<?xml version="1.0" encoding="utf-8"?>
<!DOCTYPE article PUBLIC "-//NLM//DTD Journal Publishing DTD v2.3 20070202//EN" "journalpublishing.dtd">
<article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" article-type="research-article" dtd-version="2.3" xml:lang="EN">
<front>
<journal-meta>
<journal-id journal-id-type="publisher-id">Front. Vet. Sci.</journal-id>
<journal-title>Frontiers in Veterinary Science</journal-title>
<abbrev-journal-title abbrev-type="pubmed">Front. Vet. Sci.</abbrev-journal-title>
<issn pub-type="epub">2297-1769</issn>
<publisher>
<publisher-name>Frontiers Media S.A.</publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id pub-id-type="doi">10.3389/fvets.2024.1472334</article-id>
<article-categories>
<subj-group subj-group-type="heading">
<subject>Veterinary Science</subject>
<subj-group>
<subject>Original Research</subject>
</subj-group>
</subj-group>
</article-categories>
<title-group>
<article-title>Relationship between rumen microbiota and pregnancy toxemia in ewes</article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name><surname>Chen</surname> <given-names>Jiaxin</given-names></name>
<xref ref-type="aff" rid="aff1"><sup>1</sup></xref>
<role content-type="https://credit.niso.org/contributor-roles/data-curation/"/>
<role content-type="https://credit.niso.org/contributor-roles/formal-analysis/"/>
<role content-type="https://credit.niso.org/contributor-roles/methodology/"/>
<role content-type="https://credit.niso.org/contributor-roles/writing-original-draft/"/>
</contrib>
<contrib contrib-type="author">
<name><surname>Wang</surname> <given-names>Siwei</given-names></name>
<xref ref-type="aff" rid="aff1"><sup>1</sup></xref>
<xref ref-type="aff" rid="aff2"><sup>2</sup></xref>
<role content-type="https://credit.niso.org/contributor-roles/validation/"/>
<role content-type="https://credit.niso.org/contributor-roles/writing-review-editing/"/>
</contrib>
<contrib contrib-type="author">
<name><surname>Yin</surname> <given-names>Xuejiao</given-names></name>
<xref ref-type="aff" rid="aff3"><sup>3</sup></xref>
<role content-type="https://credit.niso.org/contributor-roles/validation/"/>
<role content-type="https://credit.niso.org/contributor-roles/visualization/"/>
<role content-type="https://credit.niso.org/contributor-roles/writing-review-editing/"/>
</contrib>
<contrib contrib-type="author">
<name><surname>Duan</surname> <given-names>Chunhui</given-names></name>
<xref ref-type="aff" rid="aff1"><sup>1</sup></xref>
<role content-type="https://credit.niso.org/contributor-roles/validation/"/>
<role content-type="https://credit.niso.org/contributor-roles/writing-review-editing/"/>
</contrib>
<contrib contrib-type="author">
<name><surname>Li</surname> <given-names>Jinhui</given-names></name>
<xref ref-type="aff" rid="aff1"><sup>1</sup></xref>
<role content-type="https://credit.niso.org/contributor-roles/software/"/>
<role content-type="https://credit.niso.org/contributor-roles/writing-review-editing/"/>
</contrib>
<contrib contrib-type="author">
<name><surname>Liu</surname> <given-names>Yue-qin</given-names></name>
<xref ref-type="aff" rid="aff1"><sup>1</sup></xref>
<role content-type="https://credit.niso.org/contributor-roles/conceptualization/"/>
<role content-type="https://credit.niso.org/contributor-roles/investigation/"/>
<role content-type="https://credit.niso.org/contributor-roles/project-administration/"/>
<role content-type="https://credit.niso.org/contributor-roles/resources/"/>
<role content-type="https://credit.niso.org/contributor-roles/writing-review-editing/"/>
</contrib>
<contrib contrib-type="author" corresp="yes">
<name><surname>Zhang</surname> <given-names>Yingjie</given-names></name>
<xref ref-type="aff" rid="aff1"><sup>1</sup></xref>
<xref ref-type="corresp" rid="c001"><sup>&#x002A;</sup></xref>
<uri xlink:href="https://loop.frontiersin.org/people/1024194/overview"/>
<role content-type="https://credit.niso.org/contributor-roles/conceptualization/"/>
<role content-type="https://credit.niso.org/contributor-roles/funding-acquisition/"/>
<role content-type="https://credit.niso.org/contributor-roles/supervision/"/>
<role content-type="https://credit.niso.org/contributor-roles/writing-review-editing/"/>
</contrib>
</contrib-group>
<aff id="aff1"><sup>1</sup><institution>College of Animal Science and Technology, Hebei Agricultural University</institution>, <addr-line>Baoding</addr-line>, <country>China</country></aff>
<aff id="aff2"><sup>2</sup><institution>Hebei Key Laboratory of Crop Cultivation Physiology and Green Production, Institute of Cereal and Oil Crops, Hebei Academy of Agriculture and Forestry Sciences</institution>, <addr-line>Shijiazhuang</addr-line>, <country>China</country></aff>
<aff id="aff3"><sup>3</sup><institution>College of Animal Science and Technology, Hebei Normal University of Science and Technology</institution>, <addr-line>Qinhuangdao</addr-line>, <country>China</country></aff>
<author-notes>
<fn fn-type="edited-by" id="fn0001">
<p>Edited by: Zhifeng Chen, Monash University, Australia</p>
</fn>
<fn fn-type="edited-by" id="fn0002">
<p>Reviewed by: Dongli Yu, Dana Farber Cancer Institute, United States</p>
<p>Yanping Qiu, California Institute of Technology, United States</p>
</fn>
<corresp id="c001">&#x002A;Correspondence: Yingjie Zhang, <email>zhangyingjie66@126.com</email></corresp>
</author-notes>
<pub-date pub-type="epub">
<day>27</day>
<month>09</month>
<year>2024</year>
</pub-date>
<pub-date pub-type="collection">
<year>2024</year>
</pub-date>
<volume>11</volume>
<elocation-id>1472334</elocation-id>
<history>
<date date-type="received">
<day>29</day>
<month>07</month>
<year>2024</year>
</date>
<date date-type="accepted">
<day>09</day>
<month>09</month>
<year>2024</year>
</date>
</history>
<permissions>
<copyright-statement>Copyright &#x00A9; 2024 Chen, Wang, Yin, Duan, Li, Liu and Zhang.</copyright-statement>
<copyright-year>2024</copyright-year>
<copyright-holder>Chen, Wang, Yin, Duan, Li, Liu and Zhang</copyright-holder>
<license xlink:href="http://creativecommons.org/licenses/by/4.0/">
<p>This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.</p>
</license>
</permissions>
<abstract>
<sec id="sec1001">
<title>Introduction</title>
<p>Pregnancy toxemia (PT) is a nutritional metabolic disease of ewes in late pregnancy. This study aimed to reveal the relationship between rumen microbiota and PT.</p>
</sec>
<sec id="sec2001">
<title>Methods</title>
<p>We selected 10 healthy ewes (CON) and 10 pregnancy toxemia ewes (PT) at 135 days of gestation according to the blood &#x03B2;-hydroxybutyrate (BHBA), glucose (Glu) concentrations and clinical symptoms. Blood and rumen fluid were collected before morning feeding to determine serum biochemical indices and rumen fermentation parameters. Total DNA of rumen fluid was extracted and the V3-V4 regions of 16S rRNA were amplified by PCR for high-throughput sequencing.</p>
</sec>
<sec id="sec3001">
<title>Results</title>
<p>The results showed that the serum concentrations of Glu, total cholesterol (TC), low-density lipoprotein cholesterol (LDL-C), uric acid (UA), creatinine (Cr), acetate, propionate, butyrate, and microbial crude protein (MCP) were decreased (<italic>p</italic>&#x2009;&#x003C;&#x2009;0.05) and the concentrations of BHBA, aspartate aminotransferase (AST), acetate to propionate ratio (A/P), and ammonia nitrogen (NH<sub>3</sub>-N)were higher (<italic>p</italic>&#x2009;&#x003C;&#x2009;0.05) in PT ewes than those in CON ewes. 16S rRNA analysis showed the differences of &#x03B2;-diversity were observed in rumen microbiota between CON and PT ewes. At the phylum level, the relative abundance of Bacteroidota and Proteobacteria were higher (<italic>p</italic>&#x2009;&#x003C;&#x2009;0.01), while Firmicutes was lower (<italic>p</italic>&#x2009;&#x003C;&#x2009;0.01) in PT ewes. At the genus level, the relative <italic>Prevotella</italic>, <italic>Butyrivibrio</italic>, <italic>Ruminococcus</italic>, <italic>Lachnospiraceae_AC2044_group</italic>, <italic>Lachnospiraceae_XPB1014_group</italic>, <italic>Lachnospiraceae_ND3007_group</italic>, and <italic>Oribacterium</italic> were lower (<italic>p</italic>&#x2009;&#x003C;&#x2009;0.01) in PT ewes. Meanwhile, the relative abundance of Oribacterium, Butyrivibrio, Ruminococcus, and Lachnospiraceae_AC2044_group were positively correlated (<italic>p</italic>&#x2009;&#x003C;&#x2009;0.01) with Glu, INS, acetate, propionate, and butyrate, and negatively correlated (<italic>p</italic>&#x2009;&#x003C;&#x2009;0.01) with BHBA, P, GC, AST, and A/P.</p>
</sec>
<sec id="sec4001">
<title>Discussion</title>
<p>In conclusion, the decrease of <italic>Oribacterium</italic>, <italic>Butyrivibrio, Ruminococcus</italic>, and <italic>Lachnospiraceae_AC2044_group</italic> in the rumen of PT ewes reduced the concentrations of volatile fatty acids (acetate, propionate, and butyrate) and serum Glu, and increased BHBA concentration, indicating that the differences in rumen bacteria genera were related to pregnancy toxemia of ewes.</p>
</sec>
</abstract>
<kwd-group>
<kwd>ewes</kwd>
<kwd>pregnancy toxemia</kwd>
<kwd>rumen microbiota</kwd>
<kwd>rumen fermentation</kwd>
<kwd>serum indices</kwd>
</kwd-group>
<contract-num rid="cn1">CARS-38</contract-num>
<contract-sponsor id="cn1">China Agriculture Research System</contract-sponsor>
<counts>
<fig-count count="3"/>
<table-count count="4"/>
<equation-count count="0"/>
<ref-count count="65"/>
<page-count count="11"/>
<word-count count="7889"/>
</counts>
<custom-meta-wrap>
<custom-meta>
<meta-name>section-at-acceptance</meta-name>
<meta-value>Animal Nutrition and Metabolism</meta-value>
</custom-meta>
</custom-meta-wrap>
</article-meta>
</front>
<body>
<sec sec-type="intro" id="sec1">
<label>1</label>
<title>Introduction</title>
<p>Pregnancy toxemia (PT) is a common and potentially catastrophic nutritional metabolic disorder that occurs with a limited number of individuals or as a flock outbreak, depending on farm feeding management and environmental conditions (<xref ref-type="bibr" rid="ref1">1</xref>). The clinical diagnosis is based on hypoglycemia and hyperketonemia, which is characterized by loss of appetite, hobbling, and muscle tremors (<xref ref-type="bibr" rid="ref2">2</xref>). The incidence of PT in sheep is 5 to 20% higher than in goats, and the consequences of pregnancy toxemia are critical, with a loss of 80% of both ewes and offspring (<xref ref-type="bibr" rid="ref3">3</xref>).</p>
<p>The main cause of PT is nutritional deficiencies in late pregnancy ewes (<xref ref-type="bibr" rid="ref4">4</xref>). The energy requirements increase by 180 and 240% for ewes carrying twins and triplets, respectively (<xref ref-type="bibr" rid="ref1">1</xref>). Additionally, the continued growth of the fetus reduces rumen volume, which can lead to insufficient energy intake. As a result, PT is associated with an imbalance in glucose metabolism, resulting in the disruption of the metabolism of carbohydrates, lipids, proteins, and other nutrients, leading to hypoglycemia and disease. Moreover, metabolic homeostasis may be further disrupted by intermittent changes in metabolic state (<xref ref-type="bibr" rid="ref5">5</xref>, <xref ref-type="bibr" rid="ref6">6</xref>). In negative energy balance (NEB), ewes mobilize the body&#x2019;s energy reserves through an adaptive regulatory mechanism to meet the energy requirements of fetal development; however, excessive body fat mobilization will cause cellular damage to tissues and will accelerate the production of ketone bodies (<xref ref-type="bibr" rid="ref7">7</xref>). The peroxidation of polyunsaturated fatty acids caused the production of a large amount of reactive oxygen species leading to oxidative stress, which promoted the release of pro-inflammatory cytokines leading to tissue damage (<xref ref-type="bibr" rid="ref8">8</xref>). Therefore, the detection of serum biochemical indices in ewes is helpful for the early detection and treatment of PT. In addition, long-term NEB in ewes can inhibit cellular DNA replication and cycling to affect fetal development (<xref ref-type="bibr" rid="ref5">5</xref>, <xref ref-type="bibr" rid="ref6">6</xref>). The occurrence of PT is related to the body condition of ewes; obese ewes with a body condition score (BCS) &#x003E;4 have more adipose tissue to mobilize when dry matter intake (DMI) decreases, which increases the risk of hyperketonemia (<xref ref-type="bibr" rid="ref9">9</xref>), while lean ewes are more susceptible to starvation pregnancy toxemia due to malnutrition from carrying high multiples (<xref ref-type="bibr" rid="ref1">1</xref>), and multiparous ewes may have increased difficulty in producing glucose and clearing ketone bodies, which makes ewes more susceptible to PT (<xref ref-type="bibr" rid="ref10">10</xref>). Metabolic acidosis, hypocalcemia, hypoproteinemia, and dehydration may be secondary to PT (<xref ref-type="bibr" rid="ref11">11</xref>). When ewes suffer from chronic starvation, the glucose produced by liver gluconeogenesis accounts for approximately 90% of circulating glucose (<xref ref-type="bibr" rid="ref12">12</xref>), while propionate produced by rumen fermentation is the main substrate source of liver gluconeogenesis in ruminants (<xref ref-type="bibr" rid="ref13">13</xref>). Rumen fermentation parameters may not only reflect the rumen health status of ewes but also reflect the rumen microbial degradation of ingested feed and the nutrient utilization ability of the body. During strict feeding restriction, rumen epithelium is affected by feed intake to decrease rumen fermentation parameters and change the composition of rumen epithelial microbiota. Meanwhile, during severe feeding restriction, colon bacterial diversity and composition of pregnant ewes are changed, thus changing the colon fermentation pattern (<xref ref-type="bibr" rid="ref14">14</xref>). The decrease of DMI in dairy cows disrupts the homeostasis of the gastrointestinal microbiota (<xref ref-type="bibr" rid="ref15">15</xref>), and remodeling the gastrointestinal microbiota by microbiota transplantation can improve feed utilization of low-efficiency cattle (<xref ref-type="bibr" rid="ref16">16</xref>). These studies also confirmed that the rumen microbiome is associated with nutrient intake, digestion, and absorption.</p>
