Microbiota and Chemotherapy Flashcards

1
Q

Microbial syst

A

humans=euk+bact.+archaebacteria+virus+parasite

Interactions between m/o and human can be anywhere o nsymbiosis (most are mulutalist -benefits e/o- but paratism (benefits/harm)/commentalism (nthg/benefits)

Holobioms: human gene and microbiome (euk host)

Microbiota: collection of ¢ of microbes
Microbiome: collection of gene from microbes

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2
Q

WHy we should care abt microbiota

A

Metabolize polysaccharides and omdulate immune system

Synthesize essentials vitamins and nutrients

Change animal behavior and mating preference

Make u unique: we are holobionts: unit of biological org composed of a host and its microbiota

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3
Q

Culture-based methods

A

Most bact. ¢ are unculturable with “GReat Plate Count Anomaly” because of non-appropriate nutrient and conditions

1-16S rDNA-based sequencing studies

2-Deep genomic sequencing studies “metagenomics”

3-mRNA sequencing: “metatranscriptomics”

4-Metabolomics

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4
Q

16S rDNA gene analysis

A

Phylogenetic marker found in all species (regions identical=slow-evolving and some are variable=fast-evolving and have unique seq in each bact.)

Specific primer allow us to target & amplify regions of interest found in most m/o of env

AFter PCR amp; seq regions and make comparisons with other species and its own species (pre-existing database)

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5
Q

Metagenomics

(Deep genomic sequencing studies “metagenomics”)

A

ADvanced methods for seq all genomic DNA in sample (human seq are removed w/ bioinfomatics tools)

Tell what gene are present

Metaboic act can be inferred

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6
Q

Microbial communities=site-specific
___________________________
ahd cluster by body site

A

site-sepfic (depends on the receptors)

Phylum-and genus- level classification of bact colonizing humans

Microbiota is dominated by 3-35 phyla
____________________________
Actinobacteria: predominate on skin

Lactobacillus: predominate vagina

Bacteroidete and Firmicute: gut

Streptococcus: mouth

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7
Q

Where we find them

A

Skin
Nose
Mouth/oral cavity
Urogenital tract
Penis
Gastrointestinal tract (Mostly anaerobe (rare facultive). mostly: bacteroidet, firmicute)

70% in colon

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8
Q

Skin and nose

A

Skin: Staphylocci, Streotococci, Diphtheroid (Adapted to UV and exposure)

Nose: Staphylococci, STreptococci

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9
Q

Mouth/oral cavity

A

No teeth: aerobe
Teeth: Surtout anaerobe (between teeth and gum)

Involved in totth decay
Linked to the gastrointestinal microbiota

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10
Q

Urogenital tract and penis

A

Vagina (varie with menstrual cycle): mainly lactobacillus (lactic acid=low pH production)+inhibit growth of other m/o

Penis: Mostly Pseudomanadaceae & Oxalobactericeae
Circumcisio reduce putative anaerobic (clostridia and prevotella)

Sexual act can alter microbial diveristy

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11
Q

Acquisition and development

A

foetus used to be considered sterile but acquire bcp microbes at bith (vaginal vs C-section)

Defined succession (depend on type of milk, env, exposure): establishment of facultative anaerobes (Enterobacteriaceae) and Bifidobacteria. AFter 6 months, obligate anaerobe predominate… at 3 years=adult-like microbiota

Changes affecting: travel, sickness, pregnancy, puberty…
BUT bacterial phyla remain stable over the course of month… species and streains that are more variable

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12
Q

Model to sudy microbiota

A

Mouse models: mammalian model with controlled cond and interv (genetics, diet…)

Germ-free=axenic=sterile=no microbiota (axenic mice obtained by hysterectomy rederivation and maintained in isolators)

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13
Q

Axenic and gnotobiotic mice

A

Gnotobiotic=all microbes are known (keep in sterile env)

Indiv microbes or pop are reintroduced into germ free or antibiotic treated mice

Anatomic and behavioral diff (mice=coprophagic)… only abt 30% is shared bact species

Microbiota-associated mice model give us means to determine causality and mechanisms of interaction

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14
Q

We are what we eat and obesity epidemic

A

Diveristy of the gut microbiota
More obesity… risk for diabete type II, cardiovascular disease, musculoskeletal disorder, and huge economic burden

