00:01
Hello, and welcome to bacteria.
00:04
We're going to dive a little bit
deeper into how bacteria cause disease.
00:09
And after you've watched this video,
you will understand the extent,
origin and functions of the human microbiome.
00:16
You'll appreciate the ways that bacteria
enter and spread in their hosts,
you'll be familiar with the different types
of bacterial toxins and their activities.
00:27
And you will know the mechanisms of action of
members of the different classes of anti microbials
and how resistance emerges.
00:37
Before we talk about bacteria that cause
disease, it's very important to first discuss
the human microbiome, all of the
microbes that live in and on us,
We're home to trillions of microbes, trillions,
and that's what we call the microbiome.
00:58
And it's a composition of all the microbes
that are everywhere in us and on top of us.
01:03
A human body is only 25% human cells.
01:08
Look, you can see me, you think
you're looking at just human cells.
01:14
75% of what you see here are bacteria, very, very
little human cells, bacteria, fungi, and archaea.
01:26
It's amazing.
01:29
Wherever the human body is exposed to the
outside world, there's a microbial community,
the mouth, the lungs, the GI tract,
the urogenital tract, the skin,
and probably other places,
we haven't even found it yet.
01:45
This microbiome is just beginning to be unraveled.
01:49
In terms of what it does for us, it
certainly helps us to extract the energy
and nutrients from the food we eat.
01:58
But it also appears to inhibit the growth of
pathogens not only in us, but on our skin.
02:03
The microbes on our skin produce
antimicrobial compounds that protect us.
02:08
It's remarkable.
02:10
There's probably much more that the microbiome does.
02:13
For example, recently, it's been
shown in animals, that the microbiome
helps their immune system to develop.
02:21
Really, really remarkable.
02:23
In the coming years, we'll be
able to sort all of this out
but it's quite clear from the
very early days of our existence,
when we're first born, our microbiome forms,
and it has a huge impact on our health.
02:39
Microbes contribute an extra 2 million genes to the
20,000 or so genes that our human genome encodes
99% of our genes are bacterial, isn't it remarkable?
Our microbiome weighs two and a half pounds.
02:58
That is weight you'll never be able to get rid of.
03:01
You can try and lose some of your body fat,
but that two and a half pounds of
microbiome needs to stay with you.
03:06
Otherwise, you're going to be very unhealthy.
03:08
And don't forget the viruses.
03:10
Well, those bacteria and fungi and archaea in
us, they also are accompanied by their viruses.
03:17
In fact, viruses outnumber bacteria
by about five to one in us.
03:21
And it's quite clear that they have
major roles in regulating the microbiome.
03:28
The volume of the microbiome is about three pints.
03:31
The next time you drink three pints
of beers, I want you to remember,
you've just drunk the volume of your microbiome,
by way of getting you to remember
what I'm telling you here.
03:43
Now, where do you get this microbiome?
There are many ways.
03:48
While you're developing in utero, you are bathed
in amniotic fluid provided by your mother.
03:55
And of course, it's going into
your mouth and on your skin.
03:58
And it's got bacteria and viruses in it.
04:00
So that's your first encounter.
04:02
You're acquiring your microbiome in utero.
04:06
Then as you're born, you acquire
more of your microbiome during birth.
04:12
If you so happen to have been born
by passage through the birth canal,
you will start to acquire the bacteria
that are present along that canal,
not just in your mouth but on your skin.
04:24
People who are born by cesarean section,
they don't go through the birth canal.
04:29
Of course, they come out through an opening
in the skin produced by surgical manipulation.
04:34
They have a very different skin microbiome
from children who are born vaginally,
so it's probably better to be
born through the normal routes.
04:44
You acquire probably a more beneficial microbiome.
04:48
But of course, in some cases, it's
not possible for health reasons.
04:52
You also acquire a good amount of
your microbiome from your mother.
04:56
Your mother is one of the first to hug and
kiss you and she continues to do so hopefully,
for the rest of your life,
and your father also contributes, and any
caregivers who may come into your home.
05:08
They're all contributing to your microbiome.
05:11
Breast milk is a very important
contributor to your gut microbiome.
05:16
Again, breastfeeding is not done by everyone.
05:19
But it's been shown in many studies to be
better indicators of subsequent health.
05:25
You also acquire microbiome from
the soil that you may touch.
05:30
You should let your kids play in the
soil, it'sprobably good for them to
help acquire their microbiome from the
water that you wash yourself in and drink,
from the foods that you eat,
and any people or pets or plants
that you encounter early on in your
life, the early years or formative years.
05:46
And then you acquire a relatively stable microbiome
that is very similar to that of your family.
05:53
And only when your health changes
where if you move or change your diet
do you change your microbiome.