Lecture 9 - The Human Microbiome Flashcards

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1
Q

Microbiota & microbiome

A

Microbiota
The microorganisms that typically inhabit a specific environment

Microbiome
the totality of microbes, their genomes and environmental interactions in a defined environment. e.g. the gut of a human, soil sample

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2
Q

Human microbiota – an introduction

A

In health, internal human tissues are normally free of microbes

In contrast, surface tissues (skin & mucous membranes) are constantly exposed to environmental microorganisms and are readily colonized by diverse microbial (primarily bacterial) species
Also includes viruses, fungi (mostly yeasts), protists

For decades, it was proposed that the human body contains 10x as many bacterial cells as it does human cells
More recent estimates suggest it is more likely to be 1:1 ratio

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3
Q

HMP – Human Microbiome Project

A

“A strategy to understand the microbial components of the human genetic & metabolic landscape, and how they contribute to normal physiology & predisposition to disease”
The Human Microbiome Project is a worldwide interdisciplinary effort. Primarily utilising the availability of highly parallel DNA sequencers, but also supported by high-throughput mass spectrometers. Together, these technologies enable characterization of whole microbial communities.

Determine whether individuals share a core human microbiome
If all humans have a core microbiome, how is it acquired and transmitted? (methods of delivery/birth, family size, living environment)
How similar are the microbiomes between members of a family, or members of a community, or between different ethnic groups?

Can changes in the human microbiome be correlated with changes in human health?
How stable is the microbiome, & can variation be systematically studied? (does it vary day to day?)
To what extent to factors such as genetics, diet & socio-economic background influence the composition of the microbiome? (twin studies, adopted children)
Does the microbiome contribute directly to human health & disease?

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4
Q

The role of 16S rRNA in the HMP
(no information on metabolics though)
identifies genus

A

Prokaryotic ribosomes consist of small (30S) and large (50S) subunits; each subunit consisting of a complex of RNA & proteins

16S rRNA is a component of the small subunit
Approximately 1,500 nucleotides long
Contains highly conserved & highly variable regions

The small subunit of ribosomes is responsible for the formation of the initiation complex, performs the decoding of the genetic information, and controls the fidelity of codon-anticodon interactions. The large subunit catalyzes the peptide bond formation and provides the path for the nascent polypeptide chain. The 16S rRNA of the small subunit has many functions. For example, it plays a structural role, acting as a scaffold for the ribonucleoprotein complex. It also plays an important role in stabilizing the correct codon-anticodon pairings.

The fact that the 16S rRNA contains both conserved and variable regions make it very useful for identifying distinguishing between) taxonomic groups. Phylogenetic trees showing the relatedness of different organisms are frequently drawn on the basis of 16S rRNA sequence variation.

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5
Q

16S rDNA sequence analysis of complex samples - PCR

A

Sequencing of 16S rRNA is well-suited to characterizing the composition of complex microbial populations

Extract DNA from sample (rDNA)

Perform PCR analysis on this DNA using universal 16S rDNA primers (will amplify the 16S rDNA gene from majority/all species present in the sample due to the highly conserved part of the 16S subunit (common to all species))

Sequence this complex mixture, and identify the species present based on the 16S rDNA sequences

Primers anneal to the highly conserved regions but the products will contain the highly variable regions as well

But 16S rRNA is only a feature of prokaryotic ribosomes - using this method we cannot capture any fungi as they have no 16S RNA

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6
Q

Metagenome sequencing for microbiome analysis
Extracting DNA from sample and sequencing everything (no PCR)
Host + microbial DNA

A

Metagenome sequencing - Essential for defining the microbiome

‘Metagenomics’ is the direct sequencing of DNA recovered from environmental samples
natural environment, host environment etc.
As with 16S rRNA analysis, it allows study of organisms that cannot be easily cultured in the lab – but yields far more information…..