<p>We found that there are differences in the probability of pregnancy toxemia among ewes carrying the same multiples under the same environment and rearing management, and we speculated that the PT may be related to the differences in nutrient metabolism and microbiota of ewes. Therefore, this study aimed to elucidate the relationship between pregnancy toxemia and rumen microbiota by measuring blood biochemical indices, rumen fermentation parameters, and bacterial community and to provide technical guidance for the prevention and nutritional regulation of pregnancy toxemia in the future.</p>
</sec>
<sec sec-type="materials|methods" id="sec2">
<label>2</label>
<title>Materials and methods</title>
<sec id="sec3">
<label>2.1</label>
<title>Animals and experimental design</title>
<p>This experiment was conducted between September and November 2020 at Lanhai Farm (Zhangjiakou, China). One hundred healthy pregnant ewes (Hu sheep) of the same parity were observed. Clinical symptoms such as loss of appetite and instability of standing were recorded from the 120th day of gestation. Twenty ewes carrying triplets (litter size was determined by transabdominal ultrasonography, HS-1600&#x2009;V-7.5&#x2009;MHz, Japan) were selected as healthy [CON, <italic>n</italic>&#x2009;=&#x2009;10, &#x03B2;-hydroxybutyrate (BHBA) &#x2264;1.2&#x2009;mM, glucose (Glu) &#x003E;3&#x2009;mM] and pregnancy toxemia (PT, <italic>n</italic>&#x2009;=&#x2009;10, BHBA &#x2265;3.0&#x2009;mM, Glu &#x2264;2.5&#x2009;mM) groups according to the blood BHBA and Glu concentrations and clinical symptoms at 135&#x2009;days of gestation (<xref ref-type="bibr" rid="ref1">1</xref>). The experimental ewes were individually kept in pens (2.0&#x2009;&#x00D7;&#x2009;1.3&#x2009;m<sup>2</sup>) provided with free access to water and were uniformly fed and managed. The same total mixed ratio (TMR) was formulated based on NRC (<xref ref-type="bibr" rid="ref17">17</xref>) recommendations and fed daily at 8:00&#x2009;am and 5:00&#x2009;pm with approximately 5% feeding refusal. The DMI recorded for the experimental ewes ranged from 120&#x2009;days to 135&#x2009;days of gestation, and the composition and nutrient content of the diets are provided in <xref ref-type="table" rid="tab1">Table 1</xref>.</p>
<table-wrap position="float" id="tab1">
<label>Table 1</label>
<caption>
<p>Diet composition and nutrient levels of the basal diet (dry matter basis).</p>
</caption>
<table frame="hsides" rules="groups">
<thead>
<tr>
<th align="left" valign="top">Ingredients</th>
<th align="center" valign="top">Content (%)</th>
</tr>
</thead>
<tbody>
<tr>
<td align="left" valign="top">Corn stalk silage</td>
<td align="char" valign="top" char=".">38.46</td>
</tr>
<tr>
<td align="left" valign="top">Peanut vine</td>
<td align="char" valign="top" char=".">15.38</td>
</tr>
<tr>
<td align="left" valign="top">Green hay</td>
<td align="char" valign="top" char=".">15.38</td>
</tr>
<tr>
<td align="left" valign="top">Corn</td>
<td align="char" valign="top" char=".">14.38</td>
</tr>
<tr>
<td align="left" valign="top">Bran</td>
<td align="char" valign="top" char=".">3.13</td>
</tr>
<tr>
<td align="left" valign="top">Soybean meal</td>
<td align="char" valign="top" char=".">11.65</td>
</tr>
<tr>
<td align="left" valign="top">CaHPO<sub>4</sub></td>
<td align="char" valign="top" char=".">0.13</td>
</tr>
<tr>
<td align="left" valign="top">Premix<xref ref-type="table-fn" rid="tfn1"><sup>a</sup></xref></td>
<td align="char" valign="top" char=".">0.67</td>
</tr>
<tr>
<td align="left" valign="top">Sodium bicarbonate</td>
<td align="char" valign="top" char=".">0.40</td>
</tr>
<tr>
<td align="left" valign="top">NaCl</td>
<td align="char" valign="top" char=".">0.42</td>
</tr>
</tbody>
</table>
<table frame="hsides" rules="groups">
<thead>
<tr>
<th align="left" valign="top">Nutritional indicators</th>
<th align="center" valign="top">Nutritional levels (%)</th>
</tr>
</thead>
<tbody>
<tr>
<td align="left" valign="top">Metabolic energy, ME, MJ/kg DM<xref ref-type="table-fn" rid="tfn2"><sup>b</sup></xref></td>
<td align="char" valign="top" char=".">9.40</td>
</tr>
<tr>
<td align="left" valign="top">Crude protein, CP</td>
<td align="char" valign="top" char=".">13.49</td>
</tr>
<tr>
<td align="left" valign="top">Ether extract, EE</td>
<td align="char" valign="top" char=".">2.60</td>
</tr>
<tr>
<td align="left" valign="top">Crude ash</td>
<td align="char" valign="top" char=".">11.43</td>
</tr>
<tr>
<td align="left" valign="top">Neutral detergent fiber, NDF</td>
<td align="char" valign="top" char=".">43.16</td>
</tr>
<tr>
<td align="left" valign="top">Acid detergent fiber, ADF</td>
<td align="char" valign="top" char=".">18.91</td>
</tr>
<tr>
<td align="left" valign="top">Calcium, Ca</td>
<td align="char" valign="top" char=".">0.66</td>
</tr>
<tr>
<td align="left" valign="top">Phosphorus, P</td>
<td align="char" valign="top" char=".">0.33</td>
</tr>
</tbody>
</table>
<table-wrap-foot>
<fn id="tfn1">
<label>a</label>
<p>Provided per kilogram of feed (dry matter): vitamin A 4402&#x2009;IU, vitamin D 755&#x2009;IU, vitamin E 126&#x2009;IU, Cu 12.50&#x2009;mg, Mn 28.30&#x2009;mg, Zn 37.74&#x2009;mg, Fe 40.88&#x2009;mg, Co 0.85&#x2009;mg, I 0.97&#x2009;mg, and Se 0.85&#x2009;mg.</p>
</fn>
<fn id="tfn2">
<label>b</label>
<p>ME is the calculated value, and other nutritional indicators are the measured value.</p>
</fn>
</table-wrap-foot>
</table-wrap>
</sec>
<sec id="sec4">
<label>2.2</label>
<title>Sample collection</title>
<p>On day 135 of gestation, serum, and rumen fluid samples were collected from PT ewes and healthy ewes 2&#x2009;h before morning feeding. Blood samples were collected by the jugular vein sampling method and were centrifuged at 3,000&#x2009;&#x00D7;&#x2009;g for 10&#x2009;min. Then, the serum was divided into 1.8&#x2009;mL frozen storage tubes using a pipette and immediately put into liquid nitrogen tanks, then transported back to the laboratory, and stored in an ultra-low temperature refrigerator. Rumen fluid samples were collected using an oral cannula (Kelibo Animal Husbandry Technology Co., Ltd., Wuhan, China) that reached approximately the bottom of the rumen, taking into account the size of the animal. In the sample collection room, the oral cannula was cleaned with fresh, warm, and distilled water, and the first 20&#x2009;mL of rumen fluid collected was discarded to avoid saliva contamination. A total of 50&#x2009;mL of rumen fluid of was stored at &#x2212;20&#x00B0;C to determine rumen fermentation parameters, and 5&#x2009;mL were stored at &#x2212;80&#x00B0;C for DNA extraction.</p>
</sec>
<sec id="sec5">
<label>2.3</label>
<title>Serum and rumen fluid parameter measurements</title>
<p>Serum biochemical assay kits (Nanjing Jiancheng Bioengineering Institute, Nanjing, China) were used to determine the concentrations of serum &#x03B2;-hydroxybutyrate (BHBA, &#x03B2;-hydroxybutyrate Assay Kit, E030-1-1), glucose (Glu, Glucose Assay Kit, F006-1-1), non-esterified fatty acids (NEFA, Non-esterified Fatty Acids Assay Kit, A042-2-1), triglycerides (TG, Triglyceride Assay Kit, A110-1-1), total cholesterol (TC, Total cholesterol Assay Kit, A111-1-1), high-density lipoprotein cholesterol (HDL-C, High-density lipoprotein cholesterol Assay Kit, A112-1-1), low-density lipoprotein cholesterol (LDL-C, Low-density lipoprotein cholesterol Assay Kit, A113-1-1), aspartate aminotransferase (AST, Aspartate aminotransferase Assay Kit, C010-2-1), alanine aminotransferase (ALT, Alanine aminotransferase Assay Kit, C009-2-1), alkaline phosphatase (ALP, Alkaline phosphatase Assay Kit, A059-2-2), blood urea nitrogen (BUN, Urea Assay Kit, C013-2-1), total bilirubin (TBIL, Total bilirubin Kit, C019-1-1), uric acid (UA, Uric acid Test Kit, C012-2-1), creatinine (Cr, Creatinine Assay Kit, C011-2-1), calcium (Ca, Calcium Assay Kit, C004-2-1), and phosphorus (P, Phosphate Assay Kit, C006-1-1) according to the manufacturer&#x2019;s instructions. Insulin (INS, Insulin Assay Kit, H203-1-2), glucagon (GC, Glucagon Assay Kit, H183-1-2), interleukin 1&#x03B2; (IL-1&#x03B2;, Interleukin-1&#x03B2; Assay Kit, H002-1-2), interleukin 2 (IL-2, Interleukin-2 Assay Kit, H003-1-1), interleukin 6 (IL-6, Interleukin-6 Assay Kit, H007-1-2), and tumor necrosis factor-<italic>&#x03B1;</italic> (TNF-&#x03B1;, Tumor Necrosis Factor-&#x03B1; Assay Kit, H052-1-2) were determined using the ELISA test kits (Nanjing Jiancheng Bioengineering Institute, Nanjing, China) according to the manufacturer&#x2019;s instructions. Serum total protein (TP, Total Protein Quantitative Assay Kit, A045-3-2) and albumin (ALB, Albumin Assay Kit, A028-1-1) concentrations were determined by a colorimetric method using a commercial kit (Nanjing Jiancheng Bioengineering Institute, Nanjing, China).</p>
<p>The rumen fluid samples were immediately analyzed using an electronic pH meter (PHS-3C; Nanjing Nanda Analytical Instrument Application Research Institute). The concentration of the ammonia nitrogen (NH<sub>3</sub>-N) was determined by phenol sodium hypochlorite colorimetry (<xref ref-type="bibr" rid="ref18">18</xref>) and using a UV spectrophotometer (UV1100; Shanghai Tyco Instruments Co., Shanghai, China) according to the methods of AOAC (2006). The concentration of the microbial crude protein (MCP) was determined by the Coomassie brilliant blue method. The rumen fluid was divided into 2&#x2009;mL aseptic tubes and centrifuged at 3,000&#x2009;&#x00D7;&#x2009;g at 4&#x00B0;C for 15&#x2009;min, and then the supernatant was mixed with 0.2&#x2009;mL metaphosphoric acid solution (250&#x2009;g/L) for 30&#x2009;min. The supernatant was collected and centrifuged at 10,000&#x2009;&#x00D7;&#x2009;g at 4&#x00B0;C for 10&#x2009;min for the determination of rumen volatile fatty acids (VFAs). Acetate, propionate, and butyrate concentrations were determined by gas chromatography (Varian 450, Agilent Technologies China, Co., Ltd., China) using 2-ethylbutyric acid as an internal standard. In brief, using H<sub>2</sub> as the carrier gas with a 30&#x2009;m&#x2009;&#x00D7;&#x2009;320&#x2009;&#x03BC;m&#x2009;&#x00D7;&#x2009;0.5&#x2009;&#x03BC;m capillary column (AT-FFAP), the detector temperature was set at 250&#x00B0;C, and the inlet temperature was set at 220&#x00B0;C.</p>
</sec>
<sec id="sec6">
<label>2.4</label>
<title>DNA extraction, high-throughput sequencing, and bioinformatic analysis</title>
<p>Rumen fluids were randomly selected from each group for thawing, 1.5&#x2009;mL of each sample was taken, and a DNA extraction kit (MoBio Laboratories, Carlsbad, CA, United States) was used to extract rumen microbial DNA according to the manufacturer&#x2019;s instructions. NanoDrop 2000 (Thermo Fisher Scientific, Waltham, MA, United States) and 1% agarose gel electrophoresis were used to check the DNA concentration and quality. PCR universal primers (341F: 5&#x2032;-GTGCCAGCMGCCGCGGTAA-3&#x2032; and 806R: 5&#x2032;-GGACTACNNGGGTATCTAAT-3&#x2032;) were designed to amplify the V3&#x2013;V4 hypervariable region of the 16S rRNA gene based on the microbial genome. The diluted sample DNA was used as a template for PCR amplification, which was carried out on a Mastercycler Gradient (Eppendorf, Hamburg, Germany) in 25&#x2009;&#x03BC;L reaction volumes containing 12.5&#x2009;&#x03BC;L of 2&#x2009;&#x00D7;&#x2009;Taq Plus Master Mix, 1&#x2009;&#x03BC;L of forward primer (5&#x2009;&#x03BC;M), 1&#x2009;&#x03BC;L reverse primer (5&#x2009;&#x03BC;M), 5.5&#x2009;&#x03BC;L of ddH<sub>2</sub>O, and 5&#x2009;&#x03BC;L of DNA (total template quantity was 50&#x2009;ng). Reaction parameters: initial denaturation at 95&#x00B0;C for 3 min; 35 cycles of denaturation at 94&#x00B0;C for 45 s, annealing at 50&#x00B0;C for 60 s, and elongation at 72&#x00B0;C for 45 s; and stretch for 10 min at 72&#x00B0;C.</p>
<p>The raw data were qualitatively filtered and analyzed using Quantitative Insights into Microbial Ecology (QIIME, version 1.8.0). Sequences with a length greater than 200&#x2009;bp and an average base mass fraction greater than 25 were labeled as high-quality sequences for subsequent analysis. A total of 620,560 and 527,283 raw tags were obtained for the CON and PT groups, with 607,661 and 519,535 clean tags, respectively. Then, operational taxonomic units (OTUs) were <italic>de novo</italic>-clustered with a 97% sequence similarity cutoff using UPARSE (version 7.1). Finally, 2,056 and 1,689 OTUs were obtained for the CON and PT groups, respectively. The QIIME2 was used to calculate alpha diversity and beta diversity. Alpha diversity included Chao1, observed_species, PD_whole tree, and Shannon indices, which were used to determine the richness and diversity of the bacterial communities. Principal coordinate analysis (PCoA) was used to compare groups of samples based on Bray&#x2013;Curtis distances and to assess significant differences.</p>
</sec>
<sec id="sec7">
<label>2.5</label>
<title>Statistical analysis</title>
<p>Individual ewes were used as experimental units, and the normal distribution of the data was confirmed by the Shapiro&#x2013;Wilk test. SPSS 22.0 software (SPSS Inc. Chicago, IL, United States) was used to conduct independent samples <italic>t</italic>-test for serum biochemical indices and rumen fermentation parameters of ewes in the CON and PT groups. According to the relative abundance of rumen microbiota, the Wilcoxon rank-sum test was used to test the significance of differences between groups at the phylum and genus levels, respectively. <italic>p</italic>&#x2009;&#x003C;&#x2009;0.05 was considered statistically significant in Spearman&#x2019;s correlation analysis of serum biochemical indices, fermentation parameters, and rumen bacteria (relative abundance &#x003E;1%).</p>
</sec>
</sec>
<sec sec-type="results" id="sec8">
<label>3</label>
<title>Results</title>
<sec id="sec9">
<label>3.1</label>
<title>Difference in dry matter intake between CON and PT ewes</title>
<p>The DMI of ewes from 120 to 135&#x2009;days of gestation is shown in <xref ref-type="table" rid="tab2">Table 2</xref>, and there was no difference (<italic>p</italic>&#x2009;&#x003E;&#x2009;0.05) in DMI between the PT and the CON ewes.</p>
<table-wrap position="float" id="tab2">
<label>Table 2</label>
<caption>
<p>Dry matter intake of ewes from 120 to 135&#x2009;days of gestation.</p>
