The Human Microbiome Flashcards

1
Q

define colonisation

A

the establishment of microorganisms at a site in the body

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2
Q

define human microbiome

A

the microbes that live in and on the body

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3
Q

define resident microbiota

A

organisms which are found at a given location in a state of health

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4
Q

define symbiosis and the 3 types

A

when 2+ organisms co-exist in close physical association

mutualism
- reciprocal benefit

parasitism
- one side benefits - large degree of harm to the host

commensalism
- least association
- used for shelter and food

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5
Q

define dysbiosis

A

an imbalance in the resident human microbiota

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6
Q

define pathobiont

A

a member of the resident microbiota that causes disease when there is a loss of the normal balance and dysbiosis

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7
Q

define opportunistic infection

A

when an infection is caused by an organism which is a member of the normal microbiota or normally inhabits the external environment

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8
Q

what is a sterile site?

A

an area in which there are no microbes present.

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9
Q

what is a non-sterile site?

A

a site directly or indirectly exposed to the environment

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10
Q

which body sites are normally colonised/non-sterile?

A

conjunctiva
oral cavity
pharynx
vagina
skin
GI tract

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11
Q

how are sterile and non-sterile sites maintained?

A
  • non-sterile - there are no mechanisms

sterile
- surface cleaning - areas open to enviornment
- barriers which allow uni-directional flow - sphincters
- physical separation - closed cavities

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12
Q

what body sites are normally sterile?

A
  • surface cleaned
    = lower respiratory tract
  • uni-directional flow
    = middle ear - eustacian tube
    = upper genital tract - cervix
    = urinary tract - urethra
    = hepatobiliary tract - sphincter of oddi - the liver, gall bladder and bile ducts
  • physical separation
    = pleural cavity
    = peritoneal cavity
    = spinal cord and meninges
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13
Q

what can be the harmful effects caused by a distressed microbiome?

A

opportunistic infections may occur

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14
Q

what 6 factors affect the microbiome?

A
  • moisture
  • temperature
  • pH
  • o2 availability
  • nature of the surface
  • surface turnover
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15
Q

what is tropism

A

an orientation in response to a external stimulus

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16
Q

give 4 areas of the body which have microenvironments

A

skin
mouth
nasopharynx
GI tract

17
Q

what are the microenvironments of the mouth?

A
  • tooth surface
  • lingual surface
  • buccal surface
  • gingival crevice
18
Q

what is the main bacterium on our skin? where

A

staphylococus aureus

esp in nose

19
Q

what were the 3 early colonisers in the oral microbiota?

A

streptococci oralis
streptococci mitis
streptococci salivaris

20
Q

give 4 microbiota associated with the pharynx

A

streptococcus pyogenes
streptococcus pneumonia
staphylococus aureus
haemophilus influenza

21
Q

describe the microbiota in GI tract.

A
  • counts increase distally
  • low gastric pH - inhibit growth
  • anaerobic bacteria
  • few obligate anaerobes
22
Q

what are obligate anaerobes

A

microorganisms killed by oxygen

23
Q

in the large intestines, how many organisms per gram are there?

A

10^9-10^10

24
Q

give an example of aerobic bacteria

A

Enteric gram-negative bacilli

25
Q

how is the microbiota in the vagina maintained?

A

pre-puberty
- mainly E.coli
- low microbiota

post-puberty
- glycogen produced due to circulating oestrogen
- lactobacillus streptoccoci ferment glycogen
- maintains pH 3

26
Q

what are the benefits of the resident human microbiome?

A
  • exogenous pathogens are excluded
  • promotes development of immune systems
  • nutrition
  • enhanced cellular proliferation and wound healing
  • induces antibodies
27
Q

4 reasons why a opportunistic infection may occur.

A
  • epithelium is damaged
  • foreign bodies present
  • immune system disturbed/suppressed
  • normal microbiota disturbed
28
Q

give 3 infections from which bacteria has spread from one site to another

A
  • otitis media - ear
  • conjunctivitis - eye
  • UTI