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24-06-12	





                                                                        #2




                                               United States / Europe




     Microbiology of the Gut
     I-ACT convention June 23, 2012

                                           1




                                      #3                                #4




Europe                                         The Netherlands




                                                                                 1
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                         #5   #6




The Netherlands, Delft




                         #7   #8




                                       2
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#9                                                      #
                                                        10




     Topics

     •  Important information of the intestinal flora

     •  What does the flora do and where

     •  Healthy food for your gut flora




#                                                       #
11                                                      12




     Importance of the intestinal flora
     •  Colon environment
     •  Barrier against micro organisms
     •  Stimulating metabolism and blood flow in the
        intestinal mucosa
     •  Stimulating the peristalsis
     •  Availability of vitamins
     •  Influence on the immune system




                                                                  3
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                                                                #                                                                            #
                                                                13                                                                           14




                                                                        Stages of the bacterial colonisation
The bacterial development
                                                                        PHASE 1          PHASE 2            PHASE 3           PHASE 4

•  Birth itself is already decisive for the                          1st-2nd weeks    Commencing        Commencing          Senior age
   development of immunity                                           of life          from 3rd week     from the start of
                                                                                      of life           weaning and up
                                                                                                        to senior ages

•  The colonisation by the micro-organisms is                        Take up of       Predominantly     Various types of Clostridien é
   mutually coordinated                                              environmental    micro-aerophile   strictly anaerobic Lactobacilli é
                                                                     germs at birth   and anaerobic     micro              Bifido bacteria
                                                                                      acidic flora      organismsé




                                                                #                                                                            #
                                                                15                                                                           16




Bacterial composition of the gut flora
                                        Esophagus
                                        Food bacteria                Feces flora
Duodenum 101- 104/ml
                                        Stomach 101- 103/ml
Lactobacilli 101 - 103
                                        Lactobacilli 101 - 103
Enterococci sp. 101 - 103
Enterobacteria 0 - 102
                                        Enterococci sp. 101 - 103
                                        Enterobacteria 0 - 102
                                                                     •  Resident flora
Bacteroides sp. 0 - 10 2
                                        Bacteroides sp. 0 - 102         Is wall attached, native flora
                                        	

                                                 9      12
                                                                        –  Aerobic flora < 1%
                                        Colon 10 - 10 /g faeces
                                        Bifidobacteria 109 – 1011       –  Anaerobic flora >99 %
                                        Bacteroides sp. 109 - 1011
Ileum
105- 108/g faeces                       Enterobacteria 105 – 107     •  Transient flora
                                        Enterococci 104 - 105
Bacteroides sp. 104 - 10 7
                                        Lactobacilli 104 - 105          Are unable to remain in the body for extended periods
Lactobacilli 104 - 106
                                        Clostridien sp. 102 – 105
Enterococci sp. 104 - 106
                                        Fusobacteria 103 - 105
                                                                        –  Aerobic flora < 1%
Enterobacteria 104 - 106
                                        Veillonella sp. 103             –  Anaerobic flora >99 %
                                        Stafylococci 103
                                        Yeasts 103                   •  Yeast and parasites
                                        Enterobacteriacae < 104




                                                                                                                                                       4
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                                                                        #                                                         #
                                                                        17                                                        18




Resident intestinal bacteria                                                 Transient intestinal bacteria

•  Aerobes                                                                   •  Aerobes
   –  E. coli, Enterococci                                                     –  Klebsiella sp.
•  Micro-aerophiles                                                            –  Enterobacteria
                                                                                   •  Proteus sp, Morganella sp, Citrobacter sp
   –  Lactobacilli
                                                                               –  Pseudomonas sp.
•  Anaerobes
                                                                             •  Anaerobes
   –  Bifido bacteria
                                                                               –  Clostridia
   –  Bacteroides spp.
         •  Bacteroids-Prevotella-Porphyromonas group




