Human Microbiome Flashcards

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1
Q

Human Microbiome

A

Describes the microorganisms (bacteria, fungi, protozoa, and viruses), mostly bacteria, that continuously inhabit the human body
“Normal Micriobiota” or “Normal Flora”
They normally have a commensalistic or mutatlistic relationship

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2
Q

Fetus - sterile or not sterile?

A

The fetus is sterile = NO normal flora

Then newborns start having the normal flora from the mother, air, food and the environment

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3
Q

Introduction of flora

A

A process: Exposure -> Contamination -> Colonization

Complete colonization occurs within:
Hours (skin & nasopharynx)
Days (intestinal tract)
Week/Weeks (lower GI)

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4
Q

Organs - sterile or not sterile?

A

Our internal organs are sterile

Ex. spleen, liver, pancreas, bladder, CSF, blood (unless during infection)

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5
Q

Skin & Mucous Membranes- sterile or not sterile?

A

The surface tissues (i.e. skin & mucous membranes) are constantly in contact with environmental organisms and become readily colonized by various microbial species

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6
Q

Normal flora differ from one human to another depending on?

A
  • Age
  • Diet
  • Medications (antibiotics)
  • Maternal stress
  • Infant feeding practices (breast-feeding vs diet formula)
  • Mode of delivery (C-section vs vaginal)
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7
Q

Two Types of Flora - Resident vs Transient

A
  1. Resident Flora: relatively fixed types of microorganisms regularly found in a given area at a given age
    - If disturbed, they promptly reestablish themselves
    - The microbes of the normal resident flora are harmless
    - They may produce disease IF introduced into foreign locations in large numbers & if predisposing factors are present
  2. Transient Flora: non-pathogenic or potentially pathogenic microorganisms that inhibit the skin or mucous membranes for hours, days, or weeks
    - Generally of little significance as long as the normal resident flora remains intact
    - However, IF the resident flora is disturbed, transient microorganisms may colonize, proliferate, and produce disease
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8
Q

Why are they transient?

A
  1. May be washed by bathing
  2. May be flushed by tears, sweat, urine, feces
  3. May not survive acidic or alkaline pH of the site
  4. May not be able to compete w/ resident normal flora
  5. May be killed by substances produced by the resident normal flora
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9
Q

Where do we find normal flora?

A

Resident normal flora are found in sites exposed to the outside world!

  1. Skin
  2. Eyes & Ears
  3. Respiratory Tract
  4. Oral Cavity
  5. Gastrointestinal Tract
  6. Urogenital Tract
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10
Q

Skin

A
  • Generally dry, acid environment that does not support the growth of most microorganisms
  • Sweat glands, sebaceous glands, and hair follicles are readily colonized by gram-positive bacteria & other normal flora of the skin

Can acquire transient bacteria from enviro - but gets washed off or die

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11
Q

Resident Bacteria of the Skin

A

Aerobic: staphylococcus epidermis (majority) & staphylococcus aureus
Anaerobic Bacteria + Propionibacterum acnes

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12
Q

Eyes

A

The conjunctiva of the eye has primarily S. epidermis, followed by S. aureus, and others

Some skin normal flora are also present, but at fewer amounts

Tears (lysozyme enzymes), mucus, and oil will protect the conjunctiva of the eye from colonization by more bacteria

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13
Q

Ears

A

Middle & Inner Ear = usually sterile

Outer Ear & Auditory Canal = same normal flora of skin

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14
Q

Respiratory System

A

Upper
Nose & Throat = many microorganisms
Nasopharynx = streptococcus pneumoniae

Lower Respiratory Tract = usually sterile

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15
Q

Mouth

A

Complex microbial habitat
Most common = S. aureus & S. epidermis
Teeth & GIngiva = Streptococcus mutans (tooth decay & heart problems)

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16
Q

Stomach

A

Only a few d/t gastric enzymes and acidic pH

17
Q

Small Intestine

A

Upper - Only a few b/c bile kills them

Lower - lactobacilli & enterococci

18
Q

Large Intestine

A

More bacteria than any other part of the gut!!
99% = anaerobic Bacteroides spp.
Many are opportunists
Also many fungi, protozoa, and viruses

19
Q

Urinary Tract

A

Kidneys, Ureters, and Urinary Bladder = sterile

Lower Urethra & External Opening = bacteria, yeast & viruses (same bacteria present on skin)

20
Q

Male & Female Genitals

A

Sterile except vagina

Vagina = Lactobacillus acidophilus

21
Q

4 Beneficial Functions of Normal Flora

A
  1. Protection
  2. Growth & Immune Development
  3. Production of Vitamins
  4. Modulation of CNS activity
22
Q

Beneficial Functions - Protection

A

Protect our organs & systems that are in direct contact w/ the external environment from invading pathogens
May involve:
-Space occupation
-Competition for receptors/binding sites on host cells
-Competition for nutrients
-Production of bacteriocins (toxins)

Examples: E.coli prevents growth of Shigella spp; large intestine community prevents growth of C. diff; vaginal community prevents growth of Candida albicans

23
Q

Beneficial Functions - Development of immune system

A

Newborns, normal flora stimulates the development of the immune system

24
Q

Beneficial Functions - Production of Vitamins

A

Gut bacteria aid digestion by breaking down plant fibers into short-chain fatty acids that intestinal cells can access
Provide Vitamins K & B12

25
Q

Beneficial Functions - Modulation of CNS activity

A

Suggested modulation of CNS activity: brain-gut-microbe communication in health & disease

26
Q

Harmful Effect of Normal Flora

A
  1. When displaced from normal site of body
  2. When individuals are immunocompromised or their number increase under abnormal conditions, the normal flora can overgrow & become pathogenic
27
Q

PREbiotics vs PRObiotics

A

PREbiotics: fiber-rich foods – substrate for normal flora to re-establish (food for flora)

PRObiotics: microorganism preparations to re-establish normal flora (actual microorganisms)