Probiotics Flashcards

1
Q

what is a probiotic

A

live microorganisms, when consumes in adequate amounts cause a health benefit on the host

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2
Q

what are the properties required to be classed as a probiotic

A
  • beneficial effect on host
  • nonpathogenic and non-toxic
  • contain large number of viable cells
  • capable of surviving and metabolising in the gut
  • remain viable during storage and use
  • good sensory properties
  • be isolated from same species as host
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3
Q

what are the abilities needed for a probiotic

A
  • beneficial effects
  • resistance to bile, hydrochloric acid and pancreatic juice
  • GI tract colonisation
  • adhere to epithelial cells
  • antimicrobial activity
  • anticarcinogenic activity
  • immune modulation/stimulation
  • reduce intestinal permeability
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4
Q

what constantly ‘watches over’ the food and microbial antigen

A

mucosal immune system

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5
Q

what is the function of the intestinal barrier

A

tolerance against commensals and immunity against pathogens require intact mechanisms for antigen uptake, recognition, processing and response

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6
Q

what alters the mucosal barrier function

A

stress

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7
Q

what protects the intestinal cells

A

intestine have villi and crypts coated with mucus (mucosal layer)

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8
Q

what does the intestine have to protect against pathogens

A

contain bacteria that prevent bacteria entering

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9
Q

where does selective reabsorption occur in intestine

A
selective reabsorption into the cell 
luminal side (contains mucosal layer and bacteria in microflora of them), have a tight junction where molecules can go across selectively to basolateral side
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10
Q

what can break selective reabsorption, what effect does this have

A

tight junction can be broken by e.g. stress, E.coli

no control of reabsorption causes diarrhoea

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11
Q

what do the paneth cells do

A

can release antimicrobial molecules into gut lumen

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12
Q

where are the paneth cells

A

bottom of crypts

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13
Q

where are lymphocytes present

A

lymphoid follicles
central region of B lymphocytes
lateral region of T lymphocytes

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14
Q

what do M cells do

A

sample the antigen directly from the lumen and deliver to antigen-presenting cells on basolateral side vis trnscytosis

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15
Q

how is a lymphocyte activated

A

by a dendritic cell presenting an antigen

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16
Q

where does a activated lymphocyte go

A

leaves mucosa in lymph
enters bloodstream via thoracic canal/duct
travel to gut

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17
Q

what area do activated lymph colonise

A

either same mucosa or other mucosal effector sites

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18
Q

what is a peyers patch made of

A

lymphoid follices

19
Q

where are peyers patches

A

in the wall of the small intestine

20
Q

what is the function of a peyers patch

A

destroy bacteria - by preventing them to enter the small intestine wall then bloodstream
generate memory lymphocytes for long term immunity

21
Q

what is MALT

A

mucosa-associated lymphatic tissue

22
Q

what covers the peyers patch

A

special epithelium that contain specialised cells - microfold cells (M cells)

23
Q

what happens when peyers patch encounter antigen

A

B-cells and memory cells stimulated

these cells pass to mesenteric lymph nodes - immune response is amplified

24
Q

what are some mechanisms of probiotic activity

A
  • antimicrobial
  • improve environment for beneficial bacteria growth
  • make beneficial end product
  • reduce harmful end products
  • stimulate immune system against pathogens
25
what is the gut like where there is supplemention of prebiotic and probiotic
higher microbial diversity causes niches that will be occupied by pathogens to be excluded less potential pathogens
26
what is the gut like without supplementation
lower microbial diversity | areas where pathogens can invade
27
what does the complex diet allow
increased microbial diversity | pathogen exclusion
28
what does a simple diet allow
pathogen colonization | villus atrophy and inflammation
29
what does lactase do
convert lactose to glucose and galactose
30
what is lactose intolerance
develop inability to digest and absorb lactose
31
when does lactose intolerance develop
adulthood
32
what are the symptoms of lactose intolerance
gastrointestinal symptoms: pain diarrhoea flatulence (H2 methane)
33
what can convert lactose to lactate without gas
homofermentative lactic acid
34
what examples are there of individuals that would have a dysfunctional immune response
infants elderly surgical patients stressed
35
what can cause immunostimulatory properties
probiotics
36
what is a prebiotic
non-digestible food ingredient (carbohydrate) beneficially affect host by selectively stimulating growth and/or activity on one/+ bacteria in the colon - can improve hosts health
37
what classification properties must a prebiotic have
- not hydrolysed or absorbed in upper part GI tract - selective substrate for one or a limited number of potentially beneficial commensal bacteria in colon, stimulating bacteria to grow, become metabolically activated, or both - alter colonic microflora towards healthier composition - fermented by intestinal microflora
38
what can digest prebiotics
bacterial activity
39
what is the end product of homofermenters
lactic acid
40
what is the end product of heterofermenters
lactic acid acetic acid CO2 ethanol
41
what are bacteriocins
proteins or peptides that have antibacterial activity against closely related species
42
what does lactobacillus do
ferment glucose
43
what are the problems with probiotic studies
strong placebo effect very strain/condition dependent difficult to demonstrate effects in healthy individuals
44
what is a synbiotic
prebiotic + probiotic