                                                                        #                                                         #
                                                                        19                                                        20




The most important yeasts and fungi

•  Yeasts                             •  Fungi
   –    Candida albicans                  –    Aspergillus fumigatus
   –    var. stellatoidea                 –    Aspergillus niger
   –    Candida glabrata                  –    Aspergillus flavus
   –    Candida guillermondii             –    Alternaria alternata
   –    Candida krusei                    –    Mucor species
   –    Candida parapsilosis              –    Rhizomucor pusillus
   –  Candida tropicalis                  –    Cunninghamella elegans
   –  Trichosporon cutaneum
   –  Cryptococcus neoformans
   –  Geotrichum candidum




                                                                                                                                            5
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                                       #                                      #
                                       21                                     22




                                       #                                      #
                                       23                                     24




How can you influence the intestinal
                                            Prebiotics
flora?
                    •  Prebiotics           •  Non-digestible food
                                               ingredients that
                                               beneficially affect the host
                                               by selectively stimulating
                    •  Metabiotics             the growth and/or activity
                                               of one or a limited number
                                               of bacteria in the colon,
                                               and thus improve host
                                               health.




                                                                                        6
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                                                                                #                                                                                   #
                                                                                25                                                                                  26




                                                                                     Which fibers stimulates which the
Prebiotics
                                                                                     bacteria in the gut
•  Fibers                                                                            •  Cellulose – grow of bifidobacteria
   –  30 – 40 gram per day
•  Soluble fibers are:                                                               •  Lignins – against parasites
   –  Beta-glucans, gums, mucilages and pectins.
   –  Oat products, legumes, apples, bananas, berries, broccoli carrots,
                                                                                     •  Arabinogalactans – against transient flora
      root vegetables (potatoes and yams – the skin has insoluble fiber)
                                                                                     •  Inulin - grow of lactobacilli
•  Insoluble fibers are:
   –  Cellulose and lignin                                                           •  Beta-glucan – stimulates the immune system
   –  Whole grains; bran; nuts and seeds; vegetables such as green
      beans, cauliflower, zucchini, celery, and skins of some fruits and root
      vegetables.




                                                                                #                                                                                   #
                                                                                27                                                                                  28




Soluble fibers                                                                       Insoluble fibers

•  Arabinogalactans are a type of soluble fiber made up of                           •  Cellulose is a substance found in plant cells, surrounding
   long, branching chains of sugars.                                                    and inside the cell wall. It is an insoluble fiber
   –  Carrots, radish, black beans, pear, tomato, shiitake and coconut                  –  High in cellulose are cruciferous: Broccoli, Brussels Sprout, Cabbage,
                                                                                           Collard Greens, Kale, Horseradish, Rutabaga, Turnip, Chinese
•  Inulin is a carbohydrate belonging to a class of compounds
                                                                                           Cabbage, Cauliflower, Broccoli Rabe, Daikon, Bok Choy, Radish,
   known as fructans and is closely related to fructo-                                     Kohlrabi
   oligosaccharides (FOS).                                                           •  Lignins are an integral part of the secondary cell walls of
   –  Leeks, artichokes, asparagus, onions, garlic, bananas, wheat, rye,
      and chicory root
                                                                                        plants and some algae
                                                                                        –  Lignins are found in all vegetables. There is more lignin in the plant
•  Beta-glucan is a complex carbohydrate made from                                         when harvested at later growth stages.
   individual glucose molecules
   –  Oat, barley, rye, wheat, mushrooms and algae




                                                                                                                                                                              7
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                                                                      #                                                            #
                                                                      29                                                           30




Metabiotics                                                                Acid – alkaline balance

Metabiotics are the metabolic by-products of                               •  The benefits
probiotics
•  The most important of these metabiotics are short-chain
   fatty acids                                                             •  Influence on the gut flora
   –  Fermented foods such as pickles, saurkraut, kimchi, sourdough
      bread, apple cider and miso
   –  Yoghurt if…!
   –  Aged cheeses (aged more then 6 months)                               •  Influence in the body
   –  Kefir and kombucha




