science cabaret by dr. rodney dietert "how to train your super organism..via your...
TRANSCRIPT
artwork by Scott Draves (www.electricsheep.org)
Rodney Dietert, Professor
Cornell University
How to Train Your Superorganism
Question?• Allergies (food/
asthma/rhinitis/dermatitis)• Cancer• Obesity• Diabetes• Cardiovascular disease• Arthritis• Autism spectrum• ADD/ADHD• Celiac disease• IBD (Crohn’s, UC)• Lupus• Autoimmune thyroiditis
• Depression• Osteoporosis• Frailty• Dementia• Alzheimer’s disease• Parkinson’s disease• Hypertension• Sleep disorders• PCOS• COPD• Chronic kidney disease• Psoriasis• Multiple sclerosis
• Already the Number #1 Cause of Mortality Worldwide (63%)*
• Dramatically Impacts Both Productivity and Quality of Life
• Estimated to Cost 48% of Global GDPs by 2030*
• Most Chronic Diseases are Increasing in Prevalence
• 45.3% of all US adults age 65 and above have two or more
chronic diseases: a 20% increase from the previous decade.*
*Joint 2011 report: Harvard School of Public Health and World Economic Forum
and NCHS Data Brief Number 100, July 2012
Noncommunicable Diseases and Conditions (NCDs)
are the Greatest Threat to Sustainable Healthcare
Outline
1. How I found my Superorganism
2. What I learned from my Superorganism
3. How I trained my Superorganism (and you can too)
Scientific Challenge
If you could pick ONE sign that best distinguishes a lifetime of health
from one filled with disease ……what would that be????
[Challenge was issued for an invited paper for a special issue of the physics journal ENTROPY]
The Completed Self: An Immunological View of the Human-Microbiome
Superorganism and Risk of Chronic Diseases
Entropy 2012, 14 (11), 2036-2065
R Dietert, J Dietert
Self-Completion - The Completed Self
Host-specific, Family-sourced microbiota
Self Completion
See: Dietert and Dietert, Entropy 14(11), 2036-2065, 2012 and
Dietert, Birth Defects Research Part B. 101(4): 333-340, 2014
The Complete Human: Three Domains of Life
Eukaryota
Archaea
Bacteria
Majority-Microbial Humans
(based on cell and gene numbers)
Domains of Life Genomes
First~ 25,000 genes
Approximately 90% microbialby cell number
Second ~ 10 million genes
Superorganism
Mammalian
MicrobialEukaryotes
Earlier Microbial PartnersLynn Marguluis, famed biologist (former spouse of Carl Sagan), published her endosymbiosis theory in 1967concerning the bacterial origins of both mitochondria and chloroplasts.
Crisp et al. Genome Biology 2015, 16:50
New examples of horizontally transferred genes were recently identified in humans.Apparently, our second genome can become part of our first genome.
Our Microbiome Produces a “Fingerprint”of Volatile Organic Compounds (VOCs)
Arasaradnam et al. PLoS One. 2014 Oct 16;9(10):e107312.
Volatile organic compounds (VOCs) in urine can be used to
differentiate celiac disease from irritable bowel syndrome based on
distinctive microbiome-produced metabolites.
Bezerra de Araujo Filho et al. Archaea. 2014 Oct 13;2014:576249.
Children living near a sanitary landfill had elevated breath
methane correlated with elevated methane producing Archaea
in the gut microbiome (unrelated to socio economic status).
Microbial Dysbiosis and Impending C. Difficile Outbreaks
See: Bomers et al. A detection dog to identify patients with Clostridium difficile infection during a hospital outbreak. J Infect. 2014 Nov;69(5):456-61.
Cliff, the original C. Difficile detection doghttp://www.dailymail.co.uk/health/article-2247688/Meet-Cliff-remarkable-super-sniffing-dog-detects-hospital-superbugs.html
Who are you really? and…. How (healthy) are you?
Microbiota are seen as an “Integral Organ”
If they are missing, it analogous to a form of birth defect.
Ramifications of Self Incompleteness
e.g., Clarke et el.,Minireview: Gut microbiota: the neglected endocrine organ.Mol Endocrinol. 2014 Aug;28(8):1221-38.
Brown JM, Hazen SL. The gut microbial endocrine organ:bacterially derived signals driving cardiometabolic diseases.
Annu Rev Med. 2015 Jan 14;66:343-59.
Evans et al. The gut microbiome: the role of a virtual organ in the endocrinology of the host.J Endocrinol. 2013 Aug 28;218(3):R37-47.
Effective Microbiome-Mediated Immune Maturation
Ineffective Microbiome-Mediated Immune Maturation
Managing the Human Ecosystemfor Effective Immune Maturation and Tolerance
Brain – Who’s Running the Show?
Foodpreferences and cravings
Neurobehavior
Kin recognition
Mating behavior
See:
Lize et al.,
Trends Ecol Evol.
