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Mikaelyan K.A.

Russian Peoples’ Friendship University

Krylov K.Y.

St. Petersburg Research Institute of Emergency Medicine I. I. Dzhanelidze

Petrova M.V.

Russian Peoples’ Friendship University

Shestopalov A.E.

National Association for Clinical Nutrition and Metabolism;
Peoples’ Friendship University of Russia

Intestine morphology and microbiocenosis changes in critically ill patients in neurosurgery

Authors:

Mikaelyan K.A., Krylov K.Y., Petrova M.V., Shestopalov A.E.

More about the authors

Journal: Burdenko's Journal of Neurosurgery. 2021;85(1): 104‑110

Read: 3068 times


To cite this article:

Mikaelyan KA, Krylov KY, Petrova MV, Shestopalov AE. Intestine morphology and microbiocenosis changes in critically ill patients in neurosurgery. Burdenko's Journal of Neurosurgery. 2021;85(1):104‑110. (In Russ., In Engl.)
https://doi.org/10.17116/neiro202185011104

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References:

  1. Sertaridou EN, Papaioannou VE, Kolios G, Pneumatikos IA. Gut failure in critical care: old school versus new school. Annals of Gastroenterology. 2015;28(3):309-322. 
  2. McDonald D, Ackermann G, Khailova L, Baird C, Heyland D, Kozar R, Lemieux M, Derenski K, King J, Vis-Kampen C, Knight R, Wischmeyer PE. Extreme Dysbiosis of the Microbiome in Critical Illness. mSphere. 2016;1(4):e00199-16.  https://doi.org/10.1128/mSphere.00199-16
  3. Marik P. Chronic Critical Illness and the Long Term Sequela of Critical Care. In: Marik P, ed. Evidence-Based Critical Care. Third Edition. Switzerland: Springer International Publishing; 2015. https://doi.org/10.1007/978-3-319-11020-2_8
  4. Zhu C, Grandhi R, Patterson T, Nicholson S. A Review of Traumatic Brain Injury and the Gut Microbiome: Insights into Novel Mechanisms of Secondary Brain Injury and Promising Targets for Neuroprotection. Brain Sciences. 2018;8(113):1-8.  https://doi.org/10.3390/brainsci8060113
  5. Olsen AB, Hetz RA, Xue H, Aroom KR, Bhattarai D, Johnson E, Bedi S, Cox CS Jr, Uray K. Effects of traumatic brain injury on intestinal contractility. Neurogastroenterology and Motility. 2013;25(7):593-e463. https://doi.org/10.1111/nmo.12121
  6. Lang Y, Fu F, Sun D, Xi C, Chen F. Labetalol Prevents Intestinal Dysfunction Induced by Traumatic Brain Injury. PLoS ONE. 2015;10(7):1-11.  https://doi.org/10.1371/journal.pone.0133215
  7. Konyaeva TP, Dolgikh VT, Yelomenko SN. Functional-morphological changes in small intestine in early post-resuscitation period. Bjulleten’ sibirskoj mediciny. 2004;3(2):5-12. (In Russ.).
  8. Liew VY, Chapman MJ, Nguyen NQ, Cousins CE, Plummer MP, Chapple LA, Abdelhamid YA, Manton ND, Swalling A, Sutton-Smith P, Burt AD, Deane AM. A prospective observational study of the effect of critical illness on ultrastructural and microscopic morphology of duodenal mucosa. Critical Care and Resuscitation: Journal of the Australasian Academy of Critical Care Medicine. 2016;18(2):102-107. 
  9. Reintam A, Parm P, Kitus R, Kern H, Starkopf J. Gastrointestinal symptoms in intensive care patients. Acta Anaesthesiologica Scandinavica. 2009;53(3):318-324.  https://doi.org/10.1111/j.1399-6576.2008.01860.x
  10. De-Souza D, Greene L. Intestinal permeability and systemic infections in critically ill patients: effect of glutamine. Critical Care Medicine. 2005;33(5):1125-1133. https://doi.org/10.1097/01.CCM.0000162680.52397.97
  11. Parshin DS, Topchiyev MA. Treatment of syndrome of intestine insufficiency of poured festering peritonitis patients. Vestnik Tambovskogo universiteta. Seriya: Estestvennye i tekhnicheskie nauki. 2013;18(1):296-297. (In Russ.).
  12. Bushurov SE. Morphological changes of the gut as the result of acute hemorrhage. Rossijskij mediko-biologicheskij vestnik im. akad. I.P. Pavlova. 2010;18(1):25-29. (In Russ.). https://doi.org/10.17816/PAVLOVJ2010125-29