                                                                      #                                                            #
                                                                      31                                                           32




A new balance for your clients                                             Don’t forget

•  Prebiotic and metabiotic food                                           •  Two years after birth the gut flora is established
   –  More fibers and fermented food
                                                                           •  It is hard to change the microbiology of the gut
•  Acid – alkaline balance
                                                                           •  Encourage your clients to eat healthy
•  Colonhydrotherapy




                                                                                                                                             8
24-06-12	





                                       #
                                       33

         Thank you


       Lisette Timmermans

      Delft, The Netherlands
www.lisette–timmermans.nl (in dutch)
www.colonhydrotherapie.nl (in dutch)

     info@lisette-timmermans.nl




                                                     9

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120623 microbiology of the gut

  • 1. 24-06-12 #2 United States / Europe Microbiology of the Gut I-ACT convention June 23, 2012 1 #3 #4 Europe The Netherlands 1
  • 2. 24-06-12 #5 #6 The Netherlands, Delft #7 #8 2
  • 3. 24-06-12 #9 # 10 Topics •  Important information of the intestinal flora •  What does the flora do and where •  Healthy food for your gut flora # # 11 12 Importance of the intestinal flora •  Colon environment •  Barrier against micro organisms •  Stimulating metabolism and blood flow in the intestinal mucosa •  Stimulating the peristalsis •  Availability of vitamins •  Influence on the immune system 3
  • 4. 24-06-12 # # 13 14 Stages of the bacterial colonisation The bacterial development PHASE 1 PHASE 2 PHASE 3 PHASE 4 •  Birth itself is already decisive for the 1st-2nd weeks Commencing Commencing Senior age development of immunity of life from 3rd week from the start of of life weaning and up to senior ages •  The colonisation by the micro-organisms is Take up of Predominantly Various types of Clostridien é mutually coordinated environmental micro-aerophile strictly anaerobic Lactobacilli é germs at birth and anaerobic micro Bifido bacteria acidic flora organismsé # # 15 16 Bacterial composition of the gut flora Esophagus Food bacteria Feces flora Duodenum 101- 104/ml Stomach 101- 103/ml Lactobacilli 101 - 103 Lactobacilli 101 - 103 Enterococci sp. 101 - 103 Enterobacteria 0 - 102 Enterococci sp. 101 - 103 Enterobacteria 0 - 102 •  Resident flora Bacteroides sp. 0 - 10 2 Bacteroides sp. 0 - 102 Is wall attached, native flora 9 12 –  Aerobic flora < 1% Colon 10 - 10 /g faeces Bifidobacteria 109 – 1011 –  Anaerobic flora >99 % Bacteroides sp. 109 - 1011 Ileum 105- 108/g faeces Enterobacteria 105 – 107 •  Transient flora Enterococci 104 - 105 Bacteroides sp. 104 - 10 7 Lactobacilli 104 - 105 Are unable to remain in the body for extended periods Lactobacilli 104 - 106 Clostridien sp. 102 – 105 Enterococci sp. 104 - 106 Fusobacteria 103 - 105 –  Aerobic flora < 1% Enterobacteria 104 - 106 Veillonella sp. 103 –  Anaerobic flora >99 % Stafylococci 103 Yeasts 103 •  Yeast and parasites Enterobacteriacae < 104 4
