TBL Flashcards

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1
Q

Define gut microbiome

A

an endocrine organ, arguably the

largest, capable of contributing to and reacting to circulating signaling molecules within the host.

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2
Q

What are the pathways that the Gut microbiota-host interactions occur?

A

Gut microbiota-host interactions occur through many pathways, including
 TMA / TMAO
 LPS / LTA
 SCFA

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3
Q

What are the dietary nutrients that TMA contains? What are they used as?

A

phosphatidylcholine, choline, and carnitine, can be used by gut microbes as a carbon source.

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4
Q

How is TMA transported?

A

TMA thus produced are carried via the portal circulation to the liver, where it is rapidly converted by a family of enzymes

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5
Q

What enzyme is used to convert to TMA to TMA N-oxide?

A

host hepatic flavin monooxygenases (FMOs)

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6
Q

_____has emerged as a strong microbiome-mediated risk factor for CVD.

A

trimethylamine N-oxide (TMAO)

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7
Q

Addition of TMAO to diet of animals has been shown to be_________

A

pro-atherogenic.

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8
Q

What clinical condition found in the addition of TMA containing compounds in diet of animals?

A

atherosclerosis

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9
Q

conversion of TMA containing compounds into TMAO and the resultant CVD depend on______

A

presence of intact gut microbiome

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10
Q

Elimination / suppression of gut microbes by a cocktail of antibiotics resulted_______

A

no TMAO generation

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11
Q

What happens if the TMAO levels are increased?

A

poor outcomes in patients with CVDs,

such as coronary artery disease and acute and chronic heart failure

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12
Q

Define gut dysbiosis?

A

the unhealthy changes to the composition or number of gut bacteria.

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13
Q

Dysbiosis is associated with_________

A

intestinal inflammation and diminished integrity of the gut barrier

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14
Q

What is the main therapeutic goal of current cardiology?

A

to develop new approaches to minimize inflammation.

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15
Q

What is NDC and its importance?

A

Non-digestible carbohydrates (NDC) are an important fraction of dietary fiber

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16
Q

What are SCFAs?

A

SCFAs are the main products of saccharolytic fermentation of NDC
in the large intestine.

17
Q

What are the primary SCFAs?

A

Acetate, propionate and butyrate are the primary SCFA products

18
Q

What is the important role done by SCFAs?

A

SCFA play an important role in host

health beyond the recovery of energy from undigested food.

19
Q

What is the energy consumption seen in SCFAs?

A

SCFAs are the main energy

source for large intestinal epithelial cells, and affect the production of mucins

20
Q

What is the physiological function seen in SCFAs?

A

influence blood flow to the colon mucous membrane, the

absorption of fluids and electrolytes, and the secretion of gut hormones.

21
Q

What is the most direct

route of modulating CVD risk?

A

SCFA modulation of systolic blood pressure (SBP) and diastolic blood pressure (DBP).

22
Q

Name two healthy bacteria?

A

Lactobacillus and Biofidobacter

23
Q

Name two unhealthy bacteria?

A

Clostridium and Firmicutes