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Dr. Erhan ERGiN Dr. Erhan ERGiN

The microbiota refers to the trillions of microorganisms, including bacteria, viruses, fungi, and other microbes, that live in and on the human body. The largest and most complex microbial community is found in the gastrointestinal tract, especially the colon, and is known as the gut microbiota. This ecosystem plays a crucial role in health, influencing digestion, immunity, and even mood and behavior through complex interactions with the body's systems.

Key Roles of Gut Microbiota

  1. Digestive Aid: The microbiota helps break down dietary fibers, producing short-chain fatty acids (SCFAs) like butyrate, acetate, and propionate, which nourish the gut lining and regulate inflammation.
  2. Immune System Support: Microbes in the gut help train the immune system to distinguish between harmful pathogens and harmless molecules, thereby reducing the likelihood of autoimmune responses.
  3. Protection Against Pathogens: A healthy gut microbiota competes with harmful pathogens for resources and space, producing antimicrobial substances to inhibit invaders.
  4. Synthesis of Nutrients: Some gut bacteria produce essential nutrients like vitamin K and certain B vitamins, as well as metabolites that benefit metabolic health.
  5. Mood and Brain Health: Through the gut-brain axis, gut microbes communicate with the brain via neurotransmitters and hormones, influencing mental health and stress response.

Microbiota and Ulcerative Colitis (UC)

In UC, an imbalance in the gut microbiota (dysbiosis) is commonly observed, where beneficial bacteria decrease, and inflammatory or harmful bacteria increase. This imbalance can worsen inflammation and exacerbate symptoms. Treatments targeting microbiota, like probiotics and fecal microbiota transplants (FMT), are being researched as potential therapies to restore microbial balance and reduce UC symptoms.

Maintaining a balanced microbiota through diet, lifestyle, and possibly probiotics may support gut health and improve outcomes for people with UC and other inflammatory bowel diseases.

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