Dr Christine K Chege Microbiome Symposium Kenya Paediatric Association Annual Conference 10 th April 2019 Definition of microbiome The collective genomes of microbes that live ID: 933848
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Slide1
The microbiome: An introduction
Dr Christine K. ChegeMicrobiome SymposiumKenya Paediatric Association Annual Conference10th April 2019
Slide2Definition of microbiome
The collective genomes of microbes that live in and on the human body“ the ecological community of commensal, symbiotic and pathogenic microorganisms that literary share our body space and have long been ignored as determinants of health and disease”
So what is
microbiota
?
Community of microbes living in harmony with human cells
Molecular biologist and Nobel laureate
Joshua Lederberg 2001
We have evolved together!
Slide3In and on you!...and even around you: “the microbial cloud”
Most found here
Slide4Important role in health and disease
Linked to :Obesity
Malnutrition
Heart disease
Diabetes
Some
cancers
Coeliac
disease
Eczema
Asthma
Autoimmune disease
Autism
And more………
Slide5Influence on the immune system
Particularly important in adaptive immune system development in early childhoodhelps in development of tolerance implications on future allergic, inflammatory and autoimmune disorders
Slide6Slide7Influence on behavior?
Lets blame lactobacillus
Gut brain axis via the
vagus
nerve
Study done on cowardly
vs
risk-taking miceRead about it here
Association of functional gut disorders with psychiatric disorders
https://www.ncbi.nlm.nih.gov/pubmed/21683077
Slide8How much of us is microbiota?
Previously thought -10 X more microbes than human cells; recently closer to 1:1(39 vs 30 trillion)
100X more genomic content than human genome
1-3% of body’s mass
1-2kg (like your brain….or more )
Slide9BUGS
BRAIN
Slide10Terminologies we need to know
Flora: old name; forget itDiversity: measure of how many different species and how evenly distributed in a microbiomeDysbiosis: imbalance in the microbial communities; associated with disease – this is the rest of the track…
Phenotype:
observable trait(appearance or
behaviour
)determined by genesEnterotype:
collection of species of microbes in the gut microbiome
Slide11The -omes, -
omicsMetabolomeCollection of metabolites from metabolic reactions in a cell, tissue or organismMetatranscriptome
Collection of mRNA molecules expressed from genes in the
microbiota
Proteome
Complete set of proteins expressed by an organism
New
suffix in biology – describes large scale data
Slide12Slide13Short history of microbiome research
Slide14I then most always saw, with great wonder, that in the said matter there were many very little living animalcules, very prettily a-moving
The father of microbiome
compared his
faecal
and oral
microbiota
Other key milestones
1885: E. coli from stools of newborns in Germany; Theodor Escherich(yeah…of course)1908: Russian Zoologist, Elie Metchnikoff – posited that health could be enhanced by friendly bacteria in yoghurt1959: rearing of germ free lab animals in ‘gnobiotic
facilities’ to study effect of microbe free living
1970
: Thomas Lucky estimated 100 billion microbes per gram of
faeces
1995: sequencing of the H. influenza genome1996:
16S rRNA sequencing of first human faecal sample
Slide16More recent Advances
2005: bacteria in amniotic fluid of babies born via CS2007: Human microbiome project(HMP) launched2009: study showing association between gut microbiome and disease is launched
2012:
HMP unveils first map of microbes inhabiting health humans
2018:
American Gut Project publishes largest study on
microbiome; over 11000 participants; over 40 diverse countries
Fast forward……
Slide17Microbiome
classification
Slide18A sample of the key players
Bacteroidetes: most prevalent bacteria in gut; produce favourable metabolites that have anti-inflammatory effectsBifidobacterium: early life colonizer;found in gut, mouth, vagina; modulate immune functions; reduced levels in IBD
Lactobacillus:
mouth, gut, vagina;
antidiarrhoeal
propertiesPrevotella
: mouth, gut; metabolic processing
Potential pathogens: pseudomonas, streptococcus
Slide19Microbiome analysis
Slide20metagenomics
Allows study of unculturable microbesGenetic analysis and functional expression screening of microbial communities – microbes are interdependentGives broader description than just species identificationCataloging of microbiome from people of different geographical regions, body systems – microbial diversity studiesSequencing technology using known DNA markers16S rRNA example – all microbes have this gene but unique DNA sequence; closely related microbes show more similarities
Study of the
complete genome of every microbe in a sample
Slide21Microbial community DNA sample
Sequence 16S genesSequence all genesCompare to databases of known 16S genes
Identify known species
Classify as new species
Compare to database of genes with known functions
WHO’S THERE?
WHAT ARE THEY DOING?
or
https://learn.genetics.utah.edu/content/microbiome/study/
Slide22When do we get colonized?
Possibly before birth – diverse intracellular bacteria found in 27% of placentas in crossectional study suggesting maternal fetal1 Meconium from CS and vaginally delivered babies did not differ in bacterial composition – gut colonization occurs before delivery2
Bacteria also present in cord blood and amniotic fluid even in elected CSections
3
1.Kjersti A et
al(2014) 2.Martin
R et al (
2016) 3.
Bearfield
C et al(2002)
Slide23Does it matter how we are born?
C-sectionVaginal birth
Colonised
by mother’s skin biome
Greater risk of obesity, allergy
Mother’s vaginal and gut biome
Less risk of obesity, allergy
Slide24What happens after birth?
Slide25Gut microbiome progression in early childhood
Developmental phase(3-14mo) Transitional phase(15-30mo)Stable phase(31-46mo)
Slide26Temporal development of the gut
microbiome early childhood from the TEDDY study Christopher J. Stewart1,2,18
*
,
Nadim
J. Ajami
1,18
, Jacqueline L. O’Brien1, Diane S. Hutchinson1
, Daniel P. Smith
1
, Matthew C. Wong
1
, Matthew C. ross
1
,
richard
e. Lloyd
1
,
HarshaVardhan
Doddapaneni
3
, Ginger A. Metcalf
3
, Donna Muzny
3
,
richard
A. Gibbs
3
,
tommi
Vatanen
4
, Curtis Huttenhower
4
,
ramnik
J. Xavier
4
, Marian rewers
5
, William Hagopian
6
,
Jorma
toppari
7,8
,
Anette
-G. Ziegler
9,10,11
, Jin-
Xiong
She
12
,
Beena
Akolkar
13
,
Ake
Lernmark
14
,
Heikki
Hyoty
15,16
, Kendra Vehik
17
, Jeffrey P. Krischer
17
& Joseph F. Petrosino
1
*
TEDDY –
The
E
nvironmental
D
eterminants of Diabetes in the Young
903 children Europe and US
12500 stool samples
Aged 3-46
mo
Slide27Conclusions from TEDDY study
With increasing age,the bacterial diversity of the microbiome expandedBifidobacterium predominated the developmental stage and was higher in breastfed infants.The Firmicutes dominated the third stage and were noted to increase with the introduction of solidsVaginally born infants had higher levels of Bacteroides and a higher diversity overall
Slide28Thank you