L5: The Microbiome of Inflammatory Bowel Disease (IBD) Flashcards

1
Q

define IBD

A

a heterogeneous collection of chronic inflammatory disorders

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2
Q

IBD - what can contribute to it?

A
  • environment
  • genetic predisposition
  • luminal factors, microbial intestinal
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3
Q

contributions - environment

A
  • plant-based to animal-based processed diets
  • smoking
  • antibiotic administration
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4
Q

contributions - genetic predisposition

A

hundreds of genetic polymorphisms and mutations through genome-wide association on studies (GWAS) of IBD

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5
Q

contributions - luminal factors and microbiome intestinal

A
  • no etiological agent
  • major shifts in the gut microbiome have been reported in association with active disease
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6
Q

contributions - immune response alterations

A

aberrant immune response

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7
Q

what are the 2 conditions that IBD generally includes

A
  1. Ulcerative Colitis (UC)
  2. Crohn’s Disease (CD)
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8
Q

what is ulcerative colitis

A
  • inflammation in the colon
  • only affects the innermost layer in the gut
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9
Q

what is crohn’s disease

A
  • more than just the inner layer is affects
  • easier to diagnose bc it has patches of effect
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10
Q

explain the alpha-diversity of IBD

A

its significantly lower in IBD compared with healthy mucosa

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11
Q

explain microbial dysbiosis during IBD

A

increase in Proteobacterial groups

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12
Q

how do you study IBD

A
  • examine amount of calprotectin
  • high is correlated with IBD
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13
Q

what is calprotectin

A

a protein released by neutrophils when there is inflammation in the GI

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14
Q

explain microbial dysbiosis during UC

A
  • increase in Proteobacterial groups
  • including Escherichia and Haemophilus
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15
Q

explain the role of NOD2

A

regulates commensal bacteria by activating anti-inflammatory cytokines

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16
Q

what happens as NOD2 is mutated

A

it is associated with lower abundance of anti-inflammatory cytokines