Podcast
Questions and Answers
What is a common consequence of antibiotic administration in premature infants?
What is a common consequence of antibiotic administration in premature infants?
- Complete restoration of microbial composition
- Increased gut microbiota diversity
- Alteration in the gut bacterial community (correct)
- Decrease in the need for further medical treatment
What can occur in the gut microbiota following antibiotic treatment in adults?
What can occur in the gut microbiota following antibiotic treatment in adults?
- Immediate restoration of initial microbiota
- Elimination of antibiotic-resistant strains
- Persistent changes in microbial composition (correct)
- Rapidly increased levels of Bacteroidetes
What was the primary impact of a short-term course of clindamycin on the bacterial community?
What was the primary impact of a short-term course of clindamycin on the bacterial community?
- Increase in Bacteroides and enterococcal colonies
- Significant decline in Bacteroides and enterococcal colonies (correct)
- No impact on the bacterial community
- Flourishing of Gram-positive bacteria
Which of the following results from the administration of broad-spectrum antibiotics?
Which of the following results from the administration of broad-spectrum antibiotics?
What has been observed regarding the effect of ciprofloxacin on gut microbiota?
What has been observed regarding the effect of ciprofloxacin on gut microbiota?
What type of bacteria was associated with increased genes involved in lipopolysaccharide (LPS) synthesis after treatment with a bacteriostatic drug?
What type of bacteria was associated with increased genes involved in lipopolysaccharide (LPS) synthesis after treatment with a bacteriostatic drug?
What is a significant outcome of antibiotic use in premature infants regarding their gut microbiota?
What is a significant outcome of antibiotic use in premature infants regarding their gut microbiota?
What potential consequence can arise from antibiotic administration aimed at eradicating Helicobacter pylori?
What potential consequence can arise from antibiotic administration aimed at eradicating Helicobacter pylori?
Which of the following is a consequence of antibiotic use in dentistry?
Which of the following is a consequence of antibiotic use in dentistry?
What modern health issue has been linked to changes in the microbiota due to missing microbes?
What modern health issue has been linked to changes in the microbiota due to missing microbes?
What is a potential long-term consequence of low dose antibiotic exposure in preterm infants?
What is a potential long-term consequence of low dose antibiotic exposure in preterm infants?
How do antibiotics affect the colonic mucus layer in young mice?
How do antibiotics affect the colonic mucus layer in young mice?
What is a primary consequence of antibiotic-induced changes in microbiota composition?
What is a primary consequence of antibiotic-induced changes in microbiota composition?
What immune response alteration is associated with antibiotic use during infancy?
What immune response alteration is associated with antibiotic use during infancy?
How do antibiotics affect gut microbiota diversity?
How do antibiotics affect gut microbiota diversity?
What is the effect of microbial colonization during infancy?
What is the effect of microbial colonization during infancy?
What specific risk is heightened due to early-life antibiotic administration?
What specific risk is heightened due to early-life antibiotic administration?
What role does gut microbiota play in human health?
What role does gut microbiota play in human health?
What role do bacterial polysaccharides play in immune maturation?
What role do bacterial polysaccharides play in immune maturation?
What is a consequence of reduced microbial diversity in infants?
What is a consequence of reduced microbial diversity in infants?
What impact does maternal antibiotic use during lactation have on infants?
What impact does maternal antibiotic use during lactation have on infants?
What happens to gene expression in relation to immune function following antibiotic treatment?
What happens to gene expression in relation to immune function following antibiotic treatment?
What can result from disturbances to microbial colonization in infants?
What can result from disturbances to microbial colonization in infants?
What has been a significant result of the overuse and misuse of antibiotics?
What has been a significant result of the overuse and misuse of antibiotics?
What is a potential outcome of antibiotic treatment during pregnancy?
What is a potential outcome of antibiotic treatment during pregnancy?
Which bacteria is associated with increased susceptibility due to antibiotic changes in microbiota?
Which bacteria is associated with increased susceptibility due to antibiotic changes in microbiota?
What factor rather than specific levels correlates with obesity?
What factor rather than specific levels correlates with obesity?
What can antibiotics lead to that affects gut health?
What can antibiotics lead to that affects gut health?
What change in gut microbiota is associated with type 2 diabetes?
What change in gut microbiota is associated with type 2 diabetes?