</caption>
<table frame="hsides" rules="groups">
<thead>
<tr>
<th align="left" valign="top" rowspan="2">Item<xref ref-type="table-fn" rid="tfn3"><sup>1</sup></xref></th>
<th align="center" valign="top" colspan="2">Group</th>
<th align="center" valign="top" rowspan="2">SEM</th>
<th align="center" valign="top" rowspan="2"><italic>p</italic>-value</th>
</tr>
<tr>
<th align="center" valign="top">CON (<italic>n</italic> =&#x2009;10)</th>
<th align="center" valign="top">PT (<italic>n</italic> =&#x2009;10)</th>
</tr>
</thead>
<tbody>
<tr>
<td align="left" valign="top">DMI, kg/d</td>
<td align="char" valign="middle" char=".">1.27</td>
<td align="char" valign="middle" char=".">1.20</td>
<td align="char" valign="middle" char=".">0.027</td>
<td align="char" valign="middle" char=".">0.076</td>
</tr>
</tbody>
</table>
<table-wrap-foot>
<fn id="tfn3">
<label>1</label>
<p>DMI, dry matter intake. CON, healthy group; PT, pregnancy toxemia group.</p>
</fn>
</table-wrap-foot>
</table-wrap>
</sec>
<sec id="sec10">
<label>3.2</label>
<title>Differences in serum biochemical indices between CON and PT ewes</title>
<p>The serum biochemical indices for CON and PT ewes are shown in <xref ref-type="table" rid="tab3">Table 3</xref>. The concentrations of Glu, TC, LDL-C, INS, UA, Cr, IL-6, and TNF-<italic>&#x03B1;</italic> in the PT group were lower (<italic>p</italic>&#x2009;&#x003C;&#x2009;0.05) than those in the CON group, and BHBA, GC, AST, and P were higher (<italic>p</italic>&#x2009;&#x003C;&#x2009;0.05) than those in the CON group. The concentrations of NEFA, TG, HDL-C, BUN, TBIL, TP, ALB, ALT, ALP, IL-1&#x03B2;, and IL-2, and there was no difference (<italic>p</italic>&#x2009;&#x003E;&#x2009;0.05) in Ca concentration between the two groups.</p>
<table-wrap position="float" id="tab3">
<label>Table 3</label>
<caption>
<p>Differences in serum biochemical indices between CON and PT ewes.</p>
</caption>
<table frame="hsides" rules="groups">
<thead>
<tr>
<th align="left" valign="top" rowspan="2">Item<xref ref-type="table-fn" rid="tfn5"><sup>1</sup></xref></th>
<th align="center" valign="top" colspan="2">Group</th>
<th align="center" valign="top" rowspan="2">SEM</th>
<th align="center" valign="top" rowspan="2"><italic>p</italic>-value<xref ref-type="table-fn" rid="tfn6"><sup>2</sup></xref></th>
</tr>
<tr>
<th align="center" valign="top">CON (<italic>n</italic> =&#x2009;10)</th>
<th align="center" valign="top">PT (<italic>n</italic> =&#x2009;10)</th>
</tr>
</thead>
<tbody>
<tr>
<td align="left" valign="top">BHBA, mmol/L</td>
<td align="char" valign="top" char=".">0.54<sup>b</sup></td>
<td align="char" valign="top" char=".">5.07<sup>a</sup></td>
<td align="char" valign="top" char=".">0.118</td>
<td align="char" valign="top" char=".">&#x003C;0.001</td>
</tr>
<tr>
<td align="left" valign="top">Glu, mmol/L</td>
<td align="char" valign="top" char=".">3.49<sup>a</sup></td>
<td align="char" valign="top" char=".">1.59<sup>b</sup></td>
<td align="char" valign="top" char=".">0.142</td>
<td align="char" valign="top" char=".">&#x003C;0.001</td>
</tr>
<tr>
<td align="left" valign="top">NEFA, mmol/L</td>
<td align="char" valign="top" char=".">0.87</td>
<td align="char" valign="top" char=".">1.03</td>
<td align="char" valign="top" char=".">0.099</td>
<td align="char" valign="top" char=".">0.151</td>
</tr>
<tr>
<td align="left" valign="top">TG, mmol/L</td>
<td align="char" valign="top" char=".">0.40</td>
<td align="char" valign="top" char=".">0.36</td>
<td align="char" valign="top" char=".">0.025</td>
<td align="char" valign="top" char=".">0.145</td>
</tr>
<tr>
<td align="left" valign="top">TC, mmol/L</td>
<td align="char" valign="top" char=".">2.40<sup>a</sup></td>
<td align="char" valign="top" char=".">1.65<sup>b</sup></td>
<td align="char" valign="top" char=".">0.125</td>
<td align="char" valign="top" char=".">&#x003C;0.001</td>
</tr>
<tr>
<td align="left" valign="top">HDL-C, mmol/L</td>
<td align="char" valign="top" char=".">0.83</td>
<td align="char" valign="top" char=".">0.79</td>
<td align="char" valign="top" char=".">0.037</td>
<td align="char" valign="top" char=".">0.263</td>
</tr>
<tr>
<td align="left" valign="top">LDL-C, mmol/L</td>
<td align="char" valign="top" char=".">0.51<sup>a</sup></td>
<td align="char" valign="top" char=".">0.28<sup>b</sup></td>
<td align="char" valign="top" char=".">0.062</td>
<td align="char" valign="top" char=".">0.006</td>
</tr>
<tr>
<td align="left" valign="top">INS, mIU/L</td>
<td align="char" valign="top" char=".">28.42<sup>a</sup></td>
<td align="char" valign="top" char=".">20.44<sup>b</sup></td>
<td align="char" valign="top" char=".">0.944</td>
<td align="char" valign="top" char=".">&#x003C;0.001</td>
</tr>
<tr>
<td align="left" valign="top">GC, &#x03BC;g/L</td>
<td align="char" valign="top" char=".">258.64<sup>b</sup></td>
<td align="char" valign="top" char=".">302.01<sup>a</sup></td>
<td align="char" valign="top" char=".">7.771</td>
<td align="char" valign="top" char=".">&#x003C;0.001</td>
</tr>
<tr>
<td align="left" valign="top">BUN, mmol/L</td>
<td align="char" valign="top" char=".">5.66</td>
<td align="char" valign="top" char=".">7.36</td>
<td align="char" valign="top" char=".">0.802</td>
<td align="char" valign="top" char=".">0.079</td>
</tr>
<tr>
<td align="left" valign="top">TBIL, &#x03BC;mol/L</td>
<td align="char" valign="top" char=".">5.63</td>
<td align="char" valign="top" char=".">6.61</td>
<td align="char" valign="top" char=".">0.782</td>
<td align="char" valign="top" char=".">0.242</td>
</tr>
<tr>
<td align="left" valign="top">TP, g/L</td>
<td align="char" valign="top" char=".">65.24</td>
<td align="char" valign="top" char=".">69.75</td>
<td align="char" valign="top" char=".">3.205</td>
<td align="char" valign="top" char=".">0.197</td>
</tr>
<tr>
<td align="left" valign="top">ALB, g/L</td>
<td align="char" valign="top" char=".">32.45</td>
<td align="char" valign="top" char=".">29.55</td>
<td align="char" valign="top" char=".">2.329</td>
<td align="char" valign="top" char=".">0.248</td>
</tr>
<tr>
<td align="left" valign="top">ALT, U/L</td>
<td align="char" valign="top" char=".">3.98</td>
<td align="char" valign="top" char=".">4.03</td>
<td align="char" valign="top" char=".">0.520</td>
<td align="char" valign="top" char=".">0.926</td>
</tr>
<tr>
<td align="left" valign="top">AST, U/L</td>
<td align="char" valign="top" char=".">11.11<sup>b</sup></td>
<td align="char" valign="top" char=".">22.15<sup>a</sup></td>
<td align="char" valign="top" char=".">0.798</td>
<td align="char" valign="top" char=".">&#x003C;0.001</td>
</tr>
<tr>
<td align="left" valign="top">ALP, U/L</td>
<td align="char" valign="top" char=".">14.05</td>
<td align="char" valign="top" char=".">9.66</td>
<td align="char" valign="top" char=".">1.703</td>
<td align="char" valign="top" char=".">0.081</td>
</tr>
<tr>
<td align="left" valign="top">UA, &#x03BC;mol/L</td>
<td align="char" valign="top" char=".">138.32<sup>a</sup></td>
<td align="char" valign="top" char=".">99.18<sup>b</sup></td>
<td align="char" valign="top" char=".">3.385</td>
<td align="char" valign="top" char=".">&#x003C;0.001</td>
</tr>
<tr>
<td align="left" valign="top">Cr, &#x03BC;mol/L</td>
<td align="char" valign="top" char=".">85.08<sup>a</sup></td>
<td align="char" valign="top" char=".">74.46<sup>b</sup></td>
<td align="char" valign="top" char=".">5.647</td>
<td align="char" valign="top" char=".">0.042</td>
</tr>
<tr>
<td align="left" valign="top">IL-1&#x03B2;, ng/L</td>
<td align="char" valign="top" char=".">26.97</td>
<td align="char" valign="top" char=".">30.53</td>
<td align="char" valign="top" char=".">1.813</td>
<td align="char" valign="top" char=".">0.085</td>
</tr>
<tr>
<td align="left" valign="top">IL-2, ng/L</td>
<td align="char" valign="top" char=".">38.38</td>
<td align="char" valign="top" char=".">36.61</td>
<td align="char" valign="top" char=".">1.440</td>
<td align="char" valign="top" char=".">0.803</td>
</tr>
<tr>
<td align="left" valign="top">IL-6, ng/L</td>
<td align="char" valign="top" char=".">84.91<sup>a</sup></td>
<td align="char" valign="top" char=".">74.75<sup>b</sup></td>
<td align="char" valign="top" char=".">3.091</td>
<td align="char" valign="top" char=".">0.011</td>
</tr>
<tr>
<td align="left" valign="top">TNF-&#x03B1;, ng/L</td>
<td align="char" valign="top" char=".">95.96<sup>a</sup></td>
<td align="char" valign="top" char=".">79.16<sup>b</sup></td>
<td align="char" valign="top" char=".">3.734</td>
<td align="char" valign="top" char=".">0.002</td>
</tr>
<tr>
<td align="left" valign="top">Ca, mmol/L</td>
<td align="char" valign="top" char=".">2.15</td>
<td align="char" valign="top" char=".">2.08</td>
<td align="char" valign="top" char=".">0.448</td>
<td align="char" valign="top" char=".">0.131</td>
</tr>
<tr>
<td align="left" valign="top">P, mmol/L</td>
<td align="char" valign="top" char=".">1.63<sup>b</sup></td>
<td align="char" valign="top" char=".">2.07<sup>a</sup></td>
<td align="char" valign="top" char=".">0.072</td>
<td align="char" valign="top" char=".">&#x003C;0.001</td>
</tr>
</tbody>
</table>
<table-wrap-foot>
<fn id="tfn5">
<label>1</label>
<p>BHBA, &#x03B2;-hydroxybutyrate; Glu, glucose; NEFA, non-esterified fatty acid; TG, triglycerides; TC, total cholesterol; HDL-C, high-density lipoprotein cholesterol; LDL-C, low-density lipoprotein cholesterol; INS, insulin; GC, glucagon; BUN, blood urea nitrogen; TBIL, total bilirubin; TP, total protein; ALB, albumin; AST, aspartate aminotransferase; ALT, alanine aminotransferase; ALP, alkaline phosphatase; IL, interleukin; TNF-&#x03B1;, tumor necrosis factor-&#x03B1;; UA, uric acid; Cr, creatinine; Ca, calcium; P, phosphorus. CON, healthy group, PT, pregnancy toxemia group.</p>
</fn>
<fn id="tfn6">
<label>2</label>
<p><sup>a,bValues within a row with different superscripts differ significantly at p&#x2009;&#x003C;&#x2009;0.05.</sup></p>
</fn>
</table-wrap-foot>
</table-wrap>
</sec>
<sec id="sec11">
<label>3.3</label>
<title>Difference in ruminal fermentation parameters between CON and PT ewes</title>
<p>The rumen fermentation parameters of CON and PT ewes are shown in <xref ref-type="table" rid="tab4">Table 4</xref>. Compared to the CON group, the concentrations of acetate, propionate, butyrate, and MCP decreased (<italic>p</italic>&#x2009;&#x003C;&#x2009;0.01) in the PT group, while A/P and NH<sub>3</sub>-N increased (<italic>p</italic>&#x2009;&#x003C;&#x2009;0.05). There was no difference (<italic>p</italic>&#x2009;&#x003E;&#x2009;0.05) in rumen pH between the two groups.</p>
<table-wrap position="float" id="tab4">
<label>Table 4</label>
<caption>
<p>Differences in rumen fermentation parameters between CON and PT ewes.</p>
</caption>
<table frame="hsides" rules="groups">
<thead>
<tr>
<th align="left" valign="top" rowspan="2">Item<xref ref-type="table-fn" rid="tfn7"><sup>1</sup></xref></th>
<th align="center" valign="top" colspan="2">Group</th>
<th align="center" valign="top" rowspan="2">SEM</th>
<th align="center" valign="top" rowspan="2"><italic>p</italic>-value<xref ref-type="table-fn" rid="tfn8"><sup>2</sup></xref></th>
</tr>
<tr>
<th align="center" valign="top">CON (<italic>n</italic> =&#x2009;10)</th>
<th align="center" valign="top">PT (<italic>n</italic> =&#x2009;10)</th>
</tr>
</thead>
<tbody>
<tr>
<td align="left" valign="top">Acetate, mmol/L</td>
<td align="char" valign="middle" char=".">51.20<sup>a</sup></td>
<td align="char" valign="middle" char=".">27.88<sup>b</sup></td>
<td align="char" valign="middle" char=".">1.589</td>
<td align="char" valign="middle" char=".">&#x003C;0.001</td>
</tr>
<tr>
<td align="left" valign="top">Propionate, mmol/L</td>
<td align="char" valign="middle" char=".">17.11<sup>a</sup></td>
<td align="char" valign="middle" char=".">7.73<sup>b</sup></td>
<td align="char" valign="middle" char=".">0.481</td>
<td align="char" valign="middle" char=".">&#x003C;0.001</td>
</tr>
<tr>
<td align="left" valign="top">Butyrate, mmol/L</td>
<td align="char" valign="middle" char=".">6.99<sup>a</sup></td>
<td align="char" valign="middle" char=".">3.62<sup>b</sup></td>
<td align="char" valign="middle" char=".">0.375</td>
<td align="char" valign="middle" char=".">&#x003C;0.001</td>
</tr>
<tr>
<td align="left" valign="top">A/P</td>
<td align="char" valign="middle" char=".">2.99<sup>b</sup></td>
<td align="char" valign="middle" char=".">3.66<sup>a</sup></td>
<td align="char" valign="middle" char=".">0.216</td>
<td align="char" valign="middle" char=".">0.006</td>
</tr>
<tr>
<td align="left" valign="top">Rumen pH</td>
<td align="char" valign="middle" char=".">6.94</td>
<td align="char" valign="middle" char=".">6.92</td>
<td align="char" valign="middle" char=".">0.079</td>
<td align="char" valign="middle" char=".">0.803</td>
</tr>
<tr>
<td align="left" valign="top">NH<sub>3</sub>-N, mg/dL</td>
<td align="char" valign="middle" char=".">7.67<sup>b</sup></td>
<td align="char" valign="middle" char=".">11.41<sup>a</sup></td>
<td align="char" valign="middle" char=".">0.892</td>
<td align="char" valign="middle" char=".">&#x003C;0.001</td>
</tr>
<tr>
<td align="left" valign="top">MCP, mg/mL</td>
<td align="char" valign="middle" char=".">0.55<sup>a</sup></td>
<td align="char" valign="middle" char=".">0.51<sup>b</sup></td>
<td align="char" valign="middle" char=".">0.017</td>
<td align="char" valign="middle" char=".">0.023</td>
</tr>
</tbody>
</table>
<table-wrap-foot>
<fn id="tfn7">
<label>1</label>
<p>A/P, acetate-to-propionate ratio; NH<sub>3</sub>-N, ammonia nitrogen; MCP, microbial crude protein. CON, healthy group; PT, pregnancy toxemia group.</p>
</fn>
<fn id="tfn8">
<label>2</label>
<p><sup>a,bValues within a row with different superscripts differ significantly at p&#x2009;&#x003C;&#x2009;0.05.</sup></p>
</fn>
</table-wrap-foot>
</table-wrap>
</sec>
<sec id="sec12">
<label>3.4</label>
<title>Difference in rumen microbiota between CON and PT ewes</title>
<p>In this study, 519,535 and 607,661 clean reads were obtained in the CON and PT groups, respectively, with an average of 86,589 and 101,276 clean reads <italic>per ewe</italic> in the CON and PT groups. Rarefaction curves were constructed to quantify the OUT coverage of the sample, as shown in <xref ref-type="supplementary-material" rid="SM1">Supplementary Figure S1</xref>. All curves approached a plateau, indicating that the sampling depth was sufficient.</p>