2013 Jun;28(6):325-6;
Alcock et al.
Bioessays
36(10):
940-949
2014;
Misregulated Inflammation
is
A feature of gut microbial dysbiosis
A tie that binds non-communicable
diseases and conditions (NCDs)
together
From: Dietert, DeWitt, Germolec and Zelikoff , Environ. Health Perspect. 118:1091-9, 2010
Non-Communicable Diseases Cluster Together
Diabetes, Obesity,Colitis, Asthma,Celiac disease
Diabetes, ObesityColitis,Asthma,Celiac disease
microbiomeadjustmentas part ofadultdisease management
microbiomeadjustment for pregnancy and to optimizemicrobiome seeding
Birth:Vaginalvs.Cesarean
healthy microbiome seeding plan
feeding the microbiotafor optimizedimmune and microbialco-maturation
Risk offuturegenerationsforvariousimmunedysfunction-promoted NCDs
Perinatal Period
Environmental chemicals and drugs reported to affect the gut microbiome(Note added: In contrast with antibiotics, Vitamin D is on the list
because it affects, but does not necessarily “harm,” the microbiome. Many people are, in fact, deficient in Vitamin D. In the Ooi et al. paper listed below, it shifts the microbiome to increase protection AGAINST
colitis)• Heavy metals (e.g., cadmium, lead, arsenic)• Other metals (iron, selenium, zinc)• PCBs (Choi et al., EHP 2013)• Particulate matter (PM10) (Kish et al. PloS One 2013)• Chlopyrifos (Joly et al, ESPRI, 2013)• High fat diet (Myles et al. Plos One 2014)• Valproate (de Theije et al. Brain Behav Immun 2013)• Antibiotics (Ng et al., Nature 2013)• Vitamin D (Ooi et al., J.Nutr 2013)
The Microbiome Filters Virtually All Exposuresand Directly Participates in Epigenetic Alterations
Proposed New Environmental Health Assessment Model
Adapted from: Dietert and Silbergeld, Toxicol. Sci. in press, April 2015 print issue
Microbiome
My Personal Superorganism Later-Life Training
Problem: 30 years of multiple rounds of antibiotics.each year.
Solution:Adjusted my microbiome, adjusted what I fed it.
Best year for my health in at least 30 years.
Qualifications: I am not a MD. This is my personal story and it is not intended to be nor is itmedical advice.
Alexander Fleming’s Microbial Art
Notice the bottle feeding – probably not with breast milk
Image via:The Alexander Fleming Laboratory Museumand Smithsonian exhibition
Da Vinci in Microbes
http://www.wired.com/2012/09/bacteriogoraphy/?pid=3733
Zachary Copfer,microbiologist and photographer.He microbially“grows”the photographic images.
Microbial Tree of Life
From: http://www.microbialart.com/
Credits to:Dr. T. Ryan Gregory (Canada), Dr. Simon Park (United Kingdom), and Dr. Niall Hamilton (New Zealand).
Three Take-Home Points• Failure to self-complete in the newborn may be
the single greatest health risk across a lifetime. We need microbiome seeding on every birth plan and active management of our “second genome” (i.e., seed, feed, protect).
• The immune system and the microbiome need to co-mature in a narrow window of development or persistent immune dysfunction and elevated risk of NCDs are likely.
• Safety needs to be based on the whole human. It is the superorganism that needs protection.
Links to some open-access papers
(you can download the papers for free)
http://www.mdpi.com/1099-4300/14/11/2036
Original Completed Self paper (2012):
The microbiome and sustainable healthcare (2015)
http://www.mdpi.com/2227-9032/3/1/100
http://www.hindawi.com/journals/amed/2014/867805/
Programming of the immune system for non-communicable diseases (2014)
http://microbirth.com/
Microbirth movie site: Note for all Cornell people, the movie is freely-available for streaming from Kanopy via the Cornell Library site.
http://ehp.niehs.nih.gov/wp-content/uploads/118/8/ehp.1001971.pdf
Clusters of non-communicable diseases (free PDF)
Acknowledgements
• Dr. Ellen Silbergeld, Johns Hopkins School of Public Health
co-author and co-developer of the new environmental health model
• Janice Dietert, Performance Plus Consulting,
co-author and editor
Ithaca Water Buffalo
Ithaca Water Buffalo maintains a herd of 100
female animals.
Water Buffalo produce about 2 gallons of milk a
day.
Milk is heated and pasteurized (170˚ F for 30 min)
Milk is cooled to 100˚F
Yogurt Culture is added
Cultured Milk is placed in the cup
Milk is incubated ay 100˚F for ~ 12 h
“Probiotic” Bacteria ferment the milk sugar
(lactose) into acid (lactic acid)
Yogurt is blast chilled to 36˚ F to “set” the solid
Yogurt is boxed and shipped to the store