The Gut Microbiota in health and disease Flashcards

1
Q

What are the different factors that affect gut microbiota

A
Diet 
Lifestage 
Environment 
Probiotics 
Antibiotics
Prebiotic 
Faecal transplant 
Disease
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2
Q

Define dysbiosis

A

Imbalance of microbiota

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3
Q

How does Irritable bowel disease occur

A

Results from dysregulated host immune response to gut mircobiota

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4
Q

What happens to the bacterial diversity in patients with IBD

A

Reduced bacterial diversity

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5
Q

What factors if IBD could affect the microbiota

A
Antibiotic use 
Inflammation 
Diarrohea
Hist diet 
Host genotype
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6
Q

What is the affect of antibiotics on microbiota

A

Reduces bacterial diversity and

cam increase Enterobacteriacae e as a result of bread spectrum antibiotic use

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7
Q

What affect does an inflamed gut have on microbiota

A

Reduces bacterial diversity and increase Enterobacteriacae

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8
Q

How does diarrhoea affect microbiota

A

Decreases transit time therefore alters microbial composition

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9
Q

How does your hosts diet affect microbiota

A

eating less fibre can change microbiota composition

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10
Q

What are ways to redress the dysbiosis and relive symptoms of IBD

A

Prebiotics - boost numbers of F.Prausnitizil

Increase enterobacteriacae

Induce more fibre into diet - boosts bacterial diversity

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11
Q

What is probiotics and what is their use

A

Live microorganism which improve health of the host

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12
Q

What is a prebiotic and its use

A

A substrate that is selective utilized by host micro-organism giving a health benefit

(basically food for resident bacteria)

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13
Q

What are the different mechanism of probiotics that improve hosts health

A
  1. Competition
  2. Bioconversions (diet)
  3. Production of vitamins
  4. Direct antagonism (pathogens)
  5. Competitive exclusion
  6. Barrier function
  7. Reduce inflammation
  8. Immune stimulation
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14
Q

What is the problems with probiotics

A

Not all probiotics act in the same way

  • different species have different effects

Individual response varies - due to existing variation in microbiota

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15
Q

What is especially important in taking probiotics

A

Brand of probiotics and the species present

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16
Q

Name 3 selected probiotics

A

FOS and Insulin

GOS

Lactulose

17
Q

What are some of the effects for probiotics

A

Improve gut function

Mnaage IBD

Reduce risk of colon cancer

Increase calcium absorption and be health

Lower glycaemic index (lower blood glucose rise after meals)

reduce food intake and fat mass

Increasers bifidobacteria numbers

18
Q

What are the methods of indirect exposure to antibiotic

A

Eating animals that have been given antibiotics

19
Q

What is the consequence of antibiotic exposure

A

Kill communal bacteria decreasing microbial diversity

increasing pathogen colonisation risk

Increased risk of C.diff

spread antibiotic resistance

20
Q

When would faecal microbial transplantation occur

A

Patients with reoccurring C.diff infections

as donor microbiota repopulates large intestine and displaces c.diff

21
Q

What are the ways faecal macrobiotic transplant can occur

A

Intestinal tube
colonoscopy
gastroscopy/enteroscopy

22
Q

What is recommended for safety of FMT

A

donor properly screening for all known pathogens

23
Q

What is the criteria for synthetic substitute in FMT

A

Sensitive to antimicrobials

easy to culture

representative to gut commensal bacteria

24
Q

What is the range of diseases associated with changes in gut microbiota

A
IBS 
IBD
Colorectal cancer 
Corona heart disease 
Obesity 
Diabetes
C.diff diarrohea 
osteoporosis
25
Q

What is a recommended for the reduced risk of coronary heart disease

A

β-glucan fibre found in oats/barley

26
Q

What does probiotics also increase the uptake of

A

calsium

27
Q

Increased consumption of Insulin or FOS lowers what

A

The glycemic index

28
Q

What is recommended in reducing the risk of colon cancer

A

Increased Dietary fibre

Native chicory inulin (increases stool frequency)