<p>The alpha diversity analysis showed significant differences in the Chao1, observed_species, Shannon, and PD_whole tree indices between the two groups (<italic>p</italic>&#x2009;&#x003C;&#x2009;0.05). The rumen microbiota richness and diversity varied significantly within the groups (<xref ref-type="fig" rid="fig1">Figure 1A</xref>). The PCoA results showed that PT ewes reduced the intra-group similarity based on Bray&#x2013;Curtis distance (ANOSIM: <italic>R</italic>&#x2009;=&#x2009;0.494, <italic>p</italic>-value&#x2009;=&#x2009;0.004), indicating poor stability of rumen bacteria in the PT group (<xref ref-type="fig" rid="fig1">Figure 1B</xref>).</p>
<fig position="float" id="fig1">
<label>Figure 1</label>
<caption>
<p>Differences in rumen bacterial communities between CON and PT ewes. <bold>(A)</bold> Alpha diversity including Chao1, observed_species, PD_whole_tree, and Shannon indices. <bold>(B)</bold> Principal coordinate analysis (PCoA) of differences in bacterial community composition, the percentage represents the relative contribution of two principal coordinates (PC1&#x2013;PC2). <bold>(C,D)</bold> Rumen bacterial community composition in groups CON and PT at phylum <bold>(C)</bold> and genus levels <bold>(D)</bold>. CON, healthy group (<italic>n</italic>&#x2009;=&#x2009;6), PT, pregnancy toxemia group (<italic>n</italic>&#x2009;=&#x2009;6).</p>
</caption>
<graphic xlink:href="fvets-11-1472334-g001.tif"/>
</fig>
<p>To further study the classification and composition of rumen bacteria, we compared the relative abundance of rumen microbiota in the two groups at the phylum and genus level (<xref ref-type="fig" rid="fig1">Figures 1C</xref>,<xref ref-type="fig" rid="fig1">D</xref>). Bacteroidota and Firmicutes were the most abundant in the rumen of the two groups of ewes at the phylum level. The proportions of Bacteroidota (68.98%) and Proteobacteria (5.34%) in the PT group were increased, while the proportion of Firmicutes (24.73%) was decreased (<xref ref-type="fig" rid="fig1">Figure 1C</xref>). The dominant bacterial genera in the CON group were <italic>Succiniclasticum</italic> (52.25%), <italic>Capnocytophaga</italic> (9.57%), <italic>uncultured_bacterium</italic> (6.69%), and <italic>Elusimicrobium</italic> (6.69%). The species and proportions of dominant bacteria in the PT group were changed and were dominated by <italic>Capnocytophaga</italic> (26.24%), <italic>Succiniclasticum</italic> (22.77%), <italic>Anaeroplasma</italic> (17.39%), and <italic>Prevotella</italic> (9.28%) (<xref ref-type="fig" rid="fig1">Figure 1D</xref>).</p>
<p>A total of 23 phyla, 41 classes, 82 orders, 145 families, and 258 genera were identified in this study. We selected phyla and genera with a relative abundance greater than 1% for subsequent analysis. At the phylum level, the relative abundance of Bacteroidota, Proteobacteria, Fusobacteriota, Bdellovibrionota, Elusimicrobiota, and Actinobacteriota in the PT group was higher (<italic>p</italic>&#x2009;&#x003C;&#x2009;0.01) than those in the CON group. On the contrary, the relative abundance of Euryarchaeota and Firmicutes decreased (<italic>p</italic>&#x2009;&#x003C;&#x2009;0.01) in the PT group (<xref ref-type="fig" rid="fig2">Figure 2A</xref>). At the genus level, the relative abundance of <italic>uncultured_bacterium</italic>, <italic>Prevotellaceae_UCG-003</italic>, and <italic>Christensenellaceae_R-7_group</italic> in the rumen of ewes in the PT group increased (<italic>p</italic>&#x2009;&#x003C;&#x2009;0.01); however, the relative abundance of <italic>Prevotella</italic>, <italic>Butyrivibrio</italic>, <italic>Ruminococcus</italic>, <italic>Lachnospiraceae_XPB1014_group</italic>, <italic>LachnospiraceaeAC2044group</italic>, <italic>Anaeroplasma</italic>, <italic>Lachnospira</italic>, <italic>Oribacterium</italic>, <italic>Lachnospiraceae_NK3A20_group</italic>, <italic>Lachnospiraceae_ND3007_group</italic>, <italic>Lachnospiraceae_NK4A136_group</italic>, and <italic>Eubacterium_ruminantium_group</italic> in the PT group decreased (<italic>p</italic>&#x2009;&#x003C;&#x2009;0.01) than those in the CON group (<xref ref-type="fig" rid="fig2">Figure 2B</xref>).</p>
<fig position="float" id="fig2">
<label>Figure 2</label>
<caption>
<p>Differences in bacterial classification and proportion in CON and PT groups at the phylum <bold>(A)</bold> and genus levels <bold>(B)</bold>. CON, healthy group (<italic>n</italic>&#x2009;=&#x2009;6), PT, pregnancy toxemia group (<italic>n</italic>&#x2009;=&#x2009;6).</p>
</caption>
<graphic xlink:href="fvets-11-1472334-g002.tif"/>
</fig>
</sec>
<sec id="sec13">
<label>3.5</label>
<title>Correlation analysis between ruminal microbiota, serum biochemical indices, and rumen fermentation parameters</title>
<p>To explore how rumen microbiota affects host metabolism, we established a Pearson correlation matrix to explore the relationship between them. We found that most of the rumen bacterial genera were correlated with serum biochemical indicators and rumen fermentation parameters (<xref ref-type="fig" rid="fig3">Figure 3</xref>). The relative abundances of <italic>Oribacterium</italic>, <italic>Butyrivibrio</italic>, <italic>Ruminococcus</italic>, and <italic>Lachnospiraceae_AC2044_group</italic> were positively correlated (<italic>p</italic>&#x2009;&#x003C;&#x2009;0.01) with Glu, INS, acetate, propionate, and butyrate and negatively correlated (<italic>p</italic>&#x2009;&#x003C;&#x2009;0.01) with BHBA, P, GC, AST, and A/P. <italic>Lachnospiraceae_NK4A136_group</italic>, <italic>Eubacterium_ruminantium_group</italic>, <italic>Lachnospiraceae_XPB1014_group</italic>, <italic>Prevotella</italic>, and <italic>Lachnospiraceae_ND3007_group</italic> were positively correlated (<italic>p</italic>&#x2009;&#x003C;&#x2009;0.05) with Glu, INS, acetate, propionate, and butyrate and negatively correlated (<italic>p</italic>&#x2009;&#x003C;&#x2009;0.05) with BHBA, P, GC, AST, and A/P. In contrast, the relative abundances of <italic>Christensenellaceae_R-7_group</italic>, <italic>Prevotellaceae_UCG-003</italic>, and <italic>Alloprevotella</italic> were negatively correlated (<italic>p</italic>&#x2009;&#x003C;&#x2009;0.05) with Glu, INS, acetate, propionate, and butyrate and positively correlated (<italic>p</italic>&#x2009;&#x003C;&#x2009;0.05) with AST and A/P. The relative abundances of <italic>Rikenellaceae_RC9_gut_group</italic> and <italic>uncultured_bacterium</italic> were negatively correlated (<italic>p</italic>&#x2009;&#x003C;&#x2009;0.05) with acetate, propionate, and butyrate and positively correlated (<italic>p</italic>&#x2009;&#x003C;&#x2009;0.05) with BHBA, P, GC, A/P, and BUN.</p>
<fig position="float" id="fig3">
<label>Figure 3</label>
<caption>
<p>Correlation analysis between the ruminal microbiota (relative abundance &#x003E;1%), serum biochemical indices, and rumen fermentation parameters. Glu, glucose; BHBA, &#x03B2;-hydroxybutyrate; NEFA, non-esterified fatty acids; TG, triglycerides; TC, total cholesterol; HDL-C, high-density lipoprotein cholesterol; LDL-C, low-density lipoprotein cholesterol; AST, aspartate aminotransferase; ALT, alanine aminotransferase; ALP, alkaline phosphatase; BUN, blood urea nitrogen; TBIL, total bilirubin; Ca, calcium; P, phosphorus; INS, insulin; GC, glucagon; UA, uric acid; Cr, creatinine; IL, interleukin; TNF-<italic>&#x03B1;</italic>, tumor necrosis factor-&#x03B1;; TP, total protein; ALB, albumin; NH<sub>3</sub>-N, ammonia nitrogen; MCP, microbial crude protein; A/P, acetate-to-propionate ratio. <sup>&#x002A;</sup><italic>p</italic>&#x2009;&#x003C;&#x2009;0.05, <sup>&#x002A;&#x002A;</sup><italic>p</italic>&#x2009;&#x003C;&#x2009;0.01, and <sup>&#x002A;&#x002A;&#x002A;</sup><italic>p</italic>&#x2009;&#x003C;&#x2009;0.001.</p>
</caption>
<graphic xlink:href="fvets-11-1472334-g003.tif"/>
</fig>
</sec>
</sec>
<sec sec-type="discussion" id="sec14">
<label>4</label>
<title>Discussion</title>
<p>Pregnancy toxemia is defined as a metabolic disorder of energy deficiency, with clinical symptoms most often presenting in the last 3&#x2009;weeks of gestation, although some may occur earlier depending on the nutritional status of the ewes (<xref ref-type="bibr" rid="ref1">1</xref>). The basic disorder of pregnancy toxemia is an imbalance in maternal glucose homeostasis, which leads to NEB characterized by hypoglycemia and hyperketonemia (<xref ref-type="bibr" rid="ref19">19</xref>). However, the pathogenesis of glucose homeostasis is still unclear. The exponential growth of the fetus in late pregnancy, approximately 70% of which occurs in the last 30&#x2013;40&#x2009;days, exacerbates glucose loss (<xref ref-type="bibr" rid="ref20">20</xref>, <xref ref-type="bibr" rid="ref21">21</xref>). Fetal glucose utilization is completely dependent on maternal glucose availability given the inability of the fetal liver to synthesize glucose (<xref ref-type="bibr" rid="ref22">22</xref>, <xref ref-type="bibr" rid="ref23">23</xref>); in contrast to the facilitated diffusion of glucose, amino acids are actively transported into the placenta (<xref ref-type="bibr" rid="ref24">24</xref>), so that in response to maternal hypoglycemia, there is a shift to amino acid oxidation to compensate for the energy substrate deficit and alleviate fetal hypoglycemia (<xref ref-type="bibr" rid="ref25">25</xref>). Our results found that the DMI of PT ewes between 120 and 135&#x2009;days of gestation was similar to that of healthy ewes. Both groups had DMI levels below the recommended requirements (<xref ref-type="bibr" rid="ref17">17</xref>), leading us to infer that the experimental ewes experienced NEB during late gestation. When confronted with nutritional limitations, pregnant animals mobilize body fat and labile body proteins to support gluconeogenesis and supply amino acids (<xref ref-type="bibr" rid="ref26">26</xref>). The metabolites produced from lipid mobilization enter the body tissues as energy substrates in three ways: most enter the tricarboxylic acid cycle for complete oxidation and energy supply, while some are esterified to triglycerides (TG). An accumulation of TG in the liver increases the risk of steatosis. Additionally, a portion of these metabolites is oxidized to ketone bodies (<xref ref-type="bibr" rid="ref27">27</xref>, <xref ref-type="bibr" rid="ref28">28</xref>). Lipidolysis in late pregnancy promotes elevated NEFA, which is associated with insulin response and peripheral insulin resistance, and ketogenesis is the result of reduced glucose and insulin concentrations (<xref ref-type="bibr" rid="ref29">29</xref>). In our study, we observed a decrease in serum glucose and insulin and an increase in BHBA in ewes with PT. High concentrations of BHBA inhibit gluconeogenic pathways and exacerbate NEB (<xref ref-type="bibr" rid="ref30">30</xref>). Elevated BHBA levels also reduce the mobilization of adipose tissue and the release of NEFA, which in turn reduces the production of ketone bodies (<xref ref-type="bibr" rid="ref31">31</xref>). Our study found no difference in NEFA and TG between the two groups. This lack of difference may be attributed to the high concentrations of BHBA in ewes with pregnant toxemia, which may inhibit the production of NEFA and TG. An interesting observation from a related study is that after a 36&#x2009;h fast in healthy humans, liver lipid content increases, although the degree of lipid accumulation can vary (<xref ref-type="bibr" rid="ref32">32</xref>). C57BL/6J and SJL/J mice differ dramatically in their susceptibility to fast-induced hepatic steatosis. Although both strains of mice lost 60% of their body TG after a 24-h fast, SJL/J mice did not develop steatosis. In these mice, a greater proportion of the NEFA produced from lipid mobilization was absorbed by the heart and skeletal muscle (<xref ref-type="bibr" rid="ref33">33</xref>). We found that healthy and PT ewes exhibited differences in glycolipid metabolism, which may lead to variations in ketone body production, indicating that lipid oxidation and utilization processes differ between individuals.</p>
<p>The recommended requirements for energy, crude protein, calcium, and phosphorus for ewes in late gestation was 1.5 to 2 times than that of ewes in early gestation (<xref ref-type="bibr" rid="ref17">17</xref>), and with the increase of gestation days, ewes&#x2019; demand for energy and protein increased (<xref ref-type="bibr" rid="ref34">34</xref>). At first, it was thought that feed intake in ruminants was regulated by glucose receptors in the liver, known as the hepatic oxidation theory (HOT) (<xref ref-type="bibr" rid="ref35">35</xref>). In recent years, researchers have found that rumen fermentation has been used to understand the complexity of feed intake metabolism regulation in ruminants (<xref ref-type="bibr" rid="ref36">36</xref>, <xref ref-type="bibr" rid="ref37">37</xref>). The ratio of non-fiber carbohydrates (NFC) to neutral detergent fiber (NDF) alters the composition of the rumen microbiota, and its imbalance also induces rumen acidosis in ewes (<xref ref-type="bibr" rid="ref38">38</xref>), whereas the NDF content of feeds is an important regulator of feed intake in dairy cows (<xref ref-type="bibr" rid="ref39">39</xref>). However, the ability of pregnant cows to consume NDF is reduced with the number of gestation days and gestation times (<xref ref-type="bibr" rid="ref1">1</xref>). Previous studies have found that the degradation of NDF in ewes is mainly affected by the microbiota (<xref ref-type="bibr" rid="ref40">40</xref>); moreover, Wang et al. (<xref ref-type="bibr" rid="ref41">41</xref>) found that rumen microbiota affected short-chain fatty acid metabolism and BHBA accumulation may be related to ketosis even when feed intake was sufficient. Thus, we speculated that the metabolic differences of ewes in late gestation may be related to the rumen microbiota involved in nutrient degradation. NH<sub>3</sub>-N is the end product produced by the decomposition of nitrogen-containing substances in the rumen bacterial community, and MCP is the conversion of NH<sub>3</sub>-N that can provide 50&#x2013;80% absorbable protein for ruminants (<xref ref-type="bibr" rid="ref42">42</xref>). Interestingly, we found that the ability of PT ewes to produce