Medical microbio: the human microbiome Flashcards

1
Q

Human microbiome

A

-the collection of all the microorganisms living in association with the human body (microflora, microbiota)
ex number of human cells in the human body.. etc

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2
Q

number of human cells in the human body

A

~10^13

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3
Q

number of microorganisms in the human body

A

~10^14

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4
Q

number of genes in the human genome

A

~20,000

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5
Q

number of genes in the microbiome

A

~20,000,000

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6
Q

colonization

A

begins immediately after birth

-diversity of species present varies greatly between individuals

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7
Q

Where does the microbiota live?

A
  • every exposed area of the body is colonized by bacteria like skin and mucous membranes
  • internal tissues should be free of microbes: like blood, muscles, organs
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8
Q

what are microbiota doing in the body?

A
  • most are harmless commensals
  • few contribute to disease
  • many contribute to health:
  • produce beneficial products
  • inhibit the growth of pathogens
    ex. lactobacillus acidophilus protects the female reproductive system
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9
Q

microflora of the skin

A
  • different areas of the skin vary in chemical composition and moisture content
  • provides 3 different micro environments: dry skin, moist skin, and sebaceous skin
  • each with different microbial populations
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10
Q

dry skin

A
  • (forearms, hands)
  • high numbers of betaproteobacteria
  • known from 16 rRNA genes
  • rarely cultured-no one really knows what they’re doing
  • second highest is corynebacteria
  • most are harmless commensals, but some may cause skin infections
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11
Q

corynebacterium diphtheria

A

example of dry skin bacteria

-can case non-healing ulcers of the skin- cutaneous diphtheria

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12
Q

moist skin

A

(armpits, nostrils)

  • high numbers of corynebacteria and staphylococci
  • most are harmless commensals : staphylococcus epidermis -most frequently isolated from skin
  • some are important pathogens: ex. staphylococcus aureus - cause of boils, abscesses, wound infections
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13
Q

sebaceous skin

A

(oily skin around the nose, on the upper chest and back)

  • high numbers of propionibacteria
  • anaerobic actinobacteria that produce propionic acid as as end-product of fermentation
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14
Q

propionibacterium acnes

A
  • sebaceous skin
  • lives in hair follicles and eats sebum- oil secreted by skin
  • overgrowth can trigger inflammation
  • inflammatory acne
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15
Q

microflora of the oral cavity

A

saliva has antimicrobial enzymes:

  • lysozyme
  • lactoperoxidase- catalyzes production of superoxide radicals O2-, oxidative damage to invading microbes
  • despite this, this mouth is home to a complex microbial community, including aerobes and anaerobes
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16
Q

Neisseria mucosa

A

microflora of the oral cavity
aerobic
lives on mucous membranes like the tongue

17
Q

Streptococcus mutans

A

microflora of the oral cavity
aerotolerant anaerobe
-produces sticky dextran slime layer that lets it stick to surfaces
*forms biofilms in crevices around the teeth
-produces lactic acid as an end-product of fermentation
-degrades tooth enamel
*dental carries (cavities)
-can lead to inflammation along the gum line: gingivitis

18
Q

microflora of the gastrointestinal tract

A

-the stomach
the small intestine
the large intestine

19
Q

Stomach

A

low pH and proteolytic enzymes make the stomach inhospitable to most microbes
-some bacteria do colonize in the stomach

20
Q

helicobacter pylori

A
  • microflora in stomach
  • colonizes surface of membrane, protected from stomach acids by mucous
  • has a number of virulence factors:
  • exotoxin-kills cells in the membrane
  • endotoxin- triggers inflammation
  • cause of stomach ulcers
  • treated with antibiotics-tetracycline
21
Q

the small intestine

A
  • area of rapidly changing pH

- as pH becomes more neutral, bacterial numbers increase

22
Q

Enterococcus

A
  • small intestine microflora
  • genus of Gram positive lactic acid bacteria
  • frequent cause of nosocomial infections (ex. blood infections)
  • develop antibiotic resistance readily (ex VRE)
  • spread resistance genes onto other gram positive bacteria
  • horizontal gene transfer
23
Q

The large intestine

A
  • pH is neutral, environment anoxic
  • enormous number of microbes ~10^11 cells/g of feces
  • mostly anaerobes and facultative aerobes
  • 16S rRNA gene sequences reveal that E. coli probably makes up
24
Q

E. coli

A
  • large intestine microflora
  • most cultured bacterium from feces
  • indicator of fecal contamination
  • most strains are non-pathogenic
  • may stimulate the immune system
  • produce vitamin K
25
Q

role of gut microorganisms in obesity

A
  1. studies compared normal mice with germ free mice:
    * germ free mice has 40% less body fat
  2. inoculated germ free mice with microbes from healthy mouse intestines
    * inoculated mice quickly gained weight
  3. compared the microbiomes of normal weight mice to genetically obese mice
    * genetically obese mice had few bacteroidetes, more firmicutes and way more methanogens
    - suggested that methanogens use up H2 which promotes bacterial fermentation
    - bacterial fermentation makes nutrients available to the host
26
Q

changing the microbiota of the large intestine can affect human health:

A

ex. oral antibiotics
- opportunistic pathogens can take over
- Antibiotic associated colitis

27
Q

antibiotic associated colitis

A
  • clostridium difficile grows
  • inflammation of the colon
    treatment: further antibiotics, probiotics, Transpoosition
28
Q

microflora of mucosal tissues

A

upper respiratory tract
lower respiratory tract
genitourinary tract
female reproductive tract

29
Q

upper respiratory tract

A
  • home to a variety of bacteria including staphylococci, streptococci, and corynebacteria
  • some people harbour pathogens among their normal microflora
  • carriers
    ex. staphlococcus aureus
30
Q

lower respiratory tract

A

no resident microflore

-mucous, lysozyme, ciliated cells, secretory IgA, phagocytes

31
Q

Genitourinary tract

A

upper urinary tract (kidneys, bladder)
*normally free of microorganisms
Urethra
*home to some gram negative bacteria
-some members of the normal microbiota can act as opportunistic pathogens when transferred to urinary tract
.e.coli is one of the most common causes of urinary tract infections

32
Q

female reproductive tract

A
  • lactobacillus acidophilus in the vagina produces lactic acid from glycogen
  • lowers pH and prevents growth of other microbes
  • if normal microbiota is disturbed (ex. lactobacilli killed by antibiotics): yeasts can grow and cause yeast infections