  13. Ma E, Smith A, Desai N, Cheung L, Faden A. Bidirectional brain-gut interactions and chronic pathological changes after traumatic brain injury in mice. Brain, Behavior, and Immunity. 2017;66:56-59.  https://doi.org/10.1016/j.bbi.2017.06.018
  14. DeFilipp Z, Bloom PP, Torres Soto M, Mansour MK, Sater MRA, Huntley MH, Turbett S, Chung RT, Chen YB, Hohmann EL. Drug-Resistant E. coli Bacteremia Transmitted by Fecal Microbiota Transplant. The New England Journal of Medicine. 2019;381(21):2043-2050. https://doi.org/10.1056/NEJMoa1910437
  15. Takeuchi K, Kumano A, Abe N, Kotani T. Involvement of corticotropin-releasing factor and corticotropin-releasing factor 2 receptors in pathogenesis of ischemia/reperfusion-induced enteritis in rats. Journal of Physiology and Pharmacology. 2016;(67)5:697-707. 
  16. Khramykh TP. Dysfunction to the brush border of the small intestine in the hemorrhagic hypotension: pathogenetic factors. Omskij nauchnyj vestnik. 2013;1(118):91-95. (In Russ.).
  17. Cheng X, Boza-Serrano A, Turesson MF, Deierborg T, Ekblad E, Voss U. Galectin-3 causes enteric neuronal loss in mice after left sided permanent middle cerebral artery occlusion, a model of stroke. Scientific Reports. 2016;6:32893. https://doi.org/10.1038/srep32893
  18. Yoseph BP, Klingensmith NJ, Liang Z, Breed ER, Burd EM, Mittal R, Dominguez JA, Petrie B, Ford ML, Coopersmith CM. Mechanisms of intestinal barrier dysfunction in sepsis. Shock. 2016;46(1):52-59.  https://doi.org/10.1097/SHK.0000000000000565
  19. Mazurok VA, Antonova IV, Golovkin AS, Bautin AE, Gorelov II, Belikov VL, Slivin OA. Gut insufficiency in critical illness: clinico-morphological forms, ways of correction. Transljacionnaja medicina. 2016;3(5):42-52. (In Russ.).
  20. Ugolev AM. Pristenochnoe (kontaktnoe) membrannoe pishhevarenie. Gosudarstvennyj reestr otkrytij SSSR. 195815. Accessed June 13, 2020. (In Russ.). https://ross-nauka.narod.ru/03/03-015.html
  21. Chan C, Leung K, Chan K. Microscopic anatomy of the vasculature of the human intestinal villus — a study with review. European Journal of Anatomy. 2014;18(4):291-301. 
  22. Schuijt T, Poll T, Wiersinga W. Gut Microbiome and Host Defense Interactions during Critical Illness. Annual Update in Intensive Care and Emergency Medicine. 2012:29-36.  https://doi.org/10.1007/978-3-642-25716-2_4
  23. Rogler G, Rosano G. The heart and the gut. European Heart Journal. 2014;35:426-430.  https://doi.org/10.1093/eurheartj/eht271
  24. Greis C, Rasuly Z, Janosi RA, Kordelas L, Beelen DW, Liebregts T. Intestinal T lymphocyte homing is associated with gastric emptying and epithelial barrier function in critically ill: a prospective observational study. Critical Care. 2017;21(1):70.  https://doi.org/10.1186/s13054-017-1654-9
  25. Otani S, Coopersmith C. Gut integrity in critical illness. Journal of Intensive Care. 2019;7:17.  https://doi.org/10.1186/s40560-019-0372-6
  26. Katzenberger R, Ganetzky B, Wassarman D. The gut reaction to traumatic brain injury. Fly. 2015;9(2):68-74.  https://doi.org/10.1080/19336934.2015.1085623
  27. Verbitskaia VS. Arginine effect on function of the small intestine in posttraumatic cardiac contusion. Omskij nauchnyj vestnik. 2013;1(118):53-47. (In Russ.).
  28. Bansal V, Costantini T, Kroll L, Peterson C, Loomis W, Eliceiri B, Baird A, Wolf P, Coimbra R. Traumatic Brain Injury and Intestinal Dysfunction: Uncovering the Neuro-Enteric Axis. Journal of Neurotrauma. 2009;26:1353-1359. https://doi.org/10.1089/neu.2008.0858
  29. Leaphart C, Tepas J. The gut is a motor of organ system dysfunction. Surgery. 2007;141(5):563-569.  https://doi.org/10.1016/j.surg.2007.01.021