What is a potential consequence of reduced diversity in the maternal microbiota during pregnancy?
What is a potential consequence of reduced diversity in the maternal microbiota during pregnancy?
What might result from a lack of exposure to diverse microbiota in childhood?
What might result from a lack of exposure to diverse microbiota in childhood?
What is affected by decreased alpha and beta diversity due to antibiotic treatment?
What is affected by decreased alpha and beta diversity due to antibiotic treatment?
What can antibiotics promote that leads to gut health issues?
What can antibiotics promote that leads to gut health issues?
Which antibiotic is associated with changes in microbial colonization linked to type 1 diabetes?
Which antibiotic is associated with changes in microbial colonization linked to type 1 diabetes?
What role do antimicrobial peptides produced by intestinal epithelial cells have?
What role do antimicrobial peptides produced by intestinal epithelial cells have?
How do prenatal antibiotics affect CD8+ T lymphocytes in infant mice?
How do prenatal antibiotics affect CD8+ T lymphocytes in infant mice?
Which of the following metabolites is predominantly produced by commensal gut bacteria and has anti-inflammatory roles?
Which of the following metabolites is predominantly produced by commensal gut bacteria and has anti-inflammatory roles?
What happens to protein expression in the microbiota following antibiotic therapy?
What happens to protein expression in the microbiota following antibiotic therapy?
What effect does vancomycin and ciprofloxacin–metronidazole treatment have on the microbial community in female mice?
What effect does vancomycin and ciprofloxacin–metronidazole treatment have on the microbial community in female mice?
What cyclical relationship exists between the microbiota and xenobiotics?
What cyclical relationship exists between the microbiota and xenobiotics?
What is the primary function of short-chain fatty acids (SCFAs) produced by gut microbes?
What is the primary function of short-chain fatty acids (SCFAs) produced by gut microbes?
What effect can antibiotics have on the microbial community's functionality?
What effect can antibiotics have on the microbial community's functionality?
Flashcards
Antibiotics and Premature Infant Gut Microbiota
Antibiotics and Premature Infant Gut Microbiota
Antibiotics administered to premature infants can have a major impact on the development of their gut microbiota.
Broad-Spectrum Antibiotics and Gut Microbiota Diversity
Broad-Spectrum Antibiotics and Gut Microbiota Diversity
Broad-spectrum antibiotics, often used prophylactically in premature infants, disrupt the diverse range of bacteria in the gut, leading to reduced diversity.
Long-Term Effects of Antibiotics on Gut Microbiota
Long-Term Effects of Antibiotics on Gut Microbiota
The changes in gut microbial composition caused by antibiotics can persist for weeks after treatment ends, sometimes leading to incomplete restoration of the original bacterial balance.
Ciprofloxacin's Impact on Gut Microbiota
Ciprofloxacin's Impact on Gut Microbiota
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Incomplete Recovery of Gut Microbiota After Antibiotics
Incomplete Recovery of Gut Microbiota After Antibiotics
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Clindamycin's Long-Term Impact
Clindamycin's Long-Term Impact
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Bacteriostatic Drugs and LPS
Bacteriostatic Drugs and LPS
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Bactericidal Drugs and Endospores
Bactericidal Drugs and Endospores
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Antibiotic Resistance from H. pylori Treatment
Antibiotic Resistance from H. pylori Treatment
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Consequences of Antibiotics in Dentistry
Consequences of Antibiotics in Dentistry
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Dysbiosis
Dysbiosis
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Antibiotics & Microbiota
Antibiotics & Microbiota
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Antibiotic Resistance Crisis
Antibiotic Resistance Crisis
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Gut Microbiota's Role in Health
Gut Microbiota's Role in Health
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Gut Microbiota in Infants
Gut Microbiota in Infants
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Broad-Spectrum Antibiotics & Microbiota
Broad-Spectrum Antibiotics & Microbiota
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Antibiotics & Pregnancy/Lactation
Antibiotics & Pregnancy/Lactation
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Clostridioides difficile
Clostridioides difficile
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Antibiotics and Gut Microbiome
Antibiotics and Gut Microbiome
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Antibiotics and Gene Expression
Antibiotics and Gene Expression
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Antibiotics and Immune Disorders
Antibiotics and Immune Disorders
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Immune System Development and Gut Microbiome
