Metabolism of Microbiota in Critical Illness (Review and Postulates)

This article discusses the importance of eliciting the mechanisms of action and the metabolism of microbiota in the critically ill patients, as well as the role of nutrition specialist in the management of these patients.In critically ill patients the impaired regulation of endogenous metabolic proc...

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Main Author: Natalia V. Beloborodova
Format: Article
Language:English
Published: Federal Research and Clinical Center of Intensive Care Medicine and Rehabilitology, Moscow, Russia 2019-12-01
Series:Общая реаниматология
Subjects:
Online Access:https://www.reanimatology.com/rmt/article/view/1833
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author Natalia V. Beloborodova
author_facet Natalia V. Beloborodova
author_sort Natalia V. Beloborodova
collection DOAJ
description This article discusses the importance of eliciting the mechanisms of action and the metabolism of microbiota in the critically ill patients, as well as the role of nutrition specialist in the management of these patients.In critically ill patients the impaired regulation of endogenous metabolic processes and protein-energy deficiency are aggravated by abnormal microbiota metabolic processes. There is growing awareness of the importance of studying microbial metabolism in the general metabolic process. Its implications for the improved efficacy of treatment in critical care and rehabilitation are obvious.Current international intensive care guidelines are being constantly revised in response to the new research data available on the mechanisms of critical illness. The course of the latter may significantly associate with the metabolic activity of human microbiota. Active management of metabolic processes is being sought through the subordination of bacterial metabolism to the interests of the host. Both antimicrobial and bioformulations (prebiotics, metabiotics) will be used in the long term in a targeted manner with the control of key microbial metabolites through available laboratory monitoring tools.Based on the literature data and the original research, the author formulates postulates of the microbiota metabolism in critical illness, introduces the concepts of «invisible organ dysfunction» and «signaling bacterial molecules», offers answers to the eternal «what is to be done?» question and suggests using a number of microbial aromatic amino acids metabolites as an integral indicator of a course of critical illness.
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publishDate 2019-12-01
publisher Federal Research and Clinical Center of Intensive Care Medicine and Rehabilitology, Moscow, Russia
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spelling doaj-art-cec8ce2df4574553b63ed20a95c8a3cb2025-08-20T03:59:40ZengFederal Research and Clinical Center of Intensive Care Medicine and Rehabilitology, Moscow, RussiaОбщая реаниматология1813-97792411-71102019-12-01156627910.15360/1813-9779-2019-6-62-791718Metabolism of Microbiota in Critical Illness (Review and Postulates)Natalia V. Beloborodova0V. A. Negovsky Research Institute of General Reanimatology, Federal Research and Clinical Center of Intensive Care Medicine and RehabilitologyThis article discusses the importance of eliciting the mechanisms of action and the metabolism of microbiota in the critically ill patients, as well as the role of nutrition specialist in the management of these patients.In critically ill patients the impaired regulation of endogenous metabolic processes and protein-energy deficiency are aggravated by abnormal microbiota metabolic processes. There is growing awareness of the importance of studying microbial metabolism in the general metabolic process. Its implications for the improved efficacy of treatment in critical care and rehabilitation are obvious.Current international intensive care guidelines are being constantly revised in response to the new research data available on the mechanisms of critical illness. The course of the latter may significantly associate with the metabolic activity of human microbiota. Active management of metabolic processes is being sought through the subordination of bacterial metabolism to the interests of the host. Both antimicrobial and bioformulations (prebiotics, metabiotics) will be used in the long term in a targeted manner with the control of key microbial metabolites through available laboratory monitoring tools.Based on the literature data and the original research, the author formulates postulates of the microbiota metabolism in critical illness, introduces the concepts of «invisible organ dysfunction» and «signaling bacterial molecules», offers answers to the eternal «what is to be done?» question and suggests using a number of microbial aromatic amino acids metabolites as an integral indicator of a course of critical illness.https://www.reanimatology.com/rmt/article/view/1833critical statesmetabolism of bacteriamicrobiotamitochondrial dysfunctionantimicrobial therapybio-drugs
spellingShingle Natalia V. Beloborodova
Metabolism of Microbiota in Critical Illness (Review and Postulates)
Общая реаниматология
critical states
metabolism of bacteria
microbiota
mitochondrial dysfunction
antimicrobial therapy
bio-drugs
title Metabolism of Microbiota in Critical Illness (Review and Postulates)
title_full Metabolism of Microbiota in Critical Illness (Review and Postulates)
title_fullStr Metabolism of Microbiota in Critical Illness (Review and Postulates)
title_full_unstemmed Metabolism of Microbiota in Critical Illness (Review and Postulates)
title_short Metabolism of Microbiota in Critical Illness (Review and Postulates)
title_sort metabolism of microbiota in critical illness review and postulates
topic critical states
metabolism of bacteria
microbiota
mitochondrial dysfunction
antimicrobial therapy
bio-drugs
url https://www.reanimatology.com/rmt/article/view/1833
work_keys_str_mv AT nataliavbeloborodova metabolismofmicrobiotaincriticalillnessreviewandpostulates