  30. Tret’jakov EV, Varganov MV, Nifontova EE. Modern view of intestinal translocation of bacteria as the main cause of purulent-septic complications in destructive pancreatitis. Uspehi sovremennogo estestvoznanija. 2013;9:78-80. (In Russ.).
  31. Kigerl K, Hall J, Wang L, Mo X, Yu Z, Popovich P. Gut dysbiosis impairs recovery after spinal cord injury. The Journal of Experimental Medicine. 2016;213(12):2603-2620. https://doi.org/10.1084/jem.20151345
  32. Tropskaya NS, Kislyakova EA, Popova TS. Mechanisms of small intestine motor disorders during endotoxemia and pathophysiological rationale for the use of tributyrine as anti-inflammatory and prokinetic pharmaconutrient. Anesteziologija i reanimatologija. 2016;61(1):43-46. (In Russ.). https://doi.org/10.18821/0201-7563-2016-61-1-43-47
  33. Martin C, Osadchiy V, Kalani A, Mayer E. The Brain-Gut-Microbiome Axis. Cellular and Molecular Gastroenterology and Hepatology. 2018;6(2):133-141.  https://doi.org/10.1016/j.jcmgh.2018.04.003
  34. Singh V, Roth S, Llovera G, Sadler R, Garzetti D, Stecher B, Dichgans M, Liesz A. Microbiota Dysbiosis Controls the Neuroinflammatory Response after Stroke. The Journal of Neuroscience. 2016;36(28):7428-7440. https://doi.org/10.1523/JNEUROSCI.1114-16.2016
  35. Rauch S, Krueger K, Turan A, Roewer N, Sessler DI. Determining small intestinal transit time and pathomorphology in critically ill patients using video capsule technology. Intensive Care Medicine. 2009;35:1054-1059. https://doi.org/10.1007/s00134-009-1415-6
  36. Wolff N, Hugenholtz F, Wiersinga W. The emerging role of the microbiota in the ICU. Critical Care. 2018;22(78):1-6.  https://doi.org/10.1186/s13054-018-1999-8
  37. Tropskaya NS, Shashkova IG, Chernen’kaya TV, Popova TS, Kapanadze GD. Influence of gastric acidity on intestinal microflora. Biomedicina. 2016;4:92-98. (In Russ.).
  38. Iapichino G, Callegari ML, Marzorati S, Cigada M, Corbella D, Ferrari S, Morelli L. Impact of antibiotics on the gut microbiota of critically ill patients. Journal of Medical Microbiology. 2008;57(Pt 8):1007-1014. https://doi.org/10.1099/jmm.0.47387-0
  39. Bogdanovich AV, Shilenok VN, Kirpichenok LN. Enteral dezintoxication in early postoperative period in treatment patients with acute adhesive intestinal obstruction. Mediko-biologicheskie problemy zhiznedejatel’nosti. 2011;2(6):47-51. (In Russ.).
  40. Houlden A, Goldrick M, Brough D, Vizi ES, Lénárt N, Martinecz B, Roberts IS, Denes A. Brain injury induces specific changes in the caecal microbiota of mice via altered autonomic activity and mucoprotein production. Brain, Behaviour, and Immunity. 2016;57:10-20.  https://doi.org/10.1016/j.bbi.2016.04.003
  41. Clarke M, Hughes D, Zhu C, Boedeker E, Sperandio V. The QseC sensor kinase: A bacterial adrenergic receptor. Proceedings of the National Academy of Sciences of the United States of America. 2006;103(27):10420-10425. https://doi.org/10.1073/pnas.0604343103
  42. Solovyev IA, Kolunov AV. Postoperative intestinal paresis: the problem of abdominal surgery. Vestnik Nacional’nogo medico-hirurgicheskogo centra im. N.I. Pirogova. 2013;8(2):112-118. (In Russ.).
  43. Waligora-Dupriet AJ, Lafleur S, Charrueau C, Choisy C, Cynober L, Butel MJ, Moinard C. Head injury profoundly affects gut microbiota homeostasis: Results of a pilot study. Nutrition. 2018;45:104-107.  https://doi.org/10.1016/j.nut.2017.06.026
  44. Howard BM, Kornblith LZ, Christie SA, Conroy AS, Nelson MF, Campion EM, Callcut RA, Calfee CS, Lamere BJ, Fadrosh DW, Lynch S, Cohen MJ. Characterizing the gut microbiome in trauma: significant changes in microbial diversity occur early after severe injury. Trauma Surgery and Acute Care Open. 2017;2(1):1-6.  https://doi.org/10.1136/tsaco-2017-000108