Immune System Development and Gut Microbiome
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Antibiotics and Colonic Mucus Layer
Antibiotics and Colonic Mucus Layer
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Antibiotics and TH1/TH2 Balance
Antibiotics and TH1/TH2 Balance
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Antibiotics and Gene Maturation
Antibiotics and Gene Maturation
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Gut Bacteria and Immune Development
Gut Bacteria and Immune Development
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Firmicutes to Bacteroidetes ratio and obesity
Firmicutes to Bacteroidetes ratio and obesity
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Antibiotics and weight gain
Antibiotics and weight gain
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Antibiotic effect on type 2 diabetes
Antibiotic effect on type 2 diabetes
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Antibiotics and antibiotic-associated diarrhea (AAD)
Antibiotics and antibiotic-associated diarrhea (AAD)
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Antibiotics and gut microbiome diversity
Antibiotics and gut microbiome diversity
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Antibiotics during pregnancy and infancy
Antibiotics during pregnancy and infancy
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Hygiene hypothesis and gut bacteria
Hygiene hypothesis and gut bacteria
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Antibiotics and immune-related disorders
Antibiotics and immune-related disorders
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Antimicrobial peptide production by intestinal epithelial cells
Antimicrobial peptide production by intestinal epithelial cells
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Effect of Prenatal Antibiotics on CD8+ T Lymphocytes
Effect of Prenatal Antibiotics on CD8+ T Lymphocytes
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Impact of Antibiotics on Microbiota Functionality
Impact of Antibiotics on Microbiota Functionality
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Anti-inflammatory Roles of Butyrate and Propionate
Anti-inflammatory Roles of Butyrate and Propionate
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Changes in Protein Expression in Gut Bacteria due to Antibiotics
Changes in Protein Expression in Gut Bacteria due to Antibiotics
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Impact of Vancomycin and Ciprofloxacin-Metronidazole on Firmicutes and SCFAs
Impact of Vancomycin and Ciprofloxacin-Metronidazole on Firmicutes and SCFAs
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Antibiotics and Amino Acid Levels
Antibiotics and Amino Acid Levels
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Impact of Xenobiotics on Gut Microbiota
Impact of Xenobiotics on Gut Microbiota
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Study Notes
Consumption of Antibiotics and Microbiota
- Antibiotics have revolutionized treatment with increased life expectancy in the 20th century, but overuse and misuse led to the global antibiotic resistance crisis.
- The gut microbiota plays a key role in human health, preventing pathogenic colonization, regulating gut immunity, providing essential nutrients, and impacting energy homeostasis.
- Broad-spectrum antibiotics reduce gut microbiota diversity, killing pathogens but also beneficial microbes.
- Broad-spectrum antibiotics affect a large proportion of gut bacteria, altering early establishment and reducing gut microbiota diversity.
- During pregnancy and lactation, maternal antibiotic use can impact the infant gut microbial composition.
- Antibiotic use can lead to antibiotic-associated diarrhea (AAD), often caused by C. difficile.
- C. difficile forms spores that survive stomach acidity, reaching the large intestine.
- C. difficile produces toxins (A and B) leading to mucosal damage.
- Antibiotic treatment can reduce the thickness of the colonic mucus layer, increasing the risk of pathogen invasion and intestinal inflammation in mice.
Learning Objectives
- Students should understand the relationship between antibiotic consumption, dysbiosis, and antibiotic consumption in gastrointestinal tract (GIT) diseases and multi-drug resistant bacteria colonization.
Introduction
- Antibiotic-induced changes in microbiota composition negatively impact host health, including reduced microbial diversity and altered functional attributes.
- Formation and selection of antibiotic-resistant strains make hosts more susceptible to infections, such as Clostridium difficile.
Impact of Antibiotics on the Gut Microbiota
- Broad-spectrum antibiotics can kill a lot of bacteria species.
- The gut microbiota is essential for many bodily processes, and antibiotic disruption can lead to imbalances.
- In infants, balanced microbiota composition and species diversity are critical for optimal gut function.
- Imbalance can lead to intestinal illnesses.
- Premature infants are often treated with antibiotics due to health conditions.
- Broad-spectrum antibiotics can reduce gut microbe diversity.