  • 5. 24-06-12 # # 17 18 Resident intestinal bacteria Transient intestinal bacteria •  Aerobes •  Aerobes –  E. coli, Enterococci –  Klebsiella sp. •  Micro-aerophiles –  Enterobacteria •  Proteus sp, Morganella sp, Citrobacter sp –  Lactobacilli –  Pseudomonas sp. •  Anaerobes •  Anaerobes –  Bifido bacteria –  Clostridia –  Bacteroides spp. •  Bacteroids-Prevotella-Porphyromonas group # # 19 20 The most important yeasts and fungi •  Yeasts •  Fungi –  Candida albicans –  Aspergillus fumigatus –  var. stellatoidea –  Aspergillus niger –  Candida glabrata –  Aspergillus flavus –  Candida guillermondii –  Alternaria alternata –  Candida krusei –  Mucor species –  Candida parapsilosis –  Rhizomucor pusillus –  Candida tropicalis –  Cunninghamella elegans –  Trichosporon cutaneum –  Cryptococcus neoformans –  Geotrichum candidum 5
  • 6. 24-06-12 # # 21 22 # # 23 24 How can you influence the intestinal Prebiotics flora? •  Prebiotics •  Non-digestible food ingredients that beneficially affect the host by selectively stimulating •  Metabiotics the growth and/or activity of one or a limited number of bacteria in the colon, and thus improve host health. 6
  • 7. 24-06-12 # # 25 26 Which fibers stimulates which the Prebiotics bacteria in the gut •  Fibers •  Cellulose – grow of bifidobacteria –  30 – 40 gram per day •  Soluble fibers are: •  Lignins – against parasites –  Beta-glucans, gums, mucilages and pectins. –  Oat products, legumes, apples, bananas, berries, broccoli carrots, •  Arabinogalactans – against transient flora root vegetables (potatoes and yams – the skin has insoluble fiber) •  Inulin - grow of lactobacilli •  Insoluble fibers are: –  Cellulose and lignin •  Beta-glucan – stimulates the immune system –  Whole grains; bran; nuts and seeds; vegetables such as green beans, cauliflower, zucchini, celery, and skins of some fruits and root vegetables. # # 27 28 Soluble fibers Insoluble fibers •  Arabinogalactans are a type of soluble fiber made up of •  Cellulose is a substance found in plant cells, surrounding long, branching chains of sugars. and inside the cell wall. It is an insoluble fiber –  Carrots, radish, black beans, pear, tomato, shiitake and coconut –  High in cellulose are cruciferous: Broccoli, Brussels Sprout, Cabbage, Collard Greens, Kale, Horseradish, Rutabaga, Turnip, Chinese •  Inulin is a carbohydrate belonging to a class of compounds Cabbage, Cauliflower, Broccoli Rabe, Daikon, Bok Choy, Radish, known as fructans and is closely related to fructo- Kohlrabi oligosaccharides (FOS). •  Lignins are an integral part of the secondary cell walls of –  Leeks, artichokes, asparagus, onions, garlic, bananas, wheat, rye, and chicory root plants and some algae –  Lignins are found in all vegetables. There is more lignin in the plant •  Beta-glucan is a complex carbohydrate made from when harvested at later growth stages. individual glucose molecules –  Oat, barley, rye, wheat, mushrooms and algae 7
  • 8. 24-06-12 # # 29 30 Metabiotics Acid – alkaline balance Metabiotics are the metabolic by-products of •  The benefits probiotics •  The most important of these metabiotics are short-chain fatty acids •  Influence on the gut flora –  Fermented foods such as pickles, saurkraut, kimchi, sourdough bread, apple cider and miso –  Yoghurt if…! –  Aged cheeses (aged more then 6 months) •  Influence in the body –  Kefir and kombucha # # 31 32 A new balance for your clients Don’t forget •  Prebiotic and metabiotic food •  Two years after birth the gut flora is established –  More fibers and fermented food •  It is hard to change the microbiology of the gut •  Acid – alkaline balance •  Encourage your clients to eat healthy •  Colonhydrotherapy 8
  • 9. 24-06-12 # 33 Thank you Lisette Timmermans Delft, The Netherlands www.lisette–timmermans.nl (in dutch) www.colonhydrotherapie.nl (in dutch) info@lisette-timmermans.nl 9