Obeses indic have a distinct gut microbiome from lean indic but confounder (diet, env.genetic) exist

Exp… one obese and one lean (twins same gentics)=diff microbiota so we use mouse models (controlled genetics and diet) with leptin (hormone made by fat cells, that regulate amount of fat stored in the body, “satiety” hormone)and did variable region of 16S rDNA= obese and lean have diff microbiota

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15
Q

Gut microbiota and obesity: caus and effect

A

ratio of Riimcute: Bacteriodete were increased in in the obese/recipient mice

Other mice receiving feces from obese mic had more body fat inn 2 week despite no diff in amount of food eaten

Fene used to harvest E from carbohydrates higher in obese mice

Fecal calorimetry measurement showed that obese mice had less E left in their feces than lean mice

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16
Q

Tranlsation to human

A

GErm-free mice colonized with feces from twins (humans) discordant for obesity

Diet remain key: lean microbiota cant colonize well when mice are fed high fat/low fiber diets

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17
Q

Antibiotics and the gut microbiot

A

after 9 months after exposure, only one clindamycin-resistant strain detected…even afer 24 mo, diversity in gut remained low==

Antibiotic reduce gut microbiial diveresity (particul«rly disruptive during early childhood)
AT sub-therapeutic doses, antibiotic can promote weight gain

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18
Q

Unintended effect of antibiotics

A

can promote pathobiont (microbiata in healthy host… dont causae disease) expansion… Ex: Clostridoides difficile

C. difficile:
2% pop=healthy carriers

in env., spore former

Healthy microbiota: colonization resistance (inhibit other growht)

Highest risk fact: broad spectrum, antibiotic treatement…..
1st line treatement: disontinuation of antibiotic usage, Metronidazole or cancomycin course (better with probiotics)

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19
Q

FEcal microbiota transplant FMT

A

Possible last-resort rteatement for patients with C difficile infection… infusion of fecal bacteria from healthy indiv. into a recipient

Infusion of feces from healthy donors was demonstrated in a randomzmed controlled trial to be highly effecttive in treating reccurent C difficile (15/16 antibiotic+ tranplant patient cured)… study stopped= unethical to not put fecal infusion to everyone

Current concerns:
Total community transplsnt (how to hcose correct donor, what is healthy microbiome,vertical transmission of microbiome?)
Society buy-in (taboo of fecal matter)
DEfined bact. mixture will be easier from a regulatory standpoint

20
Q

DEfined microbiota transplant

A

Considered for many disease: inflammatory bowel disease (Crohns’ disease…), autoimmune, metabolic syndrome, obesity…

More challenging (chronic conditions)

NEed more studies to define best indication, optimal timing, frequency

Gut BRain axis: How do m/o in the gut affect such a complex and distant organ as the brain?

21
Q

Micrbiota-derived SCF(short chain fatty acid)

A

fermentation and products of dietary carbohydrates,
have inflammatory properties,
butyrate acts as energy source for enterocyte,
bacterial metabolite can cross blood-brain barrier (BbB), and regulate neurological functions

22
Q

Gut-brain axis

A

Bi-directional communication between gut and brain

BBB: highly selective, semipermeable barriers of cells restricting access of mol from blood to brain

Immune cells and cytokine cross the BBB and can regulate neurological fct, including hypothalamic-pituitary-adrenal axis (HPA), all mol active in gut and brain

Many disease have co-occuring pathologie: Up to 50% of adults with IBD and 33% with IBS= pulmonary inflammatin or impaired lung fct.. indiv with asthma have fct and structural changes in gut microbiota

23
Q

members of the gut & issues

A

BActeriome
Mycobiome
Macrobiota
Virome

WE can manipulate with probiotics: live microorganisa which given adequate amount confer a helth benefit to host

Issue:
Inadequate studies (lack of in vivo data), self-reported diagnostics
Limited mechanistic understanding of effects of current probiotics
Industry unregulated
No one has negative results
RAre case of infections associated with probiotics
Info still required: strains of probiotic, dose, duration
EFfectiveness of probiotic for latering a disease state is not provided currently

