As presented at Texas Public Radio's Think Science live event at the Pearl Studio on May 19, 2017. Dr. Lawrence Hoberman on Leaky Gut and the human microbiome.
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Think Science: Microbiome - Dr. Lawrence Hoberman
1. Texas Public Radio
May 2017
Think Science:
Microbiome
LAWRENCE J HOBERMAN MD
BOARD CERTIFIED IN INTERNAL MEDICINE AND GASTROENTEROLOGY
2. Human Microbiome
Definition: Evolution of Terms
Microbiota: collection of bacteria, fungi,
and viruses
Microbiome: Refers to the collection of their genome or
genetic material
The term was coined in 2001 to refer to the community of
microorganisms that literally share our body space
Metagenomics: The study of genetic material recovered
from environmental samples
3. The Human Microbiome Project
(HMP)
Scientists spent five years collecting samples from more than 252 healthy
adults from 2008 to 2012.
The samples came from 18 different sites on their bodies and were analyzed
using a probe that could identify the specific genetic material (16s ribosomal
RNA) of each different bacterial species
Today, most of the research has been related to the gut bacteria
Human adults have a 100 trillion bacteria in the GI tract…the majority are in
the colon. 85% are beneficial and 15% are harmful
There are over 1000 different species of intestinal bacteria identified in
humans..but each of us may only have 400-500 total with even a smaller core
number of species
4. Human Microbiome
Location of the Microbiome
Compositional differences in the
Microbiome by anatomical site
5. Microbiome Findings of the
Gastrointestinal Tract
When a baby is born, its GI tract is sterile
During the first 3 years of life, the immune system establishes what
species of bacteria will make up the child’s intestinal microbiome
The diversity of bacteria remains the same for their adult life until mid
60’s when the immune system becomes less effective resulting in
breakdown of the intestinal barrier and resulting in low grade
inflammation
Western diet, stress, antibiotics, age can all adversely affect the intestinal
microbiome
6. The Impact of the Intestinal
Microbiome on Our Health
How I got interested in the intestinal microbiome
Patients with IBS….what caused their symptoms of
bloating, gas, cramps, diarrhea and constipation?
Benefits of Probiotics
Maintain the healthy balance of the intestinal bacteria
Down regulate the immune system
Maintain the intestinal barrier
Avoid development of a “leaky gut”
9. Intestinal Facts Dysbiosis
Dysbiosis…term used to describe an imbalance of the intestinal bacteria with an
overgrowth of harmful bacteria
Resulting in:
Activation of the immune system….70% of our immune cells are in the intestines
Breakdown of the intestinal lining leading to a “Leaky Gut”
Allowing bacterial toxins, food proteins, fungal particles to leak into the intestinal lining and blood
stream
Leaky gut leads to low grade inflammation that contributes to:
Insulin resistance or Diabetes
Obesity
Metabolic syndrome…diabetes, hypertension, hypercholesterolemia
Acne Rosacea, Psoriasis
Neurologic changes of aging…memory, mood, and cognition
Chronic fatigue syndrome, fibromyalgia, and restless legs syndrome
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