Microbiota of the GI tract Flashcards

(46 cards)

1
Q

how does trinity time change along the GI tract

A
increases:
mouth - 1 min
oesphagus - 4-8 secs
stomach - 2-4 hr
small intestine - 3-5 hr
colon/large intestine - 10 hr to severla days
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2
Q

what does transit time effect

A

Bacterial populations due to different bacterial growth rates

Intestinal cell exposure to toxins
- Consumed with food or produced by bacteria

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3
Q

what happens to bacterial populations as you travel along the GI tract from mouth to rectum

A

increasingly anaerobic (due to anaerobic conditions)

increasing bacterial density (stomach = 10(3)-10(4)/ml)
(small intestine = 10(8)/ml)
(colon/large intestine = 10(10)-10(11)ml)

increasing dominance of obligate anaerobes

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4
Q

define anaerobic

A

living in the absence of air

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5
Q

define aerobic

A

living in the presence of air

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6
Q

define facultative anaerobic bacteria

A

can go in the presence of oxygen AND in the absence of oxygen
(although some may prow poorly)

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7
Q

define obligate anaerobic bacteria

A

cannot grow in the presence of oxygen - many rapidly killed in the presence of oxygen (i.e. would therefore not be found in the mouth)

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8
Q

give some factors that can affect what bacteria is dominant at different points in the GIT

A

oxygen concentration
different pH
different transit time

eg stomach - pH1.5-4 and mixed O2 = facultative anaerobes

eg colon - pH 5.5-6.5 and no O2 = obligate anaerobes

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9
Q

at what level of classification are meaningful comparisons done between bacteria types

A

at the genus level

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10
Q

what are some of the functions of GIT microbiota

A

metabolism of dietary components

production of essential metabolites to maintain health

development of immune system - immune priming

host signalling - gut-brain axis

defence against pathogens - competition, barrier function, pH inhibition

modifications of host secretions (mucin, bile, gut receptors, etc)

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11
Q

what components of our diet do GIT microbes grow on

A

fibre from fruit, vegetables, pulses, whole grains - microbes convert it into thousands of different products

can also use endogenous (host derived) substrates for growth

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12
Q

what are the benefits of having fibre in your diet

A

health protection - improves faecal bulking, eases passage, results in shorter transit times

contains important phytochemicals, antioxidants and vitamins

bacterial fermentation

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13
Q

what does bacterial fermentation of fibre result in

A

Releases additional phytochemicals

Maintains slightly acidic pH

Increased commensal bacterial population and pH improves resistance to pathogens

Essential supply of short chain fatty acids

converts non-ingestible carbohydrates and residual proteins into short/branched chain fatty acids, gases, phytochemical, minerals, other metabolites

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14
Q

what are the three main short chain fatty acids and what are their functions

A

ratio 1:1:3 (depends in substrate availability AND bacterial composition)

butyrate - epithelial cell growth and regeneration

propionate - gluconeogenesis in the liver and satiety signalling

acetate - transported in blood to peripheral tissues for lipogenesis

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15
Q

what are the major products of carbohydrate metabolism by the GIT microbiota

A
  1. short chain fatty acids - acetate, propionate, butyrate

2. gases - CO2, H2, CH4

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16
Q

what are the major products of protein metabolism by the GIT microbiota

A
  1. branched short chain fatty acids - iso-butyrate, isovalerate
  2. gases - NH3, H2S
  3. phenols, indoles, amines
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17
Q

different bacteria produce different metabolites - give some examples

A

firmicutes - polysaccharide utilisation = butyrate production

actinomycetes - utilise prebiotics = lactate production

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18
Q

how does the GIT bacteria defend against pathogens

A
  • colonisation resistance
  • pH inhibition
  • gut mucosal immune system
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19
Q

what are the 2 methods of colonisation resistance and describe briefly how they work

