iris publishers | Universidad Nacional Autónoma de México

Iris Publishers LLC, 2018
A healthy gut microbial community is essential for homeostasis in mammals. A symbiotic relationship between host and microbe s essential in developing the immune system, providing biomolecules and generating energy through utilisation of indigestible
compounds. The diversity of the gut microbiota is altered following antibiotic treatments, the effect this has on the health and
wellbeing of the host has long been underestimated and is now the subject of intense debate. Antibiotics facilitate the selection of
energy harvesting microbes within the gut and hence heavily influence the gaining of weight and may be contributing more than we
anticipated to the modern obesity epidemic. These changes to the bacterial composition of the gut, dysbiosis are caused by elevated
oxygen levels within the gut that promotes the propagation of facultative anaerobic Proteobacteria, a condition associated with
inflammation and cancer. Additionally, the altered oxygenated intestinal climate allows the growth of aerobic pathogens, conveying
clinically relevant resistance genes on highly transmissible mobile elements between communities or acquiring them from
commensal bacteria, in turn aiding the spread of antibiotic resistance. Here we discuss the indirect pleotropic effects antibiotics
have on the microbial community and environment of the gut leading to hidden adverse implications to human health.


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