importância da microecologia intestinal maria emilia gadelha serra
TRANSCRIPT
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MicroecologiaMicroecologia::a importância da reconstituição dos meios gastrointestinais.
Emilia SerraEmilia SerraInstituto Alpha de Saúde Integral
São Paulo – Brasil
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• Robin Warren & Barry Marshall
• “A solução para algumas doenças humanas não se limita exclusivamente dentro do hospedeiro masmais provavelmente deve ser encontrada nainterface com o meio ambiente microbiano.”
• “Manipulação da flora está se tornando umaestratégia realista preventiva e terapêutica paramuitas doenças infecciosas, inflamatórias e aténeoplásicas dentro do intestino.”
Prêmio Nobel 2005Prêmio Nobel 2005
Fisiologia e MedicinaFisiologia e Medicina
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• National Institutes of Health – USA
• Orçamento: 100 milhões de dólares
• Estudo da associação entre saúde humana e microbiota em 5 sítios: cavidades nasal e oral, tratos gastrointestinal e urogenital, pele
• http://nihroadmap.nih.gov/hmp
HumanHuman MicrobiomeMicrobiome ProjectProject
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MALT
Mucosa
Associated
Lymphoid
Tissue
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Wershil B.K; Furuta G, MD. Gastrointestinal mucosal immunity. Journal of Allergy and Clinical Immunology - Volume 121, Issue 2 Suppl (February 2008)
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MALT
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Sistema MALT
Pele (SALT)
(UALT)
Nariz (NALT)
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Respiratorytract
SISTEMA IMUNE - MALT COLONIZAÇÃO BACTERIANA
Será coincidência?!...
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Wershil B.K; Furuta G, MD. Gastrointestinal mucosal immunity. Journal of Allergy and Clinical Immunology - Volume 121, Issue 2 Suppl (February 2008)
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Defesas intestinais inespecíficas
Acidez gástrica
Lisozima e Defensinas
Secreções pancreáticas
Peristaltismo
Secreções biliares
Camada mucosa
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Flora intestinal
“Tapete”, “filtro” sobre as vilosidades intestinais
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1014 bactérias =
100100 trilhões
6 bilhões de seres humanos = bactérias presentes na palma da mão!
1012 células =
11 trilhão
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D 005-0114 11 06.08.2004
““SuperorganismoSuperorganismohumanohumano--microbiotamicrobiota””
Células
Bactérias
+
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Sinais de perigo!!!!
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BiofilmFormation
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Candida Biofilm
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Biodiversidade
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FunFunçções da Flora Intestinalões da Flora Intestinal� Barreira microbiana
� Estimulação do sistema imune� Aporte nutricional
� Produção de vitaminas
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Changes within the Human Microbiota (Mitsuoka)
104
106
108
1010
1012
����� ���� ��� �
Cellcount/ g faeces
102
Anaerobes (Bacteroides etc.)
Bifidobacteria
E. coli, Enterococci
Lactobacilli
Clostridia
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Regulação
Inflamação fisiológica
Inflamação patológica
Disbiose
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CólicasGasesDistensão abdominalDiarréiasIntolerâncias alimentaresAlergias alimentaresDeficiências nutricionaisSínd. Intestino IrritávelColite ulcerativaDoença de CrohnDiverticulosePoliposeCâncer
Infecção urináriaCandididíase vaginal de repetição
Alteração do humorDepressãoInsôniaEnxaqueca
Obstrução nasalRiniteAlergiasInfecções de repetição
Síndrome da Fadiga crônica (desânimo, estresse, cansaço, enxaquecas, mau-humor – “enfezada”, edema nas pernas, desinteresse no trabalho, perda do apetite sexual, mãos e pés frios)AutismoLeucemia
Halitose
FibromialgiaArtralgiasArtrite reumatóideDoenças por imunocomplexosOsteoporose
EczemaDematite atópicaPsoríaseUrticária
Insuficiência venosa crônicaÚlceras de MMIITromboembolismo
AsmaPatologia coronariana
HipercolesterolemiaEsteatose hepáticaCirrose hepáticaHipersensibilidade químicaDiabetesObesidade
Inflamação crônica patológica persistente
Disbiose intestinal
Hipotireoidismo
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Lâmpada fluorescente
22 mg de Hg
Amálgama dentário (cada)
1.000 mg de Hg
www.iaomt.org
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Micromercurialismo• Cefaléia, enxaqueca• Sintomas locais (paladar, sabor metálico, estomatite,
gengivite, liquen plano)• Alergias tipo I (liberação de histamina pelos mastócitos
sem aumento de IgE)• Sintomas neurológicos e psicovegetativos
(concentração, audição, sono, eretismo, depressão, tremor, desordens da marcha, parestesias)
• Desordens hormonais (hiperandrogenismo, ovários policísticos, infertilidade, queda de cabelo)
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SARTOR, R. B. Role of the enteric microflora in the pathogenesis of intestinal inflammation and arthritis. Alimentary Pharmacology and Therapeutics. Volume 11 Supplement 3 December 1997 pp 17-23
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Nedim M, Elliot D. Immunologic and Molecular Mechanisms in Inflammatory Bowel Disease Surgical Clinics of North America - Volume 87, Issue 3 (June 2007)
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Colite UlcerativaColite Ulcerativa
Manifestações
Extra-intestinais
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Alteração das proteínas carreadoras que transportam minerais através da mucosa intestinal
Múltiplas deficiências nutricionais em potencial
Consequências da Disbiose...Consequências da Disbiose...
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Ambiente Externo Ambiente Interno
BA
RR
EIR
AIN
TE
STI N
AL
Inflamação e danodas proteínas carrier e respectivaperturbação da absorção dos minerais
Zn
Cu
Fibromialgia
Queda de cabeloDegeneração
muscular
OsteoartriteHipercolesterolemia
Mg
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The role of small intestinal bacterial overgrowth, intestinal permeability, endotoxemia, and tumor necrosis factor alpha in the pathogenesis of non-alcoholic steatohepatitis.
Wigg AJ, Roberts-Thomson IC, Dymock RB, et al.
Gut 2001; 48:206–11
The role of small intestinal bacterial overgrowth, intestinal permeability, endotoxemia, and tumor necrosis factor alpha in the pathogenesis of non-alcoholic steatohepatitis.
Wigg AJ, Roberts-Thomson IC, Dymock RB, et al.
Gut 2001; 48:206–11
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Até 2 anos para recompor a microbiota
após curso de antibioticoterapia de
apenas 7 dias !!!!
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ProbiProbióóticosticos, , PrebiPrebióóticosticos e e SimbiSimbióóticosticos
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OzonioterapiaOzonioterapiaInsuflaInsuflaçção Retalão Retal
PRÉ
PÓS
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D 009-0058 28.06.2004
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Transplante Transplante
fecalfecal
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SP 019-0001 12.04.2007
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D 021-0002 11.11.2004
Benvindos ao novo Benvindos ao novo mundo da mundo da
Microecologia Microecologia intestinal!intestinal!
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Emilia SerraEmilia SerraInstituto Alpha de Saúde Integral
São Paulo – Brasil
Tel: 11 3078-6777
www.institutoalpha.com.br