

What are the 3 main enterotypes observed?

A
more bacteriocides (generally good for us)
more prevotella (generally bad for us)
more ruminococcus
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5
Q

How might we alter our enterotype?

A

the gut microbiome may shift with an environmental trigger, such as going on holiday for a prolonged period of time

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6
Q

What 4 factors may be responsible for alterations to gut microbiome composition?

A

age (>60 number of bacteria decreases)
immunity (may be interpreted as a threat)
genetics
diet (probiotics, iron, antibiotics…)

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7
Q

What effect does antibiotics have on the microbiome?

A

it depletes it

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8
Q

Do probiotics work?

A

not really, the stomach and the bacteria protect us from them

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9
Q

Why might we have observed an increase in autoimmune diseases sicnce the 1950’s?

A

were we getting rid of the microbiome with our use of antibiotics?

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10
Q

Which group of people are more likely to have autoimmune diseases?
How can this be minimised?

A

those born by C-section, as they don’t have a great microbiome
sraight after birth you swab the mum’s microbiome and dowse the baby in it

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11
Q

What is dysbiosis? what is its’ significance?

A

imbalance in microbial equilibrium, and an alteration in the bacterial communities present
this is significant in a whole load of diseases, including cancer, IBD, and Autism

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12
Q

What effect does IBD have on the microbiome?

A

overall decrease in the richness, number, and diversity of bacteria
firmicutes and bacteriocides decrease, but actinobacteria and proteobacteria are increased

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13
Q

In the healthy gut, what is the flora dominated by and supplemented by?

A

Dominated: firmicutes and bacteriocides
supplemented: actinobacteria and proteobacteria

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14
Q

In a healthy person, what is the epithelial-bacterial relationship?

A

we produce anti-microbial peptides to distance the bacteria,which is regulated by the immune system, all is in balance

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15
Q

In an unhealthy person, how is the epithelial-bacterial relationship compromised?
what is the stimulus?

A

bacteria are able to invade the mucosa, but we don’t know what the trigger is

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16
Q

In what 3 ways might we be able to target the microbiome therapeutically?

A

antibiotics
probiotics
FMT

17
Q

When might we want to use antibiotics to therapeutically target the microbiome, why might we not use it?

A

when the original insult is caused by a pathogen
the use of antibiotics to treat IBD is a bit old hat now, we would rather develop our understanding than make do with this

18
Q

How might probiotics be used as a therapeutic agent in the gut microbiome?

A

not as a fiest line treatment, but to supplement other stuff

19
Q

FMT: what is importnant to consider for super donors?

A

lifestyle
chemicals and bacteria enriched in them
is the mediterranean diet the best?

20
Q

What is the effect of O2 in preparing FMT?

A

there is an enhanced efficacy of FMT when prepared anaerobically

21
Q

FMT: What is a virome?

A

the virus within FMT

22
Q

FMT: what is the significance of SCFA’s?

what might be worth considering?

A

improve epithelium integrity

do we need to deliver SCFA’s directly, or can we use a bacteria to produce SCFA’s?

23
Q

What effect does sterilisation of FMT have on C. Diff treatment?

A

it still has efficacy! is it the bacteria then?