cover of episode #283 ‒ Gut health & the microbiome: improving and maintaining the microbiome, probiotics, prebiotics, innovative treatments, and more | Colleen Cutcliffe, Ph.D.

#283 ‒ Gut health & the microbiome: improving and maintaining the microbiome, probiotics, prebiotics, innovative treatments, and more | Colleen Cutcliffe, Ph.D.

2023/12/18
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Colleen Cutcliffe: 本期节目深入探讨了微生物组的复杂性及其对人体健康的影响。Colleen Cutcliffe博士详细解释了微生物组的构成、检测方法以及随时间的变化规律。她阐述了益生菌、益生元和后生元对肠道健康的影响,并强调了膳食纤维在维持肠道微生物组健康中的重要作用。此外,她还探讨了抗生素使用对微生物组的损害、粪菌移植的应用以及微生物组与肥胖、糖尿病等代谢疾病之间的关系。她分享了维护肠道健康的建议,并介绍了Pendulum Therapeutics公司开发的针对微生物组的创新疗法,例如针对Akkermansia菌株的产品,以改善代谢健康。 Peter Attia: 作为节目的主持人,Peter Attia表达了他对微生物组领域的长期怀疑态度,以及他对该领域产品可靠性的担忧。然而,通过与Colleen Cutcliffe博士的深入交流,他改变了对微生物组及其可操作性的看法。他分享了他对Pendulum Therapeutics公司产品的个人体验,并对微生物组在改善代谢健康方面的潜力表示认可。他提出了关于微生物组测定方法、益生菌与益生元之间的区别、粪菌移植的风险和益处以及人工甜味剂对肠道微生物组的影响等问题,并与Colleen Cutcliffe博士进行了深入探讨。

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Colleen Cutcliffe, CEO and co-founder of Pendulum Therapeutics, discusses her background in biochemistry and molecular biology. She transitioned from traditional pharmaceutical drug development to founding Pendulum, a company focused on developing microbiome-targeted treatments. Peter Attia expresses his growing interest in the microbiome and his respect for Cutcliffe's expertise.
  • Colleen Cutcliffe has a PhD in biochemistry and molecular biology.
  • Pendulum Therapeutics develops treatments targeting the microbiome.
  • Peter Attia was initially skeptical of microbiome science but became interested after speaking with Cutcliffe.

Shownotes Transcript

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Colleen Cutcliffe is an expert in molecular biology and co-founder of Pendulum Therapeutics, a company working to develop treatments for a variety of diseases by targeting the microbiome. In this episode, Colleen delves into the complexity of the microbiome, how it is tested, and how it changes over time. She explores how probiotics, prebiotics, and postbiotics affect the gut and makes a compelling case that well-developed products have the potential not only to enhance gut health but also to positively influence overall metabolic well-being. Colleen emphasizes the significance of a high-fiber diet in sustaining a thriving gut microbiome, shares insights on minimizing microbiome damage during antibiotic use, provides tips for fostering and preserving a healthy gut, and much more.

We discuss:

  • Colleen’s background and current focus [4:45];
  • The basics of the microbiome [7:15];
  • The study of the human microbiome [15:15];
  • Categories of bacteria, and the implications on health of the rapid evolution of bacteria [19:45];
  • Methods for measuring and understanding the microbiome, and key indicators of microbiome health [28:30];
  • The important role of fiber for promoting gut health through the production of butyrate [38:30];
  • The case for manipulating gut bacteria via fecal microbiota transplant (FMT) [45:00];
  • Dynamics of the microbiome: the gut-brain connection and how antibiotics, nutrition, stress, and more impact the microbiome's diversity and function [50:15];
  • Factors that influence the vaginal microbiome [55:15];
  • The effect of gut microbes on obesity and challenges with fecal transplants in people [58:45];
  • Beneficial strains of gut bacteria and strains commonly found in probiotics [1:01:15];
  • The difference between a probiotic and prebiotic, and how CFUs are a measure of the “active ingredient” [1:09:45];
  • Considerations about how probiotic strains are produced, and more on the meaning of CFU [1:14:15];
  • Mitigating the effect of antibiotics on the microbiome [1:22:30];
  • What do we know about the effect of artificial sweeteners on the gut microbiome? [1:30:00];
  • Why Akkermansia is a keystone strain with implications for metabolic health and an individual’s response to dietary interventions [1:36:15];
  • The essential steps necessary to develop a robust probiotic for optimal health support [1:45:45];
  • How Akkermansia helps control blood glucose, and potential implications of Akkermansia in weight loss, diabetes management, and more [1:48:45];
  • Pendulum Therapeutics’ commitment to rigorous product develop [2:06:30];
  • Details about the probiotic “Glucose Control” and other probiotics developed by Pendulum Therapeutics [2:13:00];
  • Further studies of Akkermansia that have been proposed or are underway [2:20:30]; and
  • More.

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