Plants, animals and
humans, are colonized by microorganisms (microbiota) and
transiently exposed to countless others. The microbiota affects the
development and function of essentially all organ systems, and
contributes to adaptation and evolution, while protecting against
pathogenic microorganisms and toxins.
Human activities that influence composition of
microbiota:
- Genetics and
lifestyle factors, including diet, antibiotics and other drugs, and
exposure to the natural environment, affect the composition of the
microbiota, which influences host health through modulation of
interrelated physiological systems.
- These
include immune system development and regulation, metabolic and
endocrine pathways, brain function and epigenetic modification of
the genome. Importantly, parental microbiotas have
transgenerational impacts on the health of progeny.
Microbiota and effect of antibiotics:
- In
addition to food, any absorbed substances, including pharmaceutical
products such as metformin used to treat type 2 diabetes, have an
obvious impact on gut microbiota.
-
Antibiotics not only reach pathogenic bacteria but also impact our
beneficial microbiota, leading to perturbation of its composition
and biodiversity, and often to an increase in Proteobacteria
because of the high content of antimicrobial resistance genes in
this phylum.
- The
disruption of our microbiota caused by antibiotics favors the
development of NCDs characteristic of dysbiosis .The risk of
obesity, atopic disease, asthma, Crohn's disease, type 2 diabetes,
auto-immune diseases (like type 1 diabetes) have been shown, in
human epidemiological studies, to be positively correlated with
antibiotic use, particularly if absorbed during early life.
- The
microbiota of infants who were not treated by antibiotics but whose
mothers received antibiotics before delivery showed the same
alterations as infants treated by antibiotics, with consequences in
later life.
- As a
consequence of the substantial loss of gut microbiota biodiversity
caused by antibiotics, susceptibility to opportunistic pathogenic
infections can increase. This is confirmed in antibiotic-associated
diarrheas due to nosocomial pathogens, like Staphylococcus
aureus and Clostridium difficile inducing potentially
lethal colitis.
- Risk
of sepsis has also been related in premature infants to the length
of treatment with broad spectrum antibiotics and the consequent
altered gut microbiota.
Please
find out the following flow diagram.