Allows us to identify the repertoire of functions and metabolic pathways that are present within the microbiota

The only way to define all microbial species (prokaryotic, eukaryotic, viral)

The major advantage of metagenomic techniques is that they don’t rely on laboratory cultures of organisms. Surveys based on rRNA sequences taken directly from the environment have suggested that culture-based methods find less than 1% of the bacteria and archaea species in a given sample. This highlights what you might potentially be missing within a sample, if you rely on culture-based methods for its investigation.

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7
Q

The gut microbiota in human health & disease

A

Characteristics of the gut microbiota have been implicated in a variety of human conditions:

Obesity
Childhood-onset asthma
Inflammatory bowel disease (colitis)
Colorectal carcinomas
Cardiovascular disease
Multiple sclerosis

e.g. Gut-brain connections

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8
Q

Gut microbiota & obesity – studies in mouse model

A

Mouse model of obesity (mutation in leptin gene)
ob/ob mice are obese; +/+ and ob/+ mice are lean

Intestinal contents were recovered from mice, DNA isolated, and PCR performed using universal 16S rDNA primers
Subsequent sequencing of PCR products to define the composition of the microbial community

Leptin is a hormone that plays a key role in regulating energy intake and expenditure, including appetite and metabolism.

Obesity was associated with a shift in the relative abundance of taxa present
50% reduction in Bacteroidetes
Significant increase in Firmicutes

A similar shift in the relative abundance of Bacteroidetes & Firmicutes was observed in obese humans (and going on a diet restored the balance back to the ‘lean’ model of Bacteriodetes vs Firmicutes)

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9
Q

Cause or Consequence?

A

Is the shift in the relative abundance of Bacteroidetes-Firmicutes the cause of weight gain, or a consequence of consuming specific dietary components that alters their abundance?

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10
Q

Microbiota-mediated ‘transmission’ of obesity

A

“Conventionally-raised” (CONV-R) mice fed various different diets before being sacrificed
The microbiota from these different sacrificed mice was transplanted into mice that had been raised in a germ-free environment
Assessed weight gain in these recipient mice, as well as monitoring microbiota composition etc.

An “obese microbiome” promoted weight gain when transplanted to a germ-free mouse, compared to comparable transplantation of a “lean microbiome”

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11
Q

Shifting microbiota alters metabolic potential

A

Metagenomics (whole gut DNA sequencing) of the microbiota to profile the microbiome:

The shift in abundance observed within the microbiota of obese mice alters the metabolic potential of the microbiota

Increase in genes encoding enzymes involved in the breakdown of dietary polysaccharides

A lower amount of energy remained in the faeces of obese mice compared to lean counterparts

Increased capacity of the obese microbiome for energy extraction

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12
Q

Helicobacter pylori

A

Gram-negative, highly motile, spiral-shaped bacterium
Colonizes the non-acid-secreting mucosa of the stomach and the upper intestinal tract
Associated with gastritis, ulcers & gastric cancers

Prevalence of colonization ranges from 20% in developed countries to more than 90% in the developing world

Approx. 10% will develop peptic ulcers, 1-3% gastric cancer & 0.1% MALT lymphoma

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13
Q

Helicobacter pylori & peptic ulcers

A

H. pylori is invasive, and colonizes the non-acid producing surfaces of the gastric mucosa
The gastric mucus layer protects H. pylori from stomach acid
A combination of H. pylori products and host responses cause inflammation, tissue destruction & ulceration

Such peptic ulcers traditionally treated with long-term antacids, only with partial success (typically relapsing within 1 year)
Discovery of association with H. pylori revolutionised treatment and led to awarding of Nobel Prize in 2005
Ulcers now effectively treated with a 14-day course of antibiotics

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14
Q

Helicobacter pylori & carcinogenesis

A

Some H. pylori isolates carry the cag pathogenicity island (cag PAI) (pathogenicity islands are part of the genome that encodes factors associated with pathogenicity)

The cag PAI encodes the CagA protein (Cytotoxin-associated gene A) and the Cag type IV secretion system (SM lectures). Hollow needle injects effectors into the host cell

Patients harbouring cag+ strains are at heightened risk of gastric cancer

CagA is injected into host cell by the type IV secretion system, whereupon it interacts with numerous host cell proteins. In doing so, it activates downstream signalling pathways and enhances the proliferative ability of the gastric epithelial cells.

