Week 4.2 - The Gut Microbiota Flashcards

1
Q

What is the pH in the mouth, stomach, duodenum and colon?

A
  • mouth 6.5-7.5 - aerobic
  • stomach 1.5-5 - aerobic and anaerobic
  • duodenum 7-8.5
  • colon 5.5-6.5 - obligate anaerobes
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2
Q

What factors change the dominant bacteria in the Gi tract?

A
  • o2 concentrations
  • pH
  • transit times
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3
Q

What determines the composition of our microbiota?

A
  • each individual is unique
  • our diet
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4
Q

What is the role of bacteria in the large intestine? (4)

A
  • ferment dietary fibre
  • produce metabolites to communicate with other bacteria and the host
  • prime the immune system keeping it in homeostasis
  • prevent pathogen colonisation
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5
Q

How does the microbiota help with the development of the immune system?

A

microbiota develops alongside immune system so we have immunity as we recognise cells as self cells.

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6
Q

What are the benefits of dietary fibre?

A
  • increased faecal bulking
  • decreased transit time
  • release antioxidants, vitamins and phytochemicals
  • bacterial fermentation maintains slightly acidic pH resistance to pathogens + release additional phytochemicals and short chain fatty acids
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7
Q

Carb metabolism in the colon and its importance?

A
  • occurs in proximal
  • produces short chain fatty acids acetate, propionate and butyrate.
  • also gas production
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8
Q

What nutrients are metabolised in distal colon? whats the importance?

A
  • proteins and fats
  • produce harmful branched chain amino acids and harmful gasses like ammonia and hydrogensulphate. also inflammation
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9
Q

Whats the significance of short chain amino acids?

A
  • acetate used in lipogenesis
  • butyrate for epithelial growth and regeneration in gut
  • propionate important for glyconeogenesis in liver and satiety signals
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10
Q

How does the pH change along the colon and why is this important?

A
  • proximal is 5.5 due to carb metabolism. inhibits pathogens and increases Ca absorption
  • distal is 6.5 - due to protein and fat fermnetation - less bacterial fermentation of carbs
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11
Q

What pH do pathogens generally grow?

A

over pH6

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12
Q

What is disease likeliness in proximal and distal colon?

A

less disease in proximal due to:
- quicker transit of faeces,
- low pH,
- high substrate conc.
- high fermentation rates
- short chain fatty acids.
all opposite in distal so more disease

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13
Q

What are prebiotics and probiotics?

A
  • pre-biotics are substrate that is utilised by host microorganisms giving health benefit
  • probiotics is live substrate that you administer - correct one for requirements you’re looking for
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14
Q

What is dysbiosis?

A

inbalance of pre-inflammatory and post-inflammatory bacterioa, causing altered immune response

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15
Q

How does a decrease in the mucus barrier lead to disease?

A

decrease in mucus barrier leads to o2 penetration on epithelium in bowel, causing death of microbiota obligate anaerobes, changing composition causing inflammation further decreasing mucus barrier. cycle.

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16
Q

What layers protect the microbiota?

A

2 mucus layers. inner layer is where most microbiota are. some break through and touch epithelium, keeping immune system on standby so it never starts from 0.

17
Q

What are some diseases thought to be caused by dysbiosis?

A
  • MS,
  • autism,
  • major depression,
  • IBS/IBD,
  • NAFLD, cirrhosis
  • metabolism issues
  • immune conditions like allergies, autoimmune
18
Q

What is the action of clostridium difficile after antibiotics and the treatment?

A
  • over grown and cause disease.
  • most effective treatment is properly provided FMT
19
Q

What is FMT?

A

foecal microbiota transplantation.