24
Q

Probiotics vs FMT

A

Antibiotics: ciprofloxacin and metronidazole (7days treatment in humans, 14 days in mic=significant decrease in gut bact. diversity)

Bi-daily probiotics administration (same 11 strain cocktail) to 21 human volunteers… check pic

Humans: probiotic colonization is site and person specific. antibiotics enhance probiotic colonization in mucosal layers and make them delay gut microbiome reconstitution and metabolism VS FMT from same person (autologous FMT) restrores mucosal diversity and metabolism

25
Q

Manipulating gut microbiome with helminth

A

worm
FReee-living org and parasite and plants

3 assembage: nmatode, cestode, trematode… helminth infect25% of world

Symptoms: diarrehoea, abdominal pain, weakness, reduced nutrutional imput, chronic intestinal bleeding…
Co-infection=common
Modulate host immune response (induce Th2 resp) allonwing for decade-long inf
Protect from malaria

26
Q

Helminths

A

Intesitnal helminth have immunomodulatory cpacities and can alleviate bleeding in IBD

HAve shown to decrease # of bacteroide species invilves in intestinal inflammatino

Their interaction with gut bact can alleviate asthma symptoms

WOrm therapy (unsure of may factors)

27
Q

BActeriophages

A

Virus infectin bact…. exist everywhere where there’S bact.. typically outnumber bact 10 for 1

Self-replicating obligatory parasite w/o inherent metabolism
high morphological diveristy
SEveral mol tools used in lab (DNA polym, restriction enz, CRISPR) come from phage

Diveristy: DNA&RNa phages (criculat, linear, ss, ds), capsid or env, mosaic struc, no common genetic marker (16S…), limited, incomplete, databased

28
Q

Bacteriophages replication cycle

A

Lytic: bact lysis

Lysogenic: bact. replication

Chronic: phage is produced and exist cell

Pseudolysogeny: phage enter and stay in cell
Check pic

Majority=DNA phages (phage/bact <other syst)…. most r integrated in bact ¢ (prophage)… unique communities temporally stable, high similarity between relative and household memb… can directly/indirectly affect immune response

29
Q

Phage pp and dynamic

A

more viral in infant helthy gut that in adult gut but less diversity

more present in inflamed gut that a healthy onr

Depend on disease-specific changes in virome diveristy and change in and age-specific manner

They are involved in child stunting (microbiome manipulation needed (before first 2-3 years of life or irreversible)… stunted phages allow for proteobacteria to develop in age-specific manner

30
Q

Atibiotics purposes and start

A

human, animals. agricuture to prevent and treate disease, growth promotopm

Penicillin=1st antibiotic discovery by Elxander Flemin in 1928 (mold with zone of inhibition)… Sir howard Florey and Ernst Chain isolated penicilin… WW2 helped the epansion of penicillin and with fire

31
Q

STreptomycin

A

PRoduced in soil bacterium Streptomyces griseus
1st antibiotic discovered thru a syst. screen
Screen of 10 000 strains of soil bact. and fungi for antibacterial

32
Q

ANtimicrobial: natural product and concept (2)

A

MAde by bacteria for over 40 M yeats… in soil, fungi, mold…

EX: STReptomycin (aminoglycoside) /Tetracyclin/Daptomycin (lipopetpide)

Concept:

BActeriostatic activity : ANtibiotic will transfomr A to B (Ex P) for ¢ replication… antibiotics shtat interfere with this process cause ¢ tos top replicating (bacteriostasis)

BActeriocidal act (remove bact.): TRansform A to B for ¢ survival. Antibiotics that interfere with this process cause ¢ death

33
Q

Antibtiotic suscceptiblitlity: Minimal inhibitory [ ] (MiC

A

Minimal [ ] of drug that inhibit growth of a particular org
High MIC=resitant

MEthods:
Measure of zone of inhibition/dilution of drug that inhibit visible growth

Use and limitation ddepend on AST (antibiotic susceptiblility testing)= key diagnostic test in lcinc to determin antib. suscept. and identify res. in bact. pathogen causing inf… can be used in lab an dbe quanti/quali-tative

Specific MIC value (tresholds)=used to determine resistance vs susceptibility for each bact. speciesx drug comb