NH<sub>3</sub>-N was increased; however, the ability of the rumen microbiota to synthesize MCP using ammonia was decreased. One study found that 5&#x2009;mg/dL is considered the optimal concentration of NH<sub>3</sub>-N synthetic microbial protein, and when NH<sub>3</sub>-N content is reduced, the serum BUN is transferred to the rumen to alleviate amino-nitrogen deficiency, and defaunation also reduces the NH<sub>3</sub>-N content (<xref ref-type="bibr" rid="ref43">43</xref>). Our study found that BUN was not different between the two groups, while the content of NH<sub>3</sub>-N in PT ewes was increased, which may be related to the relative abundance of rumen protozoa. Richness and diversity can be used as indicators of bacterial community function in the rumen, and specific microbiomes are associated with metabolic pathways to provide more energy to the host (<xref ref-type="bibr" rid="ref44">44</xref>). A previous study found that the ketosis states were accompanied by substantial changes in the bacterial taxa in the rumen (<xref ref-type="bibr" rid="ref41">41</xref>). In this study, we observed a decrease in both the richness and diversity of the rumen microbiota in PT ewes, which may be one reason for their condition. Additionally, there is growing evidence of a link between gastrointestinal microbes and host disease (<xref ref-type="bibr" rid="ref45">45</xref>, <xref ref-type="bibr" rid="ref46">46</xref>). Moreover, fecal microbiota has been shown to be highly informative in predicting human body mass index, glycemic status, and fasting glucose levels (<xref ref-type="bibr" rid="ref46">46</xref>). For example, metabolic disease (rumen acidosis) is associated with rumen microbial disorders (<xref ref-type="bibr" rid="ref47">47</xref>). In cows with ketosis, the composition of the rumen microbiome is altered. Propylene glycol treatment has been shown to increase the relative abundance of <italic>Prevotella</italic>, <italic>Succinivibrionaceae_UCG-001</italic>, and <italic>Prevotellaceae_UCG-001</italic>, and to increase propionate production. This treatment can help reduce blood BHBA levels, thereby promoting a healthier state of the rumen microbiota (<xref ref-type="bibr" rid="ref48">48</xref>). Cows with circulating BHBA concentrations greater than 1.4&#x2009;mmol/L had a 2.83&#x2013;6.70 times higher risk of developing secondary left displaced abomasum (<xref ref-type="bibr" rid="ref49">49</xref>). Additionally, changes in the gut microbiota are associated with ketogenesis and glucose metabolism in cows with left displaced abomasum (<xref ref-type="bibr" rid="ref50">50</xref>).</p>
<p>The VFA produced by rumen microbial fermentation feed is the main energy source of ruminants (<xref ref-type="bibr" rid="ref51">51</xref>). Rumen <italic>Oribacterium</italic> and <italic>Lachnospiraceae_AC2044_group</italic> belong to Firmicutes (<xref ref-type="bibr" rid="ref52">52</xref>), and <italic>Ruminococcus</italic> and <italic>Lachnospiraceae</italic> not only have the ability to degrade cellulose but also contain many plant polysaccharide hydrolase genes (<xref ref-type="bibr" rid="ref53">53</xref>, <xref ref-type="bibr" rid="ref54">54</xref>). <italic>Prevotella</italic> can encode a highly conserved polysaccharide utilization system to degrade soluble gluconic acid and starch polysaccharides and can also use plant cell wall polysaccharides to promote the degradation of xylan (<xref ref-type="bibr" rid="ref55">55</xref>). In addition, the propionate production capacity of <italic>Prevotella</italic> is 2&#x2013;3 times higher than that of <italic>Bacteroides</italic> (<xref ref-type="bibr" rid="ref56">56</xref>). Meanwhile, methane and propionate synthesis can function as the main hydrogen sinks in the rumen, and a strong negative correlation can be detected between these two processes, which provides evidence that Prevotella is associated with low methane and high propionic yield (<xref ref-type="bibr" rid="ref57">57</xref>). <italic>Butyrivibrio</italic> can degrade hemicellulose and produce butyrate using polysaccharides such as starch, pectin, and xylan as substrates (<xref ref-type="bibr" rid="ref58">58</xref>). Furthermore, a previous study estimated the association between the abundances of rumen bacterial and archaeal OTUs and milk BHBA and acetone concentrations, and they found that the most strongly correlated bacterial OTUs are dominated by members of the <italic>Prevotellaceae</italic> and <italic>Ruminococcaceae</italic> families, both of which showed a negative correlation with plasma levels of BHBA (<xref ref-type="bibr" rid="ref59">59</xref>). Our study had similar results, we observed a decrease in the relative abundance of <italic>Prevotella</italic> (Bacteroides), <italic>Butyrivibrio</italic> (Firmicutes), <italic>Ruminococcus</italic> (Firmicutes), and <italic>Lachnospiraceae</italic> (Firmicutes) in PT ewes, and they were positively correlated with the concentrations of Glu, acetate, propionate, and butyrate and negatively correlated with BHBA. Our results indicated that the utilization capacity of feed polysaccharides and hemicelluloses in PT ewes was reduced, and the pathway of VFA production was inhibited, which resulted in an inadequate supply of energy to the ewes in addition to increased fat mobilization and BHBA production. Furthermore, BHBA stimulation of mammary epithelial cells increases the concentration of malondialdehyde, promotes the accumulation of reactive oxygen species, and enhances the expression of inflammatory indicators. This results in oxidative stress and inflammatory response (<xref ref-type="bibr" rid="ref60">60</xref>). Additionally, <italic>Prevotella</italic> and <italic>Lachnospiraceae</italic> regulate host immunity (<xref ref-type="bibr" rid="ref61">61</xref>, <xref ref-type="bibr" rid="ref62">62</xref>) and can promote colonization resistance to rumen pathogens (<xref ref-type="bibr" rid="ref63">63</xref>, <xref ref-type="bibr" rid="ref64">64</xref>). The negative correlation between these microbial groups and BHBA suggests that the decreased relative abundance of <italic>Prevotella</italic> and <italic>Lachnospiraceae</italic> may be related to the BHBA-induced inflammatory response. Proteobacteria is the dominant phylum endemic to PT ewes and includes well-known opportunistic pathogens such as <italic>E. coli</italic> and <italic>Salmonella</italic> (<xref ref-type="bibr" rid="ref65">65</xref>). Therefore, the decrease in <italic>Prevotella</italic> and <italic>Lachnospiraceae</italic> and the increase in Proteobacteria promote the accumulation of pathogenic bacteria in the rumen. These changes in the rumen bacteria may be related to the development of PT.</p>
</sec>
<sec sec-type="conclusions" id="sec15">
<label>5</label>
<title>Conclusion</title>
<p>In this study, we found that the concentrations of serum glucose, acetate, propionate, butyrate, and MCP were lower, while the concentrations of BHBA, AST, A/P, and NH<sub>3</sub>-N were higher in ewes with pregnant toxemia than in healthy ewes. The decreases in the relative abundances of rumen bacteria such as <italic>Oribacterium</italic>, <italic>Prevotella</italic>, <italic>Butyrivibrio</italic>, <italic>Ruminococcus</italic>, and <italic>Lachnospiraceae_AC2044_group</italic> were associated with reduced production of acetate, propionate, and butyrate as well as decreased serum glucose concentrations and increased BHBA and AST concentrations. These findings indicate that differences in rumen bacterial genera are related to pregnancy toxemia in ewes.</p>
</sec>
</body>
<back>
<sec sec-type="data-availability" id="sec16">
<title>Data availability statement</title>
<p>The datasets presented in this study can be found in online repositories. The names of the repository/repositories and accession number(s) can be found in the article/<xref ref-type="supplementary-material" rid="SM1">Supplementary material</xref>.</p>
</sec>
<sec sec-type="ethics-statement" id="sec17">
<title>Ethics statement</title>
<p>The animal study was conducted under the guidance of the Animal Care and Use Committee of the Hebei Agricultural University (approval number: 2020036). The study was conducted in accordance with the local legislation and institutional requirements.</p>
</sec>
<sec sec-type="author-contributions" id="sec18">
<title>Author contributions</title>
<p>JC: Data curation, Formal analysis, Methodology, Writing &#x2013; original draft. SW: Validation, Writing &#x2013; review &#x0026; editing. XY: Validation, Visualization, Writing &#x2013; review &#x0026; editing. CD: Validation, Writing &#x2013; review &#x0026; editing. JL: Software, Writing &#x2013; review &#x0026; editing. Y-qL: Conceptualization, Investigation, Project administration, Resources, Writing &#x2013; review &#x0026; editing. YZ: Conceptualization, Funding acquisition, Supervision, Writing &#x2013; review &#x0026; editing.</p>
</sec>
<sec sec-type="funding-information" id="sec19">
<title>Funding</title>
<p>The author(s) declare that financial support was received for the research, authorship, and/or publication of this article. This study was supported by the China Agriculture Research System (CARS-38).</p>
</sec>
<ack>
<p>The authors thank Zhangjiakou Lanhai Animal Husbandry for providing the experimental sites and sheep. The authors thank Xiaoya Zhao, Peizhi Tian, and Chendi Shi from the College of Animal Science and Technology, Hebei Agricultural University, for their help in the experimental operation.</p>
</ack>
<sec sec-type="COI-statement" id="sec20">
<title>Conflict of interest</title>
<p>The authors declare that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest.</p>
</sec>
<sec sec-type="disclaimer" id="sec21">
<title>Publisher&#x2019;s note</title>
<p>All claims expressed in this article are solely those of the authors and do not necessarily represent those of their affiliated organizations, or those of the publisher, the editors and the reviewers. Any product that may be evaluated in this article, or claim that may be made by its manufacturer, is not guaranteed or endorsed by the publisher.</p>
</sec>
<sec sec-type="supplementary-material" id="sec22">
<title>Supplementary material</title>
<p>The Supplementary material for this article can be found online at: <ext-link xlink:href="https://www.frontiersin.org/articles/10.3389/fvets.2024.1472334/full#supplementary-material" ext-link-type="uri">https://www.frontiersin.org/articles/10.3389/fvets.2024.1472334/full#supplementary-material</ext-link></p>
<supplementary-material xlink:href="Image_1.pdf" id="SM1" mimetype="application/pdf" xmlns:xlink="http://www.w3.org/1999/xlink"/>
</sec>
<ref-list>
<title>References</title>
<ref id="ref1"><label>1.</label> <citation citation-type="journal"><person-group person-group-type="author"><name><surname>Mongini</surname> <given-names>A</given-names></name> <name><surname>Van Saun</surname> <given-names>RJ</given-names></name></person-group>. <article-title>Pregnancy toxemia in sheep and goats</article-title>. <source>Vet Clin North Am Food Anim Pract</source>. (<year>2023</year>) <volume>39</volume>:<fpage>275</fpage>&#x2013;<lpage>91</lpage>. doi: <pub-id pub-id-type="doi">10.1016/j.cvfa.2023.02.010</pub-id></citation></ref>
<ref id="ref2"><label>2.</label> <citation citation-type="journal"><person-group person-group-type="author"><name><surname>Vasava</surname> <given-names>PR</given-names></name> <name><surname>Jani</surname> <given-names>RG</given-names></name> <name><surname>Goswami</surname> <given-names>HV</given-names></name> <name><surname>Rathwa</surname> <given-names>SD</given-names></name> <name><surname>Tandel</surname> <given-names>FB</given-names></name></person-group>. <article-title>Studies on clinical signs and biochemical alteration in pregnancy toxemic goats</article-title>. <source>Vet World</source>. (<year>2016</year>) <volume>9</volume>:<fpage>869</fpage>&#x2013;<lpage>74</lpage>. doi: <pub-id pub-id-type="doi">10.14202/vetworld.2016.869-874</pub-id></citation></ref>
<ref id="ref3"><label>3.</label> <citation citation-type="journal"><person-group person-group-type="author"><name><surname>Rook</surname> <given-names>JS</given-names></name></person-group>. <article-title>Pregnancy toxemia of ewes, does, and beef cows</article-title>. <source>Vet Clin North Am Food Anim Pract</source>. (<year>2000</year>) <volume>16</volume>:<fpage>293</fpage>&#x2013;<lpage>317</lpage>. doi: <pub-id pub-id-type="doi">10.1016/s0749-0720(15)30107-9</pub-id></citation></ref>
<ref id="ref4"><label>4.</label> <citation citation-type="journal"><person-group person-group-type="author"><name><surname>Ji</surname> <given-names>X</given-names></name> <name><surname>Liu</surname> <given-names>N</given-names></name> <name><surname>Wang</surname> <given-names>Y</given-names></name> <name><surname>Ding</surname> <given-names>K</given-names></name> <name><surname>Huang</surname> <given-names>S</given-names></name> <name><surname>Zhang</surname> <given-names>C</given-names></name></person-group>. <article-title>Pregnancy toxemia in ewes: a review of molecular metabolic mechanisms and management strategies</article-title>. <source>Metabolites</source>. (<year>2023</year>) <volume>13</volume>:<fpage>149</fpage>. doi: <pub-id pub-id-type="doi">10.3390/metabo13020149</pub-id>, PMID: <pub-id pub-id-type="pmid">36837768</pub-id></citation></ref>
<ref id="ref5"><label>5.</label> <citation citation-type="journal"><person-group person-group-type="author"><name><surname>Xue</surname> <given-names>YF</given-names></name> <name><surname>Guo</surname> <given-names>CZ</given-names></name> <name><surname>Hu</surname> <given-names>F</given-names></name> <name><surname>Sun</surname> <given-names>DM</given-names></name> <name><surname>Liu</surname> <given-names>JH</given-names></name> <name><surname>Mao</surname> <given-names>SY</given-names></name></person-group>. <article-title>Molecular mechanisms of lipid metabolism disorder in livers of ewes with pregnancy toxemia</article-title>. <source>Animal</source>. (<year>2019</year>) <volume>13</volume>:<fpage>992</fpage>&#x2013;<lpage>9</lpage>. doi: <pub-id pub-id-type="doi">10.1017/S1751731118002136</pub-id></citation></ref>