  45. Dickson R. The microbiome and critical illness. The Lancet. Respiratory Medicine. 2016;4(1):59-72.  https://doi.org/10.1016/S2213-2600(15)00427-0
  46. Sokol H, Pigneur B, Watterlot L, Lakhdari O, Bermúdez-Humarán LG, Gratadoux JJ, Blugeon S, Bridonneau C, Furet JP, Corthier G, Grangette C, Vasquez N, Pochart P, Trugnan G, Thomas G, Blottière HM, Doré J, Marteau P, Seksik P, Langella P. Faecalibacterium prausnitzii is an anti-inflammatory commensal bacterium identified by gut microbiota analysis of Crohn disease patients. Proceedings of the National Academy of Sciences of the United States of America. 2008;105(43):16731-16736. https://doi.org/10.1073/pnas.0804812105
  47. Ruppé E, Martin-Loeches I, Rouzé A, Levast B, Ferry T, Timsit JF. What’s new in restoring the gut microbiota in ICU patients? Potential role of faecal microbiota transplantation. Clinical Microbiology and Infection. 2018;24:803-805.  https://doi.org/10.1016/j.cmi.2018.05.020
  48. Lankelma JM, van Vught LA, Belzer C, Schultz MJ, van der Poll T, de Vos WM, Wiersinga WJ. Critically ill patients demonstrate large interpersonal variation in intestinal microbiota dysregulation: a pilot study. Intensive Care Medicine. 2017;43(1):59-67.  https://doi.org/10.1007/s00134-016-4613-z
  49. Shimizu K, Ogura H, Tomono K, Tasaki O, Asahara T, Nomoto K, Morotomi M, Matsushima A, Nakahori Y, Yamano S, Osuka A, Kuwagata Y, Sugimoto H. Patterns of Gram-Stained Fecal Flora as a Quick Diagnostic Marker in Patients with Severe SIRS. Digestive Diseases and Sciences. 2011;56(6):1782-1788. https://doi.org/10.1007/s10620-010-1486-9
  50. Xu R, Tan C, Zhu J, Zeng X, Gao X, Wu Q, Chen Q, Wang H, Zhou H, He Y, Pan S, Yin J. Dysbiosis of the intestinal microbiota in neurocritically ill patients and the risk for death. Critical Care. 2019;23(195):1-13.  https://doi.org/10.1186/s13054-019-2488-4
  51. Earley ZM, Akhtar S, Green SJ, Naqib A, Khan O, Cannon AR, Hammer AM, Morris NL, Li X, Eberhardt JM, Gamelli RL, Kennedy RH, Choudhry MA. Burn Injury Alters the Intestinal Microbiome and Increases Gut Permeability and Bacterial Translocation. PLoS ONE. 2015;10(7):1-14.  https://doi.org/10.1371/journal.pone.0129996
  52. Hayakawa M, Asahara T, Henzan N, Murakami H, Yamamoto H, Mukai N, Minami Y, Sugano M, Kubota N, Uegaki S, Kamoshida H, Sawamura A, Nomoto K, Gando S. Dramatic changes of the gut flora immediately after severe and sudden insults. Digestive Diseases and Sciences. 2011;56(8):2361-2365. https://doi.org/10.1007/s10620-011-1649-3
  53. Wang F, Li Q, Wang C, Tang C, Li J. Dynamic Alteration of the Colonic Microbiota in Intestinal Ischemia-Reperfusion Injury. PLoS ONE. 2012;7(7):1-9.  https://doi.org/10.1371/journal.pone.0042027
  54. Muza-Moons M, Schneeberger E, Hecht G. Enteropathogenic Escherichia coli infection leads to appearance of aberrant tight junctions strands in the lateral membrane of intestinal epithelial cells. Cellular Microbiology. 2004;6(8):783-793.  https://doi.org/10.1111/j.1462-5822.2004.00404.x
  55. Limketkai B, Hendler S, Ting P, Parian A. Fecal Microbiota Transplantation for the Critically Ill Patient. Nutrition in Clinical Practice, ASPEN. 2019;34(1):73-79.  https://doi.org/10.1002/ncp.10228
  56. Mazurok VA, Golovkin AS, Gorelov II, Bautin AE, Men’shugin IN, Slivin OA, Tarnovskaya DS, Ivanov VV, Nikiforov VG, Morozov KA, Marichev AO. Intestinal oxygenotherapy of critical conditions. Obshhaja reanimatologija. 2017;13(6):74-88. (In Russ.). https://doi.org/10.15360/1813-9779-2017-6-74-91
  57. Ralls M, Demehri F, Feng Y, Ignatoski K, Teitelbaum D. Enteral nutrient deprivation in patients leads to a loss of intestinal epithelial barrier function. Surgery. 2015;157:732-742.  https://doi.org/10.1016/j.surg.2014.12.004

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