L19: The Gut Microbiome Flashcards

1
Q

What is a microbiome

A

Community of micro-organism composed of virus, bacteria, yeast and archaea

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2
Q

What does bacteria in the gut do

A

Digest food that the gut cannot

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3
Q

What is the purpose of microbiome

A
Host defence of pathogens
Nutrient digestion 
Synthesis of vitamin K and B 
Immune system development 
Fermentation of carbohydrate that we are unable to digest 
Conjugating bile 
Intestinal epithelial maintenance
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4
Q

What are enterotypes

A

Clusters of bacterial communities

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5
Q

Can enterotypes change

A

Yes

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6
Q

What changes the microbiome

A
Age: as we grow
Immune system 
Genetics
Diet
Drugs such as antibiotics
Iron intake
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7
Q

How does iron levels affect the microbiome composition

A

Low iron levels reduces the microbiome composition as bacteria cannot survive without iron

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8
Q

In what diseases do we see a change in microbiome

A
IBD
Obesity 
Cancer
Diabetes
Autism
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9
Q

How does the microbiome change

A

Quantities

Type of bacterial community

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10
Q

What happens to the microbiome in IBD

A

Decrease in richness of bacteria

Decrease in diversity

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11
Q

How do we study the microbiome

A

Sequencing 16s rRNA

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12
Q

What is dysbiosis

A

A change in microbiome

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13
Q

What is the mechanism of dysbiosis in IBD

A

1) antimicrobial peptides and mucin and IgA as a barrier in healthy bowel
2) in IBD bacteria infiltrate the mucin and body thinks the bacteria are bad and destroys them

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14
Q

How can we remedy the dysbiosis

A

Antibiotics (sometimes) if the original insult is caused by a pathogen
FMT

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15
Q

What does FMT stand for

A

Faecal microbial transplantation

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16
Q

What is faecal microbial transplantation

A

Process of takin faecal material from a healthy donor and transplanting it into the colon of a patient

17
Q

What is the mechanism of action of FMT

A

Super donors have a good diet and lifestyle for a healthy microbiome
Prepare FMT in no oxygen environment so the bacteria can live
Viruses within the FMT
Short chain fatty acids within the FMT improve the epithelium integrity
Bile salts within the FMT

The exact mechanism is different for each individual