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Maternal exposures
Oral - pre-mastication of food, dental amalgam
Mammary - breastfeeding, bottle feeding
Cutaneous - contact with skin, early bathing
Vaginal - birth canal passage, cesarean, early antibiotics
Exposures that alter species composition
Genetics (prenatal) - antibiotics not best for mother, lactobacillus, bifidobacterium
Birth (c- section) - staphylococcus, corynebacterium
Treatments -
Probiotics - bifidobacterium, lactobacillus ( week 1 )
Feeding
- breast (Bifidobacterium )
- formula (Enterobacteriaceae)
Antibiotics - decreased Microbial diversity
Foods / weaning (1 year) development of adult like microbes
Breast milk bioactive molecule functions
HMO's : immune regulation
HMOs promote the growth of beneficial gut bacteria.
Immunoglobulins - antibodies : IgA , IgG
Protection: Cytokines, cell signaling molecules influencing inflammation and immune responses.
Bifidobacterium longum infantis
Breaks down HMOs into short chain fatty acids
SCFA (short chain fatty acids)
Seals gut
- signaling
- tells gut cells connect to each other- adhere or seal up (tight junctions)
"Leaky gut "
develop allergies
Sialic Acid
Brain growth
signaling molecule- expression of proteins - brain development
enhance neural connections
HMO's
Glycine mimic ( sugar molecule )
selectively stimulate growth of Bifidobacterium
dominate the gut of breastfed infants —> healthy immune and metabolic development
Breastmilk contains its own microbial community
variations in HMO composition correlate with changes in both milk microbiota and infant gut colonization (e.g., ↑Bifidobacterium, ↓Streptococcus/Staphylococcus)
HMOs contribute to immune protection and pathogen defense.
Rise in immune disease is linked to
Microbes
Vanishing Microbes: Human adapted
weakens immune training
poor development of regulatory pathways that normally prevent overreaction
Limited exposure: Hygiene hypothesis
fewer infections and less contact with environmental microbes → immune system skews to hypersensitivity.
Microbiome depletion affects barrier tissues (gut, skin, airways), increasing susceptibility to inflammatory and autoimmune diseases.
The gut microbiota
largest mucosal surface with the greatest bacterial diversity
• 500 different species
• Firmicutes and Bacteroidetes phyla
Functions:
digestion, nutrient synthesis, immune system development and regulation, inflammation, neurological processes
Firmicutes/Bacteroidetes ratio dictates health status
increased ratio - associated with conditions like obesity, metabolic disorders, and inflammatory bowel diseases
The gut brain axis
Complex bidirectional network of communication between the central nervous system, the intestine, and intestinal microbiota
vagus nerve
After the brain, the gut contains the most neurons
Immunity, metabolism, activation of the vagus nerve, neurotransmission, neurotrophic factors and memory
Transfer of the microbiome depressed-healthy rodent = depression
SCFA: Metabolites produced via anaerobic fermentation
Reinforce BBB, modulate neurotransmission
SCFA's act as signaling molecules - activate responses from cell
Manipulation of the Microbiome: Diet
Fermented Foods - Increase bacterial diversity
Increasing fiber uptake is not sufficient, need to replace vanished organisms that utilize that fiber
Manipulation of the Microbiome: Probiotics
Probiotic - Live microorganisms that benefit health if consistently consumed in large enough quantities
Bifidobacterium and Lactobacillus
Manipulation of the Microbiome: Prebiotics
Prebiotic - nondigestible food ingredient that benefits host by selectively stimulating growth/ activity of a limited number of bacteria in the colon, and thus improves host health
Enhance the activity or promote the growth of resident bacteria
Probiotics
Live microorganisms
Bacteria or yeast
Common probiotic organisms —> Bifidobacterium and Lactobacillus
supplements and certain foods containing live cultures such as yoghurt, kefir, kombucha, sauerkraut
support treatment of diarrhea, irritable bowel syndrome, intestinal infections, reduce severity of colds/ flu or aid digestion
Prebiotics
Non-living, non-digestible by human ingredient (carbohydrates)
Serve as food for friendly bacteria within the gut
food supplements and naturally occurring in certain foods
aid digestion and support treatment of several chronic digestive disorders or inflammatory bowel disease
Compounds must be resistant to host digestion and absorption
Enhance the activity or promote the growth of resident bacteria
Manipulation of the Microbiome: Antibiotics
Antibiotic – Any substance or compound that inhibits bacterial growth/survival • Administer to suppress or eliminate certain populations of microbial pathogens
Results in profound changes in the population:
• Diversity
• Total bacterial density
• Not always temporary
• Antibiotic use can result in disease as an off-target affect
• Combination therapy with probiotics
The host immune response
Innate immunity: only immune system at birth besides antibiotics is breast milk
- Present at birth
-Barriers to infection
-Nonspecific responses to destroy invading cells
Adaptive immunity: Reaction to specific antigens, specific to individual
-Parts of foreign proteins, sugars, chemicals
-Specific targeted reaction developed
-Retains "memory" of those antigens
- Faster response if exposed a second time
Dysbiosis
An imbalance in microbiome composition that can lead to disease
Skin
protective barrier by occupying niches and preventing pathogen attachment (competitive exclusion).
Commensal bacteria produce antimicrobial compounds that inhibit pathogen growth.
Support immune function by stimulating local immune cells and promoting proper inflammatory responses.
Acidic pH (pH 4–6) owing to the secretion of organic acids by oil and sweat glands
Organic acids inhibit microbial growth by lowering bacterial cytoplasmic pH
Epidermal secretions are also high in salt and low in water activity
Enzymes such as lysozyme → degrade bacterial peptidoglycan
When and how does a person develop a microbiome?
babies are exposed to microbes residing in the birth canal and the outside world
The initial makeup shaped in part by the mode of delivery
Natural-birth babies → colonized by microbes acquired by passage through the mother’s vagina
Cesarean section → microbes donated by the delivery room and by contact with the mother’s skin