Microbiota as indicator of intestinal health and modulation strategies

ENG- Intestinal microbiota, a diverse community of microorganisms residing in the gastrointestinal tract, plays a crucial role in digestion, nutrient absorption, and immune system regulation, thus influencing overall gut health. Conversely, dysbiosis, an imbalance in the microbiota, is associated wi...

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Detalhes bibliográficos
Autor: Oliver Galindo, Lia
Formato: tesis doctoral
Estado:Versión publicada
Fecha de publicación:2024
País:España
Recursos:CBUC, CESCA
Repositorio:TDR. Tesis Doctorales en Red
OAI Identifier:oai:www.tdx.cat:10803/692582
Acesso em linha:http://hdl.handle.net/10803/692582
Access Level:acceso abierto
Palavra-chave:Microbiota intestinal
Gut microbiota
Prebiòtics
Prebióticos
Prebiotics
Disbiosi
Disbiosis
Dysbiosis
Pancreatitis crònica
Pancreatitis crónica
Chronic pancreatitis
Síndrome de l'intestí irritable
Síndrome del intestino irritable
Irritable bowel syndrome
Malaltia inflamatòria intestinal
Enfermedad inflamatoria intestinal
Inflammatory bowel disease
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Descrição
Resumo:ENG- Intestinal microbiota, a diverse community of microorganisms residing in the gastrointestinal tract, plays a crucial role in digestion, nutrient absorption, and immune system regulation, thus influencing overall gut health. Conversely, dysbiosis, an imbalance in the microbiota, is associated with various health conditions including gastrointestinal disorders and systemic diseases. This thesis examines the intricate relationship between intestinal microbiota, dysbiosis, and health outcomes, also analysing the potential of a grape-derived prebiotic to modulate microbial composition. The research employed a comprehensive approach, utilizing clinical tests, in vitro experiments, and microbiota analysis to elucidate these relationships. The initial study involved analysing stool samples to assess the robustness of an intestinal microbiota analysis test, correlating microbial markers with digestive symptoms and conditions. Dysbiosis was categorized for the first time using specific markers, distinguishing between transient and pathological dysbiosis. Furthermore, it was evaluated the efficacy of a new grape-derived prebiotic in increasing species producing short-chain fatty acids, crucial for gut health. The prebiotic showed significant efficacy, particularly in increasing the abundance of beneficial species such as Roseburia sp. and F. prausnitzii and enhancing short-chain fatty acid production. In addition, a study was conducted with patients with chronic pancreatitis and exocrine pancreatic insufficiency, revealing alterations in microbial composition compared to control subjects. Notably, patients exhibited an increase in microbial species with enzymatic activity, suggesting a compensatory mechanism in response to enzyme deficiency. In conclusion, the findings validate the clinical utility of an intestinal microbiota analysis test, demonstrate the efficacy of the grape-derived prebiotic in modulating microbial composition, and highlight tailored dysbiosis in individuals with abnormal pancreatic conditions. These results underscore the importance of understanding and manipulating gut microbiota for optimizing health and preventing or alleviating various gastrointestinal and systemic conditions associated with dysbiosis