6 - The Gut Microbiome Flashcards

(32 cards)

1
Q

What is the gut microbiome

A

The ecosystem of microorganisms (mainly bacteria) living in the gastrointestinal tract, especially the stomach, small intestine, and large intestine

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2
Q

How dense is the microbial population in the gut

A

The large intestine can contain up to 100 trillion microbial cells per millilitre

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3
Q

Why does the gut microbiome thrive in the intestines

A

Due to a large surface area, a nutrient-rich environment, oxygen gradients creating niches, structured microbial communities, and constant replenishment via diet

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4
Q

What types of microorganisms make up the gut microbiome

A

Bacteria (dominant), archaea, viruses, and fungi

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5
Q

What are the dominant bacterial phyla in the gut

A

Firmicutes
Bacteroidetes
Actinobacteria
Proteobacteria

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6
Q

When does microbial colonisation begin

A

At birth — vaginal delivery introduces birth canal microbes, while C-section introduces skin microbes

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7
Q

What maternal factors influence early microbiome development

A

Maternal microbiota, antibiotic use, and feeding method (breastfeeding vs formula)

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8
Q

How else is the infant microbiome shaped

A

Through environmental exposure (family, pets) and dietary transitions (e.g. introduction of solid food)

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9
Q

How does the microbiome evolve over time

A

New microbes compete with existing ones; the microbiome changes significantly in the first two years, stabilising in adulthood

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10
Q

What is the adult ‘core microbiome’

A

A relatively stable community mainly composed of Firmicutes and Bacteroidetes

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11
Q

How does the microbiome aid digestion

A

It breaks down otherwise indigestible food components, extracting nutrients and energy

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12
Q

How does the gut microbiome support metabolism

A

It influences drug metabolism, bile acid recycling, and fibre digestion

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13
Q

How does gut biome protect against pathogens

A

Through production of inhibitory compounds, physical barriers, and immune signalling

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14
Q

What role does gut biome play in immune development

A

It helps train the immune system, particularly through microbes like Bacteroides and Bifidobacterium

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15
Q

How does gut biome modify compounds

A

It alters bile acids and other host-related molecules

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16
Q

What vitamins are synthesised by the gut microbiot

A

B vitamins and vitamin K

17
Q

How does the gut microbiome influence systemic health

A

Through microbial metabolites that affect mood, sleep, and overall body function

18
Q

How does it maintain gut homeostasis

A

By supporting physiological balance and maintaining a stable ratio of Firmicutes to Bacteroidetes

19
Q

What is eubiosis

A

A balanced and diverse gut microbiome state that supports health

20
Q

How can we maintain a healthy microbiome

A

Through a fibre-rich diet, prebiotics, probiotics, limiting unnecessary antibiotics, and supporting ecological balance

21
Q

What are prebiotics

A

Special carbohydrates that nourish beneficial microbes

22
Q

What are probiotics

A

Live microbial supplements that support gut health

23
Q

What is the ‘core microbiome’ in adults

A

A stable microbial community mainly consisting of Firmicutes and Bacteroidetes

24
Q

What is dysbiosis

A

An imbalance in the microbial community of the gut

25
What are signs of dysbiosis
Altered microbial composition, phylum-level shifts, overgrowth of pathogens (e.g. E. coli), and loss of beneficial bacteria
26
What can cause dysbiosis
Antibiotics, diet, ageing, disease states (e.g. IBD, T2D), and external environmental factors
27
What are the systemic effects of dysbiosis
It can affect mood (gut-brain axis), skin health (gut-skin axis), and respiratory function (gut-lung axis)
28
What is IBD and how is it linked to the microbiome
A chronic inflammatory GI condition associated with gut dysbiosis and reduced microbial diversity
29
What are the two main forms of IBD
Crohn’s disease (CD) and ulcerative colitis (UC)
30
What is the global impact of ulcerative colitis
It affects over 5 million people, especially in Western countries, with rising cases worldwide
31
What microbial changes occur in IBD
Increased facultative anaerobes, decreased microbial diversity, and lower production of SCFAs (short-chain fatty acids)
32
What is the difference between UC and CD
UC causes superficial inflammation limited to the mucosa; CD involves full-thickness (transmural) inflammation of the intestinal wall