A
  1. barrier effect - uses mucous layers and large number of indigenous bacteria prevent colonisation by ingested proteins AND inhibit overgrowth of potentially pathogenic bacteria normally resident at low levels
  2. active competition exclusion - conferred by both microbe-microbe and microbe-host interactions
20
Q

how does the mucous layer help keep the gut healthy

A

2 mucous layers - outer and inner
outer - contains bacteria, barrier affect
inner - normally only few bacteria, prevents bacterial penetration

forms barrier between luminal bacterial populations and epithelial cells

commensal bacteria close to epithelium block and prevent adhesion/colonisation by pathogens

the few bacterial cells that penetrate through the epithelium are dealt with by the immune system

21
Q

what can happen if the mucus layer barrier is disrupted

A

bacterial cells penetrate the mucus layer and the epithelial barrier - causes a dysregulated immune response and inflammation

22
Q

at what pH do pathogens generally go best at

23
Q

where is more likely to get disease from pathogens - the proximal or distal colon

A

distal colon more prone to disease that proximal colon

24
Q

why is the distal colon more prone to disease from pathogens

A
  • high pH so less pathogen exclusion

- more protein fermentation - slower transit therefore higher exposure to harmful compounds

25
why is the proximal colon less prone to disease from pathogens
- low pH so more pathogen exclusion | - quicker transit therefore high epithelial cell turnover
26
what is the relationship between the gut microbiota and the gut immune system
co-evolve: microbiota shapes the development of the immune system, and the immune system in turn shapes the composition of the microbiota.
27
what must the gut immune system be able to do
1. respond appropriately to foreign/pathogenic agents 2. actively down-regulate immune responses to ‘self’ proteins, dietary antigens and the commensal microbiota 3. Recognise and respond to pathogen invasion
28
how does the postnatal immune system differ from the prenatal immune system
prenatal immune system immature - postnatal "learns" from bacterial exposure
29
how does the host detect bacteria that does penetrate into the gut epithelium
innate immune system uses pattern recognition receptors - detect and bind different molecules associated with pathogens, microbes or cell components
30
what type of PRR specifically recognise bacterial components
Toll Like receptors
31
what does the activation of PRRs trigger
molecular signalling cascades - coordinate production of pro-inflammatory and anti-inflammatory cytokines, cheekiness and co-stimulatory molecules
32
what is inflammation and interplay between
pro-inflammatory and anti-inflammatory cytokines
33
give examples of some PRO-inflammatory cytokines
**IL-6 IL-1, TNF, IFN-g, IL-12
34
give examples of some ANTI-inflammatory cytokines
**IL-10 IL-18, IL-4, IL-13, IFN-a, TGF-B
35
what are toll like receptors
specific proteins involved in the inmate immune system that recognise microbial molecules that are structurally conserved **different TLRs specifically recognise different bacterial components
36
what is the structure of toll like receptors
membrane spanning, non-catalytic receptors expressed in epithelial cells like macrophages and dendritic cells
37
what can happen if TLRs have inappropriate responses
because the ability to distinguish "self" from foreign pathogens depend on TLRs - inappropriate responses are linked to some autoimmune diseases
38
why is homeostasis of the gut microbiota and the host immune system important
essential to maintain host health - autoimmune diseases can occur when the immune system can no longer distinguish between harmful pathogens and commensal bacteria
39
what is dysbiosis and what can it cause
microbial imbalance - can disrupt homeostasis and lead to inflammation
40
what are short chain fatty acids important as
signalling molecules
41
what SCFA signalling molecules inhibit fat accumulation
acetate, propionate (and butyrate) result in GLP-1 secretion which inhibits fat accumulation
42
what SCFA signalling molecules improve insulin resistance and satiety signalling to the brain
propionate and butyrate results in PYY secretion
43
what SCFA signalling molecules suppress colonic inflammation and carcinogenesis
butyrate results in the release of anti-inflammatory cytokines e.g. IL-10
44
what happens to microbial composition throughout life
changes throughout life - not fixed
45
what factors influence the different microbiota we have throughout life
**dietary changes - greatest influence birth - natural, Cs, preterm feeding - breastfed, formula, mixed weaning - age, pureed/solid foods, diversity of foods diet expansion diet maintenance - afad diets, poor food choices, alcohol diet contraction - inability ot no desire to eat certain foods
46
give some examples of the microbial diversity throughout life and if it is good or bad
breastfed infant - low diversity = good healthy adult - high diversity = good frail elderly - low diversity = bad