Impact of Antibiotics During Pregnancy and Lactation
- Perinatal and peripartum antibiotic use can affect gut microbial colonization and the microbiome of infants.
- Maternal antibiotic administration during lactation can influence the milk microbiota and thus the infant's gut microbial composition.
Impact of Antibiotics on the Gut and Oral Microbiota in Adults
- Changes in microbial composition generally persist for up to 12 weeks after antibiotic treatment ends.
- Antibiotics can affect gut microbiota composition and diversity leading to shift in microbiota communities.
- Microbiota can take time (1 year or more) to return to normal after antibiotics.
- The effects of antibiotics tend to vary from person to person.
Impact of Different Drugs
- Bacteriostatic drugs increase Gram-negative bacteria and LPS synthesis which causes endospore formation, while bactericidal drugs increase Gram-positive bacteria.
- Antibiotics can cause Helicobacter pylori resistance.
- Many antibiotics are used routinely for dentistry procedures, increasing resistant strains and minimal inhibitory concentrations (MIC), thus eliminating nonpathogenic strains.
Consequences of Antibiotic-Induced Microbiota Changes for Health and Disease
- The link between antibiotic use and modern conditions (obesity, type 2 diabetes, juvenile diabetes) is evident even from early age and/or infancy. An increase in the ratio of Firmicutes to Bacteroidetes is associated with obesity.
- Significant and persistent weight gain following infectious endocarditis treatment with vancomycin, gentamycin can be linked to altered gut microbiota diversity.
Types of Antibiotic treatment related diseases
- Some studies associate antibiotic use to increased risk of asthma, allergies, atopic dermatitis, and IBD, potentially impacting immune related disorders.
- Antibiotic treatment can cause changes in the gut microbiota resulting in decreased levels of secondary bile acids, serotonin, and tryptophan hydrolase, potentially altering gut motility and metabolism.
Other Study
- Certain molecules produced by bacteria are involved in immune maturation.
Alterations in Immune Response
- Antibiotics can alter the immune response, thus affecting immune and co-developmental maturation due to microbial colonization disruptions and immune related disorders.
Levels of Serotonin
- Antibiotic treatment leads to decreased alpha and beta diversity, with a decrease in levels of serotonin, tryptophan hydrolase, and secondary bile acids. This changes gut motility metabolism.
Changes in bacterial signalling patterns
- Antibiotics can alter the transcription of major functional genes involved in transporting proteins, and related to carbohydrates and protein synthesis.
Changes in Metabolites
- The gut microbiota is responsible for the production of essential metabolites such as SCFAs and amino acids.
- Antibiotic treatment can impact the gut microbiota resulting in potential imbalances in the composition of the microbial community, affecting their functioning and the metabolites produced.
Changes in Protein Expression
- Antibiotic use can cause changes in protein expression, leading to alterations in energy metabolism. This change may be a coping mechanism, decreasing later after and/or past antibiotic use.
- Antibiotics may result in minor changes in energy metabolism with slight increases following antibiotic therapy; however, the change is likely a result of coping mechanisms from antibiotic stress, decreasing later in the process.
Accumulation of metabolites/xenobiotics
- Xenobiotics including antibiotics, heavy metals and environmental chemicals impact gut microbial composition.
- The gut microbiota is needed for the breakdown of xenobiotics
- The metabolism of these substances is affected by and dependent on the gut microbiota
Antimicrobial peptides
- Antimicrobial peptides (AMPs) secreted by intestinal epithelial cells are regulated by the gut microbiota. Germ-free mice (no microbial diversity) show decreased AMPs production in response to bacterial infections.
CD8+
- Prenatal antibiotic administration alters the pattern of microbiota colonization which can negatively affect the CD8+ T lymphocytes function, toward viral infections.
Conclusion
- Antibiotics can lead to gut microbiota dysbiosis, resulting in deleterious effects such as increased risk of antibiotic-associated diarrhea (AAD).
- Antibiotic use is linked to issues such as obesity, juvenile diabetes, allergy, atopic dermatitis, and IBD.
- Restoration of the microbial community via alternatives to antibiotics, such as prebiotics and probiotics, can facilitate the recovery process.
- Strategies to avoid and/or treat antibiotic resistance, such as antibiotic stewardship programs, are essential for managing the global antibiotic resistance crisis.
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