The microbacteria in the GI tract Flashcards

1
Q

Understand why there are differences in bacterial communities throughout the GI

A

• Transit time
• Anaerobic conditions increase
- Facultative anaerobes (with and without O2)
- Obligate anaerobes (cannot live with O2)

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2
Q

Understand the activities of different bacterial species

A
  • Immune defences
    • Metabolism of dietary components
    • Production of essential nutrients to maintain health
    • Developing the immune system
    • Host signalling
    • Modification of secretions: mucin, bile, gut receptors…
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3
Q

How do bacteria help with immune defences?

A
  • Barrier effect: win out with their numbers which creates a barrier (also mucous layer)
    • Competition: have strategies to get rid of other bacteria
      • pH inhibition: generally grow over 6 but in the ascending colon the pH is lower than that
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4
Q

How do bacteria develop the immune system?

A

Immune priming

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5
Q

What are the essential nutrients that bacteria produce?

A
  • SCFAs
    • Photochemicals
    • Gases
    • BCFA
    • Other metabolites
    • Minerals
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6
Q

How does eating junk food affect bacteria?

A

Doesn’t feed microbes

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7
Q

How does a healthy diet with lots of fibre affect bacteria?

A
  • Feeds the gut microbes
    • Faecal bulking, eases passage
    • Contains important anti-oxidants and photochemicals
    • Bacterial fermentation
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8
Q

What does bacterial fermentation do?

A
  • Releases additional photochemicals
    • Maintains slightly acidic pH
    • Increases population of commensal bacteria and improves resistance to bacteria
    • Essential supply of SCFAs
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9
Q

Explain the effect of different diets on bacterial activity

A
  • Better diet= better diversity= healthy (lots of products)
    • Activities driven by what we eat
    • Different gut microbes have different activities
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10
Q

Explain the effects of antibiotics on gut microbacteria

A
  • Can result in a loss of diversity
    • Kills off locals as well as visitors
    • Provides opportunity for pathogens to colonise and dominate
    • Can result in antibacterial resistant pathogens
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11
Q

What is causation with respects to microbes and disease?

A

It’s the bacteria’s fault

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12
Q

What is correlation with respects to microbes and disease?

A
  • Bacteria in GI increase but are not the cause of the problem
    • It is hard to tell the difference
    • Symptoms can affect microbiota e.g.: inflammation, diarrhoea, host genotype
    • Actions can affect the microbiota e.g. antibiotics or diet
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13
Q

What is microbial dysbiosis?

A

Microbial dysbiosis is a general imbalance in bacteria

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14
Q

Give examples of diseases the correlate with microbial dysbiosis

A

• IBD
- Dysregulated host immune response to gut microbria (likely)
- Inflammation
- Reduced bacterial diversity
- Typically manifests in a non-uniform manner
• Ulcerative colitis= reduced firmicutes
• Crohn’s disease= slightly elevated enterobacteria

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15
Q

What are probiotics? What are their actions?

A
  • Microorganisms that when taken in an adequate amount can be beneficial
    • The actions that probiotics take are: competition; barrier affect; competitive exclusion; vitamin production; decreases inflammation; Bioconversions; immune stimulations and direct antagonisms (pathogens)
    • Certain probiotics will work in some cases (but not all) and others will work in some other cases
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16
Q

What are prebiotics?

A
  • Food that is beneficial to host microbacteria

- Changes GI microbacteria concentrations

17
Q

Why might prebiotics be useful?

A
  • Improves gut function: stool bulking and faster transit times
    • Management of IBD (maybe)
    • May reduce risk of colon cancer: reduces DNA damage and cell proliferation
    • Increases Calcium absorption and bone health
    • Can lower glycaemic index
    • Recuse food intake and fat mass (rodents)
18
Q

Explain why FMT might be more effective in treating C. diff. infections than other GI diseases

A

• C. Diff. can be resistant to antibiotics
- Antibiotics just help C. diff get rid of the competition
• Adding in more bacteria increases diversity
- Prevents reinfection
• Effective in >90% of patients (c. diff.)
• Success depends on whether existing bacteria is present/ absent (perhaps)
• Works quick