Human Microbiome & Normal Flora

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Questions and Answers

Which factor has the LEAST influence on the establishment and composition of an infant's early microbiome?

  • The environment in which the infant is raised.
  • The mode of delivery (vaginal vs. cesarean section).
  • The method of infant feeding, such as breastfeeding versus formula.
  • The infant's diet following weaning. (correct)

What mechanism allows the skin microbiome to bolster the skin's physical integrity?

  • Reinforcement of tight junctions between skin cells by certain bacterial metabolites. (correct)
  • Direct communication with and activation of the adaptive immune system.
  • Secretion of antimicrobial chemicals that directly kill pathogens.
  • Digestion of oily substances to create an alkaline environment.

In the context of the human microbiome, what does 'dysbiosis' primarily refer to?

  • The interaction between microbes and the host's immune system.
  • A state of microbial imbalance that can lead to disease. (correct)
  • The process by which microbes produce essential nutrients for the host.
  • The normal, balanced state of microbial communities within the body.

What is the primary function of regulatory T cells in the context of the skin microbiome?

<p>To train the immune system to tolerate commensal skin microbes while remaining alert to pathogens. (B)</p> Signup and view all the answers

How do commensal bacteria like Staphylococcus epidermidis contribute to the skin's defense against pathogens?

<p>By secreting antimicrobial chemicals and reinforcing skin cell junctions. (C)</p> Signup and view all the answers

What is a key difference between traditional antibiotic treatments for acne and emerging probiotic therapies?

<p>Antibiotics indiscriminately target all <em>Cutibacterium acnes</em> strains, while probiotics aim to restore balance by hampering virulent strains. (A)</p> Signup and view all the answers

What is a significant implication of the discovery that different strains of Cutibacterium acnes have varying effects on acne development?

<p>It questions the traditional understanding of acne's etiology and opens avenues for targeted treatments. (D)</p> Signup and view all the answers

Certain strains of commensal staphylococci produce an antimicrobial peptide that hampers the growth of dangerous Staphylococcus aureus. What benefit has been seen from transplanting antimicrobial strains?

<p>Restoration of skin microbiome balance and fewer <em>Staphylococcus</em> infections. (B)</p> Signup and view all the answers

What is a key mechanism by which endemic flora benefit the host?

<p>Facilitating antibody production and protecting against pathogens. (D)</p> Signup and view all the answers

How does the skin microbiome contribute to the training of the immune system shortly after birth?

<p>By communicating with regulatory T cells to promote tolerance of commensal microbes. (B)</p> Signup and view all the answers

Flashcards

Human Microbiome

The collection of all microorganisms living in association with the human body, including eukaryotes, archaea, bacteria, and viruses.

Functions of the Human Microbiome

Microbial communities produce vitamins, break down food, train the immune system, reduce inflammation, and modulate neurological disorders.

Dysbiosis

The dysregulation of microbial communities in the human body, which is linked to numerous disease states.

Endemic (Normal) Flora Benefits

Advantageous to the host by facilitating antibody production, protecting from pathogens, maintaining homeostasis among microbes, and producing essential nutrients.

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Skin Microbiome

The skin's ecosystem of bacteria, archaea, fungi, and viruses that acts as a crucial first line of defense against pathogens.

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Cutibacterium and Skin Acidity

Commensal microbes that digest oily substances from sebaceous glands to create an acidic environment, making it difficult for pathogens to colonize.

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Staphylococcus epidermidis

Bacteria that reinforce tight junctions between skin cells and secrete antimicrobial chemicals to kill invaders.

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S. epidermidis and Immune Training

Communicates with regulatory T cells to train the immune system to tolerate commensal skin microbes while remaining alert against invaders.

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Acne

An inflammatory condition associated with high numbers of Cutibacterium acnes potentially caused by specific strains.

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Eczema

An inflammatory disease associated with disruption to the skin microbiome, often linked to Staphylococcus aureus infections.

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Study Notes

  • The human microbiome is the collection of all microorganisms living in association with the human body.
  • The human microbiome includes microbial communities such as eukaryotes, archaea, bacteria, and viruses.
  • These communities produce vitamins, break down food, train the immune system, reduce inflammation & modulate neurological disorders.
  • The human body has 10 times more bacteria than human cells.
  • Microbes make up around 1-3% of body mass, which is 2-6 pounds of bacteria in a 200-pound adult.
  • Dysregulation of these microbial communities is linked to numerous disease states.
  • Manipulation of these communities can be used as a treatment option.
  • Microbiota is active in its relationship with the host.
  • The composition of the microbiota is influenced by stress, diet, pre and probiotics, drugs, and antibiotics.
  • Dysbiosis can lead to disease

Endemic or Normal Flora

  • Facilitate antibody production
  • Protect the host from pathogens.
  • Maintain homeostasis among microbes.
  • Help in producing essential nutrients.
  • Provide several benefits beyond digestive health

Development of Infant Microbiome

  • Dependent on various factors such as infant feeding method, diet and the environment.
  • Mode of delivery affects the early life microbiome (vaginal or C-section).
  • Transfer of bacteria from mother to infant is important for colonization of the early microbiome

Skin Microbiome

  • Consists of billions of diverse bacteria, archaea, fungi, and viruses.
  • Bacteria make up the vast majority.

Skin Microbiome as Defense

  • The skin is the first line of defense against pathogens.
  • Commensal microbes like Cutibacterium acnes digest oily substances to create an acidic environment that makes it hard for pathogens to colonize
  • Staphylococcus epidermidis secretes antimicrobial chemicals, killing invaders and reinforcing tight junctions between skin cells

Staphylococcus epidermidis

  • Produces chemicals which help reinforce the tight junctions between skin cells and protect the skin's physical integrity
  • Communicates with regulatory T-cells, effectively training the immune system to tolerate commensal skin microbes while remaining alert against invaders

Acne

  • Inflammatory condition affecting up to 90% of teenagers.
  • During puberty, the sebaceous glands produce more oil.
  • Antibiotics indiscriminately target all Cutibacterium strains, including the commensal ones

Probiotics Application

  • Clinical trials have shown the potential of friendly bacteria that can hamper the virulent strains and restore the balance of the community
  • One study showed a 50% reduction in the number of inflamed spots following a probiotic treatment

Eczema

  • Inflammatory disease associated with disruption to the Healthy Skin microbiome.
  • Commonly associated with skin infections of Staphylococcus aureus.
  • Thought that these bacteria are able to disrupt the tight junctions between epidermal cells, gaining entry to the dermal level and exacerbating the inflammation

Staphylococcus

  • Certain strains of commensal staphylococcus produce an antimicrobial peptide that hampers the growth of dangerous Staphylococcus aureus
  • Transplants of these antimicrobial strains seemed to restore the balance of their skin's microbiome.
  • It may be possible to develop further therapeutic strategies to restore its balance and combat many other diseases that affect the skin

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