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15
Q

Helicobacter pylori & gastric MALT lymphomas

A

H. pylori can also be associated with gastric MALT lymphomas (blood cancer)

MALT, mucosa-associated lymphoid tissue; part of the normal response to infection at mucosal sites

The inflammation associated with chronic H. pylori infection/colonisation can be associated with development of gastric MALT lymphoma

Constant stimulation of lymphocytes recruited to the infection can promote mutations in the lymphocytes, resulting in lymphomas (uncontrolled lymphocyte proliferation)

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16
Q

The pros & cons of targeting Helicobacter pylori

A

Association of H. pylori with ulcers and cancers has led to investigation of strategies to eradicate H. pylori (antibiotics &/or vaccination)

However, H. pylori has also been associated with beneficial effects, with a decreased risk of:
Reflux oesophagitis
Childhood-onset asthma
Obesity

The potential implications of altering microbiota composition can be wide-ranging and need to be fully assessed

Oesophagitis is an inflammation of the lining of the oesophagus (gullet), usually caused by the digestive juices in the stomach repeatedly moving upwards into the lower oesophagus (reflux).

17
Q

Microbiota and CVD

A

A high fat diet rich in phosphatidylcholine produces TMA by the gut flora

The liver converts TMA into TMAO

A high level of TMAO promotes athlerosclerosis

Metabolites of the lipid phosphatidylcholine (including choline and trimethylamine N-oxide, TMAO) were found to be risk factors for cardiovascular disease (CVD) in a large clinical cohort.

The gut flora played a role in generating these metabolites.

Suppression of intestinal flora in mouse model protected against CVD

18
Q

Gut microbiota & multiple sclerosis

A

In multiple sclerosis (MS), the myelin coat that surrounds nerve fibres gets damaged as a result of an autoimmune response

Experimental autoimmune encephalomyelitis, (EAE) is a well-established mouse model of multiple sclerosis

EAE mice DO NOT develop disease if the mice are raised germ-free

Gut microbiota influences the balance between pro- and anti-inflammatory immune responses during EAE

19
Q

Microbiota and Parkinsons

A

Used mice genetically programmed to develop Parkinson’s disease.

Mice reared normally developed symptoms, but germ-free mice remained healthy.

Transplanting bacteria from Parkinson’s patients to mice led to mice developing more symptoms than if they received bacteria from healthy people.

20
Q

Faecal microbiota transplantation (FMT)

A

FMT is the introduction of a faecal suspension derived from a healthy donor into the GI tract of a diseased individual

FMT is most widely used as a therapeutic option for the treatment of Clostridium difficile infection (CDI) (psuedomembranous colitis)

CDI typically arises as a result of an imbalance within the gut mirobiota (often due to antibiotic therapy), allowing overgrowth of C. difficile

Traditional antibiotic therapy has limited efficacy; doesn’t correct the imbalance and generally exacerbates the problem

21
Q

Expanding indications for faecal transplant

A

Extensive clinical trials:

  • Ulcerative colitis
  • Crohn’s disease
  • Irritable bowel syndrome

Isolated case reports:

  • Multiple sclerosis
  • Parkinson’s disease
  • Chronic fatigue syndrome
  • Rheumatoid arthritis
22
Q

Summary

A

Advances in technology offer us the potential to define the microbial community that inhabits our body
Implications for understanding diverse diseases, and identifying novel therapeutic strategies

16S rRNA analysis and metagenomic techniques allow us to define the microbiota and microbiome respectively

The composition of the gut microbiota influences diverse conditions, suggesting that the targeted modulation of microbial communities could have significant clinical benefit