Cons: require culture from pure colonie and is labour intensive and slow

34
Q

General concept

A

MEchanisms sof action: target [cell wall, ribosome…], spectrum of act {gram+/-), bacteriostatic/cidal, resistance

Checmical struc: Synthetic/semi-synthetic/natural product/ delivery (oral vs injected vs topical), side effect

35
Q

PRocesses

A

BEta lactams (common beta-lactam ring_
Quinones
Aminoglycoside acrolides

36
Q

Cell wall synthesis

A

GRam -= outer memb of LPS…steps: PG biosynthesis… PG transpetpidation, PG translocation

PBPs=transpepidase involved in sysnthesis of peptidoglycan cell wall biosynthesis by cross linking glycopeptide polymer… active site of PBP need to bing the dicepeptide D-alanyl-D-alanine

BEta lactam mimic 3D struc od dipeptide D-Ala-D-Ala ocmponent of peptidoglycan=bactericidal antibiotic but it inhibiti PBP (penecillin binding P) so weakens cell wall what cannot withstand oscmotic pressur and burst=cell death… widely used antibiotic and well tolerated with limited side-effect

37
Q

Prokaryotic P synthesis

A

Ribosome=2 subunit made of RNA and P
Prok=30S small &50S large
Euk=40S small&60S large
ANtibiotic mostly selective for prok

Check pic

38
Q

Aminoglycosides

A

LArgest families with varied struc compound
Bind to 30S subunit

BActericidal act

SEveral mechanism of action: Inhibitor P translocation, Induce mistranslation leading to loss of cell-wall integrity

Broad spectrum against GRam - and GRam + but inactibe against obligate anaerobe

39
Q

Antibiotic choice an deffect

A

Choose:
spectrum: narrow/broad
Delivery: oral, injectable, intravenous
Dosin: pharmacokenetic or pharmacodynamics
Antibiotic resis
Clinical indic: diseasevs m/bio-driven choice
Clinic efficiacy: studies, potency
Side effect/toxicity and cost/availability

Short-term effect: fungal/yeast overgorwth
Mid-term effectL antibiotic resistant

40
Q

Antibiotics resistance

A

Global crisis… scared of post-antibiotic era: end to modern medicine as we know it

Ability for bacteria to grow in presnece of antibiotics=multidrug resistance (resistance to mmultiple compounds)… high MIC… small zone of inhibition=resistance= EVOLUTION.

human behaviour and env accelerate emergence

41
Q

Origin of antibiotic resistance

A

Fortuitous advantageous mutations (mutation of antibiotic target or of regulator that increas exp of efflux pumps)

Exporpriating gene (kidnappin resistanec mechanism from antibiotic producing org.subverting enz to perform)

Vertical gene(resistance trait passed from on gen to another with clonal expansion)

Horizontal gene transfer (ressitance trait transferred to a diff bact motly by conjugation of plasmids or transfm)

42
Q

MEchanisms of resistance

A

Low permeability:
outer mem of gram = bact and mycobacterial cell wall= highly hysrophobic and impermeable and acts as seective barrier… hydriphilic mil and some hydrophobic mol must enter thru size-limited pores, primarily resp for intrisic resistanct

Drug efflux: antibiotic are pumped out of hte cell (outer and inner memb) and can t reach arget in gram- bact, comple “multi-purpose” efflux pupms, can cause multi-drig resis

43
Q

More mechanisms due tot arget mutation or mod

&&& beta-lactam

A

Can be die to genetic mutation of target zone

Enz mod of the target struc

Acqusistion of a variant target with low affinity to the antibiotic
&&&
Enz secreted in periplasm that are highly effective at cleaving beta-lactam rings… diff beta-lactamas exist with diff spectrum now there are extended spectrum (ESBL) that can cleave cephalosporins and metabollo-beta-lactamase can cleave carbapenems

44
Q

More mod: aminoglycoside mod

A

Incactivation of aminoglycoside by adding additional moieties: AMP by adenylyl transferase, -P03 by phosphryl transferase, acetyle by acetyl transferase

Prevent proper binding of aminoglycoside to the 30S subunit

45
Q

SUperbugs

A

ESKAPE+E.coli

Antibiotic oversue: Health, food, animal industries

Anitbiotic misuse: Improper indications

Insufficient leght of treament