The Gastrointestinal Microbial Assay Plus (GI-MAP) was designed to assess a patient’s microbiome from a single stool sample, with particular attention to microbes that may be disturbing normal microbial balance and may contribute to perturbations in the gastrointestinal (GI) flora or illness. The panel is a comprehensive collection of microbial targets as well as immune and digestive markers. It screens for pathogenic bacteria, commensal bacteria, opportunistic pathogens, fungi, viruses, and parasites. It primarily uses multiplex, automated, DNA analysis to give integrative and functional medicine practitioners a better view into the gastrointestinal microbiome.
Methodology
Quantitative polymerase chain reaction (qPCR)
Indications
- Autoimmune molecular mimicry (if caused by pathogens)
- Diarrhea
- Digestion
- Foodborne illness
- Gastritis
- Gastroenteritis (if it has viral causes)
- Gut dysbiosis
- Immunity
- Inflammation
- Suspected bacterial, parasitic or viral pathogenesis (incl. detection of antibiotic resistant bacteria)
Analytes
BACTERIAL PATHOGENS
- Campylobacter
- C. difficile Toxin A
- C. difficile Toxin B
- Enterohemorrhagic E. coli
- E. coli O157
- Enteroinvasive E. coli/Shigella
- Enterotoxigenic E. coli LT/ST
- Shiga-like Toxin E. coli stx1
- Shiga-like Toxin E. coli stx2
- Salmonella
- Vibro cholerae
- Yersinia enterocolitica
- H. pylori
Virulence Factor, babA
Virulence Factor, cagA
Virulence Factor, dupA
Virulence Factor, iceA
Virulence Factor, oipA
Virulence Factor, vacA
Virulence Factor, virB
Virulence Factor, virD
PARASITIC PATHOGENS
- Cryptosporidium
- Entamoeba histolytica
- Giardia
VIRAL PATHOGENS
- Adrenovirus 40/41
- Norovirus GI
- Norovirus GII
NORMAL/COMMENSAL BACTERIA
- Akkermansia Mucinophilia
- Bacteroides fragilis
- Bifidobacterium spp.
- Clostridia (class)
- Enterobacter spp.
- Enterococcus spp.
- Escherichia spp.
- Faecalbacterium prausnitzii
- Lactobacillus spp.
BACTERIAL PHYLA
- Bacteroidetes
- Firmicutes
- Firmicutes/Bacteroidetes Ratio
ADDITIONAL DYSBIOTIC/OVERGROWTH BACTERIA
- Bacillus spp.
- Enterococcus faecalis
- Enterococus faecium
- Morganella spp.
- Pseudomonas spp.
- Pseudomonas aeruginosa
- Staphylococcus spp.
- Staphylococcus aeureus
- Streptococcus spp.
- Methanobacteriaceae (family)
POTENTIAL AUTOIMMUNE TRIGGERS
- Citrobacter spp.
- Citrobacter freundii
- Fusobacterium spp.
- Klebsiella spp.
- Klebsiella pneumoniae
- Mycobacterium avium subsp. paratuberculosis
- Prevotella spp
- Proteus spp.
- Proteus mirabilis
FUNGI/YEAST
- Candida albicans
- Candida spp.
- Geotricum spp.
- Microsporidia spp.
- Rhodoturula spp.
OPPORTUNISTIC VIRUSES
- CMV- Cytomegalovirus
- EBV- Epstein Bar Virus
PARASITES & WORMS:
PROTOZOA
- Blastocystis hominis
- Chilomastix mesnelli
- Cyclospora spp.
- Dientamoeba fragilis
- Endolimax nana
- Entamoeba coli
- Pentatrichomonas hominis
WORMS
- Ancyclostroma duodenale
- Ascaris lumbricoides
- Necator americanis
- Trichuris trichiura
- Taenia spp
INTESTINAL HEALTH MARKERS:
DIGESTION
- Elastase-1
- Steatocrit
IMMUNE RESPONSE
- SIgA
- Anti-gliadin SIgA
INFLAMMATION
- Calprotectin
GI MARKERS
- ß-Glucuronidase
- Occult Blood - FIT
ANTIBIOTIC RESISTANCE GENES (Optional add-on):
Phenotypes | HELICOBACTER
- Amoxicillen
- Clarithromycin
- Fluroquinolines
- Tetracycline
Specimen
Stool sample
Container
- 1x orange-capped stool vial
Patient preparation
- Please refrain from taking aspirin for two days prior to collecting your sample.
- Never discontinue prescription medication without first consulting your physician.
Гастроинтестинален микробен анализ плюс (GI-MAP)
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