<ref id="ref6"><label>6.</label> <citation citation-type="journal"><person-group person-group-type="author"><name><surname>Xue</surname> <given-names>Y</given-names></name> <name><surname>Guo</surname> <given-names>C</given-names></name> <name><surname>Hu</surname> <given-names>F</given-names></name> <name><surname>Zhu</surname> <given-names>W</given-names></name> <name><surname>Mao</surname> <given-names>S</given-names></name></person-group>. <article-title>Maternal undernutrition induces fetal hepatic lipid metabolism disorder and affects the development of fetal liver in a sheep model</article-title>. <source>FASEB J</source>. (<year>2019</year>) <volume>33</volume>:<fpage>9990</fpage>&#x2013;<lpage>10004</lpage>. doi: <pub-id pub-id-type="doi">10.1096/fj.201900406R</pub-id>, PMID: <pub-id pub-id-type="pmid">31167079</pub-id></citation></ref>
<ref id="ref7"><label>7.</label> <citation citation-type="journal"><person-group person-group-type="author"><name><surname>Sun</surname> <given-names>B</given-names></name> <name><surname>Cao</surname> <given-names>Y</given-names></name> <name><surname>Cai</surname> <given-names>C</given-names></name> <name><surname>Yu</surname> <given-names>C</given-names></name> <name><surname>Li</surname> <given-names>S</given-names></name> <name><surname>Yao</surname> <given-names>J</given-names></name></person-group>. <article-title>Temporal dynamics of nutrient balance, plasma biochemical and immune traits, and liver function in transition dairy cows</article-title>. <source>J Integr Agric</source>. (<year>2020</year>) <volume>19</volume>:<fpage>820</fpage>&#x2013;<lpage>37</lpage>. doi: <pub-id pub-id-type="doi">10.1016/S2095-3119(20)63153-7</pub-id></citation></ref>
<ref id="ref8"><label>8.</label> <citation citation-type="journal"><person-group person-group-type="author"><name><surname>Esposito</surname> <given-names>G</given-names></name> <name><surname>Irons</surname> <given-names>PC</given-names></name> <name><surname>Webb</surname> <given-names>EC</given-names></name> <name><surname>Chapwanya</surname> <given-names>A</given-names></name></person-group>. <article-title>Interactions between negative energy balance, metabolic diseases, uterine health and immune response in transition dairy cows</article-title>. <source>Anim Reprod Sci</source>. (<year>2014</year>) <volume>144</volume>:<fpage>60</fpage>&#x2013;<lpage>71</lpage>. doi: <pub-id pub-id-type="doi">10.1016/j.anireprosci.2013.11.007</pub-id>, PMID: <pub-id pub-id-type="pmid">24378117</pub-id></citation></ref>
<ref id="ref9"><label>9.</label> <citation citation-type="journal"><person-group person-group-type="author"><name><surname>Forbes</surname> <given-names>JM</given-names></name></person-group>. <article-title>The effect of pregnancy and fatness on the volume of rumen contents in the ewe</article-title>. <source>J Agric Sci</source>. (<year>1969</year>) <volume>72</volume>:<fpage>119</fpage>&#x2013;<lpage>21</lpage>. doi: <pub-id pub-id-type="doi">10.1017/S0021859600020475</pub-id></citation></ref>
<ref id="ref10"><label>10.</label> <citation citation-type="journal"><person-group person-group-type="author"><name><surname>Schlumbohm</surname> <given-names>C</given-names></name> <name><surname>Harmeyer</surname> <given-names>J</given-names></name></person-group>. <article-title>Twin-pregnancy increases susceptibility of ewes to hypoglycaemic stress and pregnancy toxaemia</article-title>. <source>Res Vet Sci</source>. (<year>2008</year>) <volume>84</volume>:<fpage>286</fpage>&#x2013;<lpage>99</lpage>. doi: <pub-id pub-id-type="doi">10.1016/j.rvsc.2007.05.001</pub-id></citation></ref>
<ref id="ref11"><label>11.</label> <citation citation-type="journal"><person-group person-group-type="author"><name><surname>Lima</surname> <given-names>MS</given-names></name> <name><surname>Pascoal</surname> <given-names>RA</given-names></name> <name><surname>Stilwell</surname> <given-names>GT</given-names></name> <name><surname>Hjerpe</surname> <given-names>CA</given-names></name></person-group>. <article-title>Clinical findings, blood chemistry values, and epidemiologic data from dairy goats with pregnancy toxemia</article-title>. <source>Bovine Pract</source>. (<year>2012</year>) <volume>46</volume>:<fpage>102</fpage>&#x2013;<lpage>10</lpage>. doi: <pub-id pub-id-type="doi">10.21423/bovine-vol46no2p102-110</pub-id></citation></ref>
<ref id="ref12"><label>12.</label> <citation citation-type="journal"><person-group person-group-type="author"><name><surname>Nichols</surname> <given-names>BL</given-names></name> <name><surname>Quezada-Calvillo</surname> <given-names>R</given-names></name> <name><surname>Robayo-Torres</surname> <given-names>CC</given-names></name> <name><surname>Ao</surname> <given-names>Z</given-names></name> <name><surname>Hamaker</surname> <given-names>BR</given-names></name> <name><surname>Butte</surname> <given-names>NF</given-names></name> <etal/></person-group>. <article-title>Mucosal maltase-glucoamylase plays a crucial role in starch digestion and prandial glucose homeostasis of mice</article-title>. <source>J Nutr</source>. (<year>2009</year>) <volume>139</volume>:<fpage>684</fpage>&#x2013;<lpage>90</lpage>. doi: <pub-id pub-id-type="doi">10.3945/jn.108.098434</pub-id></citation></ref>
<ref id="ref13"><label>13.</label> <citation citation-type="journal"><person-group person-group-type="author"><name><surname>Reynolds</surname> <given-names>CK</given-names></name> <name><surname>Aikman</surname> <given-names>PC</given-names></name> <name><surname>Lupoli</surname> <given-names>B</given-names></name> <name><surname>Humphries</surname> <given-names>DJ</given-names></name> <name><surname>Beever</surname> <given-names>DE</given-names></name></person-group>. <article-title>Splanchnic metabolism of dairy cows during the transition from late gestation through early lactation</article-title>. <source>J Dairy Sci</source>. (<year>2003</year>) <volume>86</volume>:<fpage>1201</fpage>&#x2013;<lpage>17</lpage>. doi: <pub-id pub-id-type="doi">10.3168/jds.S0022-0302(03)73704-7</pub-id></citation></ref>
<ref id="ref14"><label>14.</label> <citation citation-type="journal"><person-group person-group-type="author"><name><surname>Xue</surname> <given-names>Y</given-names></name> <name><surname>Hu</surname> <given-names>F</given-names></name> <name><surname>Guo</surname> <given-names>C</given-names></name> <name><surname>Mei</surname> <given-names>S</given-names></name> <name><surname>Xie</surname> <given-names>F</given-names></name> <name><surname>Zeng</surname> <given-names>H</given-names></name> <etal/></person-group>. <article-title>Undernutrition shifted colonic fermentation and digest-associated bacterial communities in pregnant ewes</article-title>. <source>Appl Microbiol Biotechnol</source>. (<year>2020</year>) <volume>104</volume>:<fpage>5973</fpage>&#x2013;<lpage>84</lpage>. doi: <pub-id pub-id-type="doi">10.1007/s00253-020-10662-4</pub-id></citation></ref>
<ref id="ref15"><label>15.</label> <citation citation-type="journal"><person-group person-group-type="author"><name><surname>Shabat</surname> <given-names>SK</given-names></name> <name><surname>Sasson</surname> <given-names>G</given-names></name> <name><surname>Doron-Faigenboim</surname> <given-names>A</given-names></name> <name><surname>Durman</surname> <given-names>T</given-names></name> <name><surname>Yaacoby</surname> <given-names>S</given-names></name> <name><surname>Berg</surname> <given-names>MM</given-names></name> <etal/></person-group>. <article-title>Specific microbiome-dependent mechanisms underlie the energy harvest efficiency of ruminants</article-title>. <source>ISME J</source>. (<year>2016</year>) <volume>10</volume>:<fpage>2958</fpage>&#x2013;<lpage>72</lpage>. doi: <pub-id pub-id-type="doi">10.1038/ismej.2016.62</pub-id>, PMID: <pub-id pub-id-type="pmid">27152936</pub-id></citation></ref>
<ref id="ref16"><label>16.</label> <citation citation-type="journal"><person-group person-group-type="author"><name><surname>Li</surname> <given-names>Y</given-names></name> <name><surname>Yang</surname> <given-names>Y</given-names></name> <name><surname>Chai</surname> <given-names>S</given-names></name> <name><surname>Pang</surname> <given-names>K</given-names></name> <name><surname>Wang</surname> <given-names>X</given-names></name> <name><surname>Xu</surname> <given-names>L</given-names></name> <etal/></person-group>. <article-title>Ruminal fluid transplantation accelerates rumen microbial remodeling and improves feed efficiency in yaks</article-title>. <source>Microorganisms</source>. (<year>2023</year>) <volume>11</volume>:<fpage>1964</fpage>. doi: <pub-id pub-id-type="doi">10.3390/microorganisms11081964</pub-id></citation></ref>
<ref id="ref17"><label>17.</label> <citation citation-type="book"><person-group person-group-type="author"><collab id="coll1">NRC (National Research Council)</collab></person-group>. <source>Nutrient requirements of small ruminants: sheep, goats, cervids and new world camelids</source>. <publisher-loc>Washington, DC</publisher-loc>: <publisher-name>National Academy Press</publisher-name> (<year>2007</year>).</citation></ref>
<ref id="ref18"><label>18.</label> <citation citation-type="journal"><person-group person-group-type="author"><name><surname>Broderick</surname> <given-names>GA</given-names></name> <name><surname>Kang</surname> <given-names>JH</given-names></name></person-group>. <article-title>Automated simultaneous determination of ammonia and total amino acids in ruminal fluid and in vitro media</article-title>. <source>J Dairy Sci</source>. (<year>1980</year>) <volume>63</volume>:<fpage>64</fpage>&#x2013;<lpage>75</lpage>. doi: <pub-id pub-id-type="doi">10.3168/jds.S0022-0302(80)82888-8</pub-id></citation></ref>
<ref id="ref19"><label>19.</label> <citation citation-type="journal"><person-group person-group-type="author"><name><surname>Fthenakis</surname> <given-names>GC</given-names></name> <name><surname>Arsenos</surname> <given-names>G</given-names></name> <name><surname>Brozos</surname> <given-names>C</given-names></name> <name><surname>Fragkou</surname> <given-names>IA</given-names></name> <name><surname>Giadinis</surname> <given-names>ND</given-names></name> <name><surname>Giannenas</surname> <given-names>I</given-names></name> <etal/></person-group>. <article-title>Health management of ewes during pregnancy</article-title>. <source>Anim Reprod Sci</source>. (<year>2012</year>) <volume>130</volume>:<fpage>198</fpage>&#x2013;<lpage>212</lpage>. doi: <pub-id pub-id-type="doi">10.1016/j.anireprosci.2012.01.016</pub-id></citation></ref>
<ref id="ref20"><label>20.</label> <citation citation-type="journal"><person-group person-group-type="author"><name><surname>Koong</surname> <given-names>LJ</given-names></name> <name><surname>Garrett</surname> <given-names>WN</given-names></name> <name><surname>Rattray</surname> <given-names>PV</given-names></name></person-group>. <article-title>A description of the dynamics of fetal growth in sheep</article-title>. <source>J Anim Sci</source>. (<year>1975</year>) <volume>41</volume>:<fpage>1065</fpage>&#x2013;<lpage>8</lpage>. doi: <pub-id pub-id-type="doi">10.2527/jas1975.4141065x</pub-id>, PMID: <pub-id pub-id-type="pmid">1176362</pub-id></citation></ref>
<ref id="ref21"><label>21.</label> <citation citation-type="journal"><person-group person-group-type="author"><name><surname>Rattray</surname> <given-names>PV</given-names></name> <name><surname>Garrett</surname> <given-names>WN</given-names></name> <name><surname>East</surname> <given-names>NE</given-names></name> <name><surname>Hinman</surname> <given-names>N</given-names></name></person-group>. <article-title>Growth, development and composition of the ovine conceptus and mammary gland during pregnancy</article-title>. <source>J Anim Sci</source>. (<year>1974</year>) <volume>38</volume>:<fpage>613</fpage>&#x2013;<lpage>26</lpage>. doi: <pub-id pub-id-type="doi">10.2527/jas1974.383613x</pub-id></citation></ref>
<ref id="ref22"><label>22.</label> <citation citation-type="journal"><person-group person-group-type="author"><name><surname>Bell</surname> <given-names>AW</given-names></name> <name><surname>Ehrhardt</surname> <given-names>RA</given-names></name></person-group>. <article-title>Regulation of placental nutrient transport and implications for fetal growth</article-title>. <source>Nutr Res Rev</source>. (<year>2002</year>) <volume>15</volume>:<fpage>211</fpage>&#x2013;<lpage>30</lpage>. doi: <pub-id pub-id-type="doi">10.1079/Nrr200239</pub-id></citation></ref>
<ref id="ref23"><label>23.</label> <citation citation-type="journal"><person-group person-group-type="author"><name><surname>Steinhoff-Wagner</surname> <given-names>J</given-names></name> <name><surname>G&#x00F6;rs</surname> <given-names>S</given-names></name> <name><surname>Junghans</surname> <given-names>P</given-names></name> <name><surname>Bruckmaier</surname> <given-names>RM</given-names></name> <name><surname>Kanitz</surname> <given-names>E</given-names></name> <name><surname>Metges</surname> <given-names>CC</given-names></name> <etal/></person-group>. <article-title>Maturation of endogenous glucose production in preterm and term calves</article-title>. <source>J Dairy Sci</source>. (<year>2011</year>) <volume>94</volume>:<fpage>5111</fpage>&#x2013;<lpage>23</lpage>. doi: <pub-id pub-id-type="doi">10.3168/jds.2011-4355</pub-id></citation></ref>
<ref id="ref24"><label>24.</label> <citation citation-type="journal"><person-group person-group-type="author"><name><surname>Battaglia</surname> <given-names>FC</given-names></name> <name><surname>Meschia</surname> <given-names>G</given-names></name></person-group>. <article-title>Principal substrates of fetal metabolism</article-title>. <source>Physiol Rev</source>. (<year>1978</year>) <volume>58</volume>:<fpage>499</fpage>&#x2013;<lpage>527</lpage>. doi: <pub-id pub-id-type="doi">10.1152/physrev.1978.58.2.499</pub-id></citation></ref>
<ref id="ref25"><label>25.</label> <citation citation-type="journal"><person-group person-group-type="author"><name><surname>Faichney</surname> <given-names>GJ</given-names></name> <name><surname>White</surname> <given-names>GA</given-names></name></person-group>. <article-title>Effects of maternal nutritional status on fetal and placental growth and on fetal urea synthesis in sheep</article-title>. <source>Aust J Biol Sci</source>. (<year>1987</year>) <volume>40</volume>:<fpage>365</fpage>&#x2013;<lpage>77</lpage>. doi: <pub-id pub-id-type="doi">10.1071/bi9870365</pub-id>, PMID: <pub-id pub-id-type="pmid">3453037</pub-id></citation></ref>
<ref id="ref26"><label>26.</label> <citation citation-type="journal"><person-group person-group-type="author"><name><surname>McNeill</surname> <given-names>DM</given-names></name> <name><surname>Slepetis</surname> <given-names>R</given-names></name> <name><surname>Ehrhardt</surname> <given-names>RA</given-names></name> <name><surname>Smith</surname> <given-names>DM</given-names></name> <name><surname>Bell</surname> <given-names>AW</given-names></name></person-group>. <article-title>Protein requirements of sheep in late pregnancy: partitioning of nitrogen between gravid uterus and maternal tissues</article-title>. <source>J Anim Sci</source>. (<year>1997</year>) <volume>75</volume>:<fpage>809</fpage>&#x2013;<lpage>16</lpage>. doi: <pub-id pub-id-type="doi">10.2527/1997.753809x</pub-id>, PMID: <pub-id pub-id-type="pmid">9078501</pub-id></citation></ref>
<ref id="ref27"><label>27.</label> <citation citation-type="journal"><person-group person-group-type="author"><name><surname>Hodson</surname> <given-names>L</given-names></name> <name><surname>Gunn</surname> <given-names>PJ</given-names></name></person-group>. <article-title>The regulation of hepatic fatty acid synthesis and partitioning: the effect of nutritional state</article-title>. <source>Nat Rev Endocrinol</source>. (<year>2019</year>) <volume>15</volume>:<fpage>689</fpage>&#x2013;<lpage>700</lpage>. doi: <pub-id pub-id-type="doi">10.1038/s41574-019-0256-9</pub-id>, PMID: <pub-id pub-id-type="pmid">31554932</pub-id></citation></ref>
<ref id="ref28"><label>28.</label> <citation citation-type="journal"><person-group person-group-type="author"><name><surname>Laffel</surname> <given-names>L</given-names></name></person-group>. <article-title>Ketone bodies: a review of physiology, pathophysiology and application of monitoring to diabetes</article-title>. <source>Diabetes Metab Res Rev</source>. (<year>1999</year>) <volume>15</volume>:<fpage>412</fpage>&#x2013;<lpage>26</lpage>. doi: <pub-id pub-id-type="doi">10.1002/(sici)1520-7560(199911/12)15:6&#x003C;412::aid-dmrr72&#x003E;3.0.co;2-8</pub-id></citation></ref>
<ref id="ref29"><label>29.</label> <citation citation-type="journal"><person-group person-group-type="author"><name><surname>Bell</surname> <given-names>AW</given-names></name></person-group>. <article-title>Regulation of organic nutrient metabolism during transition from late pregnancy to early lactation</article-title>. <source>J Anim Sci</source>. (<year>1995</year>) <volume>73</volume>:<fpage>2804</fpage>&#x2013;<lpage>19</lpage>. doi: <pub-id pub-id-type="doi">10.2527/1995.7392804x</pub-id>, PMID: <pub-id pub-id-type="pmid">8582872</pub-id></citation></ref>
<ref id="ref30"><label>30.</label> <citation citation-type="journal"><person-group person-group-type="author"><name><surname>Schlumbohm</surname> <given-names>C</given-names></name> <name><surname>Harmeyer</surname> <given-names>J</given-names></name></person-group>. <article-title>Hyperketonemia impairs glucose metabolism in pregnant and nonpregnant ewes</article-title>. <source>J Dairy Sci</source>. (<year>2004</year>) <volume>87</volume>:<fpage>350</fpage>&#x2013;<lpage>8</lpage>. doi: <pub-id pub-id-type="doi">10.3168/jds.S0022-0302(04)73174-4</pub-id>, PMID: <pub-id pub-id-type="pmid">14762078</pub-id></citation></ref>
<ref id="ref31"><label>31.</label> <citation citation-type="journal"><person-group person-group-type="author"><name><surname>Harmeyer</surname> <given-names>J</given-names></name> <name><surname>Schlumbohm</surname> <given-names>C</given-names></name></person-group>. <article-title>Pregnancy impairs ketone body disposal in late gestating ewes: implications for onset of pregnancy toxaemia</article-title>. <source>Res Vet Sci</source>. (<year>2006</year>) <volume>81</volume>:<fpage>254</fpage>&#x2013;<lpage>64</lpage>. doi: <pub-id pub-id-type="doi">10.1016/j.rvsc.2005.10.010</pub-id>, PMID: <pub-id pub-id-type="pmid">16427105</pub-id></citation></ref>
<ref id="ref32"><label>32.</label> <citation citation-type="journal"><person-group person-group-type="author"><name><surname>Moller</surname> <given-names>L</given-names></name> <name><surname>Stodkilde-Jorgensen</surname> <given-names>H</given-names></name> <name><surname>Jensen</surname> <given-names>FT</given-names></name> <name><surname>Jorgensen</surname> <given-names>JO</given-names></name></person-group>. <article-title>Fasting in healthy subjects is associated with intrahepatic accumulation of lipids as assessed by 1h-magnetic resonance spectroscopy</article-title>. <source>Clin Sci</source>. (<year>2008</year>) <volume>114</volume>:<fpage>547</fpage>&#x2013;<lpage>52</lpage>. doi: <pub-id pub-id-type="doi">10.1042/Cs20070217</pub-id></citation></ref>
<ref id="ref33"><label>33.</label> <citation citation-type="journal"><person-group person-group-type="author"><name><surname>Guan</surname> <given-names>HP</given-names></name> <name><surname>Goldstein</surname> <given-names>JL</given-names></name> <name><surname>Brown</surname> <given-names>MS</given-names></name> <name><surname>Liang</surname> <given-names>G</given-names></name></person-group>. <article-title>Accelerated fatty acid oxidation in muscle averts fasting-induced hepatic steatosis in SJL/J mice</article-title>. <source>J Biol Chem</source>. (<year>2009</year>) <volume>284</volume>:<fpage>24644</fpage>&#x2013;<lpage>52</lpage>. doi: <pub-id pub-id-type="doi">10.1074/jbc.M109.034397</pub-id></citation></ref>
<ref id="ref34"><label>34.</label> <citation citation-type="journal"><person-group person-group-type="author"><name><surname>Zhang</surname> <given-names>H</given-names></name> <name><surname>Sun</surname> <given-names>L</given-names></name> <name><surname>Wang</surname> <given-names>Z</given-names></name> <name><surname>Ma</surname> <given-names>T</given-names></name> <name><surname>Deng</surname> <given-names>M</given-names></name> <name><surname>Wang</surname> <given-names>F</given-names></name> <etal/></person-group>. <article-title>Energy and protein requirements for maintenance of Hu sheep during pregnancy</article-title>. <source>J Integr Agric</source>. (<year>2018</year>) <volume>17</volume>:<fpage>173</fpage>&#x2013;<lpage>83</lpage>. doi: <pub-id pub-id-type="doi">10.1016/S2095-3119(17)61691-5</pub-id></citation></ref>
<ref id="ref35"><label>35.</label> <citation citation-type="journal"><person-group person-group-type="author"><name><surname>Friedman</surname> <given-names>MI</given-names></name></person-group>. <article-title>Fuel partitioning and food intake</article-title>. <source>Am J Clin Nutr</source>. (<year>1998</year>) <volume>67</volume>:<fpage>513S</fpage>&#x2013;<lpage>8S</lpage>. doi: <pub-id pub-id-type="doi">10.1093/ajcn/67.3.513S</pub-id></citation></ref>
<ref id="ref36"><label>36.</label> <citation citation-type="journal"><person-group person-group-type="author"><name><surname>Allen</surname> <given-names>MS</given-names></name> <name><surname>Bradford</surname> <given-names>BJ</given-names></name> <name><surname>Harvatine</surname> <given-names>KJ</given-names></name></person-group>. <article-title>Cow as a model to study food intake regulation</article-title>. <source>Annu Rev Nutr</source>. (<year>2005</year>) <volume>25</volume>:<fpage>523</fpage>&#x2013;<lpage>47</lpage>. doi: <pub-id pub-id-type="doi">10.1146/annurev.nutr.25.050304.092704</pub-id></citation></ref>
<ref id="ref37"><label>37.</label> <citation citation-type="journal"><person-group person-group-type="author"><name><surname>Allen</surname> <given-names>MS</given-names></name> <name><surname>Bradford</surname> <given-names>BJ</given-names></name> <name><surname>Oba</surname> <given-names>M</given-names></name></person-group>. <article-title>Board-invited review: the hepatic oxidation theory of the control of feed intake and its application to ruminants</article-title>. <source>J Anim Sci</source>. (<year>2009</year>) <volume>87</volume>:<fpage>3317</fpage>&#x2013;<lpage>34</lpage>. doi: <pub-id pub-id-type="doi">10.2527/jas.2009-1779</pub-id>, PMID: <pub-id pub-id-type="pmid">19648500</pub-id></citation></ref>
<ref id="ref38"><label>38.</label> <citation citation-type="journal"><person-group person-group-type="author"><name><surname>Liu</surname> <given-names>D</given-names></name> <name><surname>Zhou</surname> <given-names>X</given-names></name> <name><surname>Zhao</surname> <given-names>P</given-names></name> <name><surname>Gao</surname> <given-names>M</given-names></name> <name><surname>Han</surname> <given-names>H</given-names></name> <name><surname>Hu</surname> <given-names>H</given-names></name></person-group>. <article-title>Effects of increasing non-fiber carbohydrate to neutral detergent fiber ratio on rumen fermentation and microbiota in goats</article-title>. <source>J Integr Agric</source>. (<year>2013</year>) <volume>12</volume>:<fpage>319</fpage>&#x2013;<lpage>26</lpage>. doi: <pub-id pub-id-type="doi">10.1016/S2095-3119(13)60231-2</pub-id></citation></ref>
<ref id="ref39"><label>39.</label> <citation citation-type="journal"><person-group person-group-type="author"><name><surname>Pan</surname> <given-names>X</given-names></name> <name><surname>Yang</surname> <given-names>L</given-names></name> <name><surname>Yves</surname> <given-names>B</given-names></name> <name><surname>Xiong</surname> <given-names>B</given-names></name> <name><surname>Jiang</surname> <given-names>L</given-names></name></person-group>. <article-title>Accuracy comparison of dry matter intake prediction models evaluated by a feeding trial of lactating dairy cows fed two total mixed rations with different forage source</article-title>. <source>J Integr Agric</source>. (<year>2017</year>) <volume>16</volume>:<fpage>921</fpage>&#x2013;<lpage>9</lpage>. doi: <pub-id pub-id-type="doi">10.1016/S2095-3119(16)61483-1</pub-id></citation></ref>
<ref id="ref40"><label>40.</label> <citation citation-type="journal"><person-group person-group-type="author"><name><surname>Arce-Cordero</surname> <given-names>JA</given-names></name> <name><surname>Fan</surname> <given-names>P</given-names></name> <name><surname>Monteiro</surname> <given-names>HF</given-names></name> <name><surname>Dai</surname> <given-names>X</given-names></name> <name><surname>Jeong</surname> <given-names>KC</given-names></name> <name><surname>Faciola</surname> <given-names>AP</given-names></name></person-group>. <article-title>Effects of choline chloride on the ruminal microbiome at 2 dietary neutral detergent fiber concentrations in continuous culture</article-title>. <source>J Dairy Sci</source>. (<year>2022</year>) <volume>105</volume>:<fpage>4128</fpage>&#x2013;<lpage>43</lpage>. doi: <pub-id pub-id-type="doi">10.3168/jds.2021-21591</pub-id>, PMID: <pub-id pub-id-type="pmid">35282921</pub-id></citation></ref>
<ref id="ref41"><label>41.</label> <citation citation-type="journal"><person-group person-group-type="author"><name><surname>Wang</surname> <given-names>Q</given-names></name> <name><surname>Cui</surname> <given-names>Y</given-names></name> <name><surname>Indugu</surname> <given-names>N</given-names></name> <name><surname>Loor</surname> <given-names>JJ</given-names></name> <name><surname>Jiang</surname> <given-names>Q</given-names></name> <name><surname>Yu</surname> <given-names>Z</given-names></name> <etal/></person-group>. <article-title>Integrated meta-omics analyses reveal a role of ruminal microorganisms in ketone body accumulation and ketosis in lactating dairy cows</article-title>. <source>J Dairy Sci</source>. (<year>2023</year>) <volume>106</volume>:<fpage>4906</fpage>&#x2013;<lpage>17</lpage>. doi: <pub-id pub-id-type="doi">10.3168/jds.2022-22282</pub-id></citation></ref>
<ref id="ref42"><label>42.</label> <citation citation-type="journal"><person-group person-group-type="author"><name><surname>Pilgrim</surname> <given-names>AF</given-names></name> <name><surname>Weller</surname> <given-names>RA</given-names></name> <name><surname>Gray</surname> <given-names>FV</given-names></name> <name><surname>Belling</surname> <given-names>CB</given-names></name></person-group>. <article-title>Synthesis of microbial protein from ammonia in the sheep&#x2019;s rumen and the proportion of dietary nitrogen converted into microbial nitrogen</article-title>. <source>Br J Nutr</source>. (<year>1970</year>) <volume>24</volume>:<fpage>589</fpage>&#x2013;<lpage>98</lpage>. doi: <pub-id pub-id-type="doi">10.1079/bjn19700057</pub-id></citation></ref>
<ref id="ref43"><label>43.</label> <citation citation-type="journal"><person-group person-group-type="author"><name><surname>Firkins</surname> <given-names>JL</given-names></name> <name><surname>Yu</surname> <given-names>Z</given-names></name> <name><surname>Morrison</surname> <given-names>M</given-names></name></person-group>. <article-title>Ruminal nitrogen metabolism: perspectives for integration of microbiology and nutrition for dairy</article-title>. <source>J Dairy Sci</source>. (<year>2007</year>) <volume>90</volume>:<fpage>E1</fpage>&#x2013;<lpage>E16</lpage>. doi: <pub-id pub-id-type="doi">10.3168/jds.2006-518</pub-id></citation></ref>
<ref id="ref44"><label>44.</label> <citation citation-type="journal"><person-group person-group-type="author"><name><surname>Elolimy</surname> <given-names>AA</given-names></name> <name><surname>Arroyo</surname> <given-names>JM</given-names></name> <name><surname>Batistel</surname> <given-names>F</given-names></name> <name><surname>Iakiviak</surname> <given-names>MA</given-names></name> <name><surname>Loor</surname> <given-names>JJ</given-names></name></person-group>. <article-title>Association of residual feed intake with abundance of ruminal bacteria and biopolymer hydrolyzing enzyme activities during the peripartal period and early lactation in Holstein dairy cows</article-title>. <source>J Anim Sci Biotechnol</source>. (<year>2018</year>) <volume>9</volume>:<fpage>43</fpage>. doi: <pub-id pub-id-type="doi">10.1186/s40104-018-0258-9</pub-id>, PMID: <pub-id pub-id-type="pmid">29796256</pub-id></citation></ref>
<ref id="ref45"><label>45.</label> <citation citation-type="journal"><person-group person-group-type="author"><name><surname>DePeters</surname> <given-names>EJ</given-names></name> <name><surname>George</surname> <given-names>LW</given-names></name></person-group>. <article-title>Rumen transfaunation</article-title>. <source>Immunol Lett</source>. (<year>2014</year>) <volume>162</volume>:<fpage>69</fpage>&#x2013;<lpage>76</lpage>. doi: <pub-id pub-id-type="doi">10.1016/j.imlet.2014.05.009</pub-id></citation></ref>
<ref id="ref46"><label>46.</label> <citation citation-type="journal"><person-group person-group-type="author"><name><surname>Difford</surname> <given-names>GF</given-names></name> <name><surname>Plichta</surname> <given-names>DR</given-names></name> <name><surname>Lovendahl</surname> <given-names>P</given-names></name> <name><surname>Lassen</surname> <given-names>J</given-names></name> <name><surname>Noel</surname> <given-names>SJ</given-names></name> <name><surname>Hojberg</surname> <given-names>O</given-names></name> <etal/></person-group>. <article-title>Host genetics and the rumen microbiome jointly associate with methane emissions in dairy cows</article-title>. <source>PLoS Genet</source>. (<year>2018</year>) <volume>14</volume>:<fpage>e1007580</fpage>. doi: <pub-id pub-id-type="doi">10.1371/journal.pgen.1007580</pub-id></citation></ref>
<ref id="ref47"><label>47.</label> <citation citation-type="journal"><person-group person-group-type="author"><name><surname>Khafipour</surname> <given-names>E</given-names></name> <name><surname>Li</surname> <given-names>S</given-names></name> <name><surname>Plaizier</surname> <given-names>JC</given-names></name> <name><surname>Krause</surname> <given-names>DO</given-names></name></person-group>. <article-title>Rumen microbiome composition determined using two nutritional models of subacute ruminal acidosis</article-title>. <source>Appl Environ Microbiol</source>. (<year>2009</year>) <volume>75</volume>:<fpage>7115</fpage>&#x2013;<lpage>24</lpage>. doi: <pub-id pub-id-type="doi">10.1128/Aem.00739-09</pub-id>, PMID: <pub-id pub-id-type="pmid">19783747</pub-id></citation></ref>
<ref id="ref48"><label>48.</label> <citation citation-type="journal"><person-group person-group-type="author"><name><surname>Xiang</surname> <given-names>K</given-names></name> <name><surname>Li</surname> <given-names>S</given-names></name> <name><surname>Tuniyazi</surname> <given-names>M</given-names></name> <name><surname>Mu</surname> <given-names>R</given-names></name> <name><surname>Wang</surname> <given-names>Y</given-names></name> <name><surname>Zhang</surname> <given-names>N</given-names></name> <etal/></person-group>. <article-title>Changes in the rumen microbiota community in ketosis cows during propylene glycol treatment</article-title>. <source>Food Funct</source>. (<year>2022</year>) <volume>13</volume>:<fpage>7144</fpage>&#x2013;<lpage>56</lpage>. doi: <pub-id pub-id-type="doi">10.1039/d1fo03800a</pub-id>, PMID: <pub-id pub-id-type="pmid">35699056</pub-id></citation></ref>
<ref id="ref49"><label>49.</label> <citation citation-type="journal"><person-group person-group-type="author"><name><surname>Seifi</surname> <given-names>HA</given-names></name> <name><surname>Leblanc</surname> <given-names>SJ</given-names></name> <name><surname>Leslie</surname> <given-names>KE</given-names></name> <name><surname>Duffield</surname> <given-names>TF</given-names></name></person-group>. <article-title>Metabolic predictors of post-partum disease and culling risk in dairy cattle</article-title>. <source>Vet J</source>. (<year>2011</year>) <volume>188</volume>:<fpage>216</fpage>&#x2013;<lpage>20</lpage>. doi: <pub-id pub-id-type="doi">10.1016/j.tvjl.2010.04.007</pub-id></citation></ref>
<ref id="ref50"><label>50.</label> <citation citation-type="journal"><person-group person-group-type="author"><name><surname>Luo</surname> <given-names>Z</given-names></name> <name><surname>Yong</surname> <given-names>K</given-names></name> <name><surname>Luo</surname> <given-names>Q</given-names></name> <name><surname>Du</surname> <given-names>Z</given-names></name> <name><surname>Ma</surname> <given-names>L</given-names></name> <name><surname>Huang</surname> <given-names>Y</given-names></name> <etal/></person-group>. <article-title>Altered fecal microbiome and correlations of the metabolome with plasma metabolites in dairy cows with left displaced abomasum</article-title>. <source>Microbiol Spectr</source>. (<year>2022</year>) <volume>10</volume>:<fpage>e0197222</fpage>. doi: <pub-id pub-id-type="doi">10.1128/spectrum.01972-22</pub-id></citation></ref>
<ref id="ref51"><label>51.</label> <citation citation-type="journal"><person-group person-group-type="author"><name><surname>Ceciliani</surname> <given-names>F</given-names></name> <name><surname>Lecchi</surname> <given-names>C</given-names></name> <name><surname>Urh</surname> <given-names>C</given-names></name> <name><surname>Sauerwein</surname> <given-names>H</given-names></name></person-group>. <article-title>Proteomics and metabolomics characterizing the pathophysiology of adaptive reactions to the metabolic challenges during the transition from late pregnancy to early lactation in dairy cows</article-title>. <source>J Proteome</source>. (<year>2018</year>) <volume>178</volume>:<fpage>92</fpage>&#x2013;<lpage>106</lpage>. doi: <pub-id pub-id-type="doi">10.1016/j.jprot.2017.10.010</pub-id></citation></ref>
<ref id="ref52"><label>52.</label> <citation citation-type="journal"><person-group person-group-type="author"><name><surname>Carlier</surname> <given-names>JP</given-names></name> <name><surname>K'Ouas</surname> <given-names>G</given-names></name> <name><surname>Bonne</surname> <given-names>I</given-names></name> <name><surname>Lozniewski</surname> <given-names>A</given-names></name> <name><surname>Mory</surname> <given-names>F</given-names></name></person-group>. <article-title><italic>Oribacterium sinus</italic> gen. nov., sp. nov., within the family &#x2018;<italic>Lachnospiraceae</italic>&#x2019; (phylum <italic>Firmicutes</italic>)</article-title>. <source>Int J Syst Evol Microbiol</source>. (<year>2004</year>) <volume>54</volume>:<fpage>1611</fpage>&#x2013;<lpage>5</lpage>. doi: <pub-id pub-id-type="doi">10.1099/ijs.0.63060-0</pub-id></citation></ref>
<ref id="ref53"><label>53.</label> <citation citation-type="journal"><person-group person-group-type="author"><name><surname>Crost</surname> <given-names>EH</given-names></name> <name><surname>Tailford</surname> <given-names>LE</given-names></name> <name><surname>Le Gall</surname> <given-names>G</given-names></name> <name><surname>Fons</surname> <given-names>M</given-names></name> <name><surname>Henrissat</surname> <given-names>B</given-names></name> <name><surname>Juge</surname> <given-names>N</given-names></name></person-group>. <article-title>Utilisation of mucin glycans by the human gut symbiont <italic>Ruminococcus gnavus</italic> is strain-dependent</article-title>. <source>PLoS One</source>. (<year>2013</year>) <volume>8</volume>:<fpage>e76341</fpage>. doi: <pub-id pub-id-type="doi">10.1371/journal.pone.0076341</pub-id></citation></ref>
<ref id="ref54"><label>54.</label> <citation citation-type="journal"><person-group person-group-type="author"><name><surname>Wu</surname> <given-names>H</given-names></name> <name><surname>Rebello</surname> <given-names>O</given-names></name> <name><surname>Crost</surname> <given-names>EH</given-names></name> <name><surname>Owen</surname> <given-names>CD</given-names></name> <name><surname>Walpole</surname> <given-names>S</given-names></name> <name><surname>Bennati-Granier</surname> <given-names>C</given-names></name> <etal/></person-group>. <article-title>Fucosidases from the human gut symbiont <italic>Ruminococcus gnavus</italic></article-title>. <source>Cell Mol Life Sci</source>. (<year>2021</year>) <volume>78</volume>:<fpage>675</fpage>&#x2013;<lpage>93</lpage>. doi: <pub-id pub-id-type="doi">10.1007/s00018-020-03514-x</pub-id>, PMID: <pub-id pub-id-type="pmid">32333083</pub-id></citation></ref>
<ref id="ref55"><label>55.</label> <citation citation-type="journal"><person-group person-group-type="author"><name><surname>Tong</surname> <given-names>J</given-names></name> <name><surname>Zhang</surname> <given-names>H</given-names></name> <name><surname>Wang</surname> <given-names>J</given-names></name> <name><surname>Liu</surname> <given-names>Y</given-names></name> <name><surname>Mao</surname> <given-names>S</given-names></name> <name><surname>Xiong</surname> <given-names>B</given-names></name> <etal/></person-group>. <article-title>Effects of different molecular weights of chitosan on methane production and bacterial community structure in vitro</article-title>. <source>J Integr Agric</source>. (<year>2020</year>) <volume>19</volume>:<fpage>1644</fpage>&#x2013;<lpage>55</lpage>. doi: <pub-id pub-id-type="doi">10.1016/S2095-3119(20)63174-4</pub-id></citation></ref>
<ref id="ref56"><label>56.</label> <citation citation-type="journal"><person-group person-group-type="author"><name><surname>Chen</surname> <given-names>T</given-names></name> <name><surname>Long</surname> <given-names>W</given-names></name> <name><surname>Zhang</surname> <given-names>C</given-names></name> <name><surname>Liu</surname> <given-names>S</given-names></name> <name><surname>Zhao</surname> <given-names>L</given-names></name> <name><surname>Hamaker</surname> <given-names>BR</given-names></name></person-group>. <article-title>Fiber-utilizing capacity varies in prevotella-versus bacteroides-dominated gut microbiota</article-title>. <source>Sci Rep</source>. (<year>2017</year>) <volume>7</volume>:<fpage>2594</fpage>. doi: <pub-id pub-id-type="doi">10.1038/s41598-017-02995-4</pub-id>, PMID: <pub-id pub-id-type="pmid">28572676</pub-id></citation></ref>
<ref id="ref57"><label>57.</label> <citation citation-type="journal"><person-group person-group-type="author"><name><surname>Shinkai</surname> <given-names>T</given-names></name> <name><surname>Takizawa</surname> <given-names>S</given-names></name> <name><surname>Enishi</surname> <given-names>O</given-names></name> <name><surname>Higuchi</surname> <given-names>K</given-names></name> <name><surname>Ohmori</surname> <given-names>H</given-names></name> <name><surname>Mitsumori</surname> <given-names>M</given-names></name></person-group>. <article-title>Characteristics of rumen microbiota and <italic>Prevotella</italic> isolates found in high propionate and low methane-producing dairy cows</article-title>. <source>Front Microbiol</source>. (<year>2024</year>) <volume>15</volume>:<fpage>1404991</fpage>. doi: <pub-id pub-id-type="doi">10.3389/fmicb.2024.1404991</pub-id></citation></ref>
<ref id="ref58"><label>58.</label> <citation citation-type="journal"><person-group person-group-type="author"><name><surname>Emerson</surname> <given-names>EL</given-names></name> <name><surname>Weimer</surname> <given-names>PJ</given-names></name></person-group>. <article-title>Fermentation of model hemicelluloses by prevotella strains and <italic>Butyrivibrio fibrisolvens</italic> in pure culture and in ruminal enrichment cultures</article-title>. <source>Appl Microbiol Biotechnol</source>. (<year>2017</year>) <volume>101</volume>:<fpage>4269</fpage>&#x2013;<lpage>78</lpage>. doi: <pub-id pub-id-type="doi">10.1007/s00253-017-8150-7</pub-id></citation></ref>
<ref id="ref59"><label>59.</label> <citation citation-type="journal"><person-group person-group-type="author"><name><surname>Scharen</surname> <given-names>M</given-names></name> <name><surname>Frahm</surname> <given-names>J</given-names></name> <name><surname>Kersten</surname> <given-names>S</given-names></name> <name><surname>Meyer</surname> <given-names>U</given-names></name> <name><surname>Hummel</surname> <given-names>J</given-names></name> <name><surname>Breves</surname> <given-names>G</given-names></name> <etal/></person-group>. <article-title>Interrelations between the rumen microbiota and production, behavioral, rumen fermentation, metabolic, and immunological attributes of dairy cows</article-title>. <source>J Dairy Sci</source>. (<year>2018</year>) <volume>101</volume>:<fpage>4615</fpage>&#x2013;<lpage>37</lpage>. doi: <pub-id pub-id-type="doi">10.3168/jds.2017-13736</pub-id></citation></ref>
<ref id="ref60"><label>60.</label> <citation citation-type="journal"><person-group person-group-type="author"><name><surname>Li</surname> <given-names>C</given-names></name> <name><surname>Huang</surname> <given-names>J</given-names></name> <name><surname>Chen</surname> <given-names>X</given-names></name> <name><surname>Yan</surname> <given-names>Y</given-names></name> <name><surname>Li</surname> <given-names>L</given-names></name> <name><surname>Zhao</surname> <given-names>W</given-names></name></person-group>. <article-title>Transcriptome analysis reveals that NEFA and beta-hydroxybutyrate induce oxidative stress and inflammatory response in bovine mammary epithelial cells</article-title>. <source>Metabolites</source>. (<year>2022</year>) <volume>12</volume>:<fpage>1060</fpage>. doi: <pub-id pub-id-type="doi">10.3390/metabo12111060</pub-id></citation></ref>
<ref id="ref61"><label>61.</label> <citation citation-type="journal"><person-group person-group-type="author"><name><surname>Niccolai</surname> <given-names>E</given-names></name> <name><surname>Russo</surname> <given-names>E</given-names></name> <name><surname>Baldi</surname> <given-names>S</given-names></name> <name><surname>Ricci</surname> <given-names>F</given-names></name> <name><surname>Nannini</surname> <given-names>G</given-names></name> <name><surname>Pedone</surname> <given-names>M</given-names></name> <etal/></person-group>. <article-title>Significant and conflicting correlation of IL-9 with <italic>Prevotella</italic> and <italic>Bacteroides</italic> in human colorectal cancer</article-title>. <source>Front Immunol</source>. (<year>2020</year>) <volume>11</volume>:<fpage>573158</fpage>. doi: <pub-id pub-id-type="doi">10.3389/fimmu.2020.573158</pub-id></citation></ref>
<ref id="ref62"><label>62.</label> <citation citation-type="journal"><person-group person-group-type="author"><name><surname>Yin</surname> <given-names>X</given-names></name> <name><surname>Ji</surname> <given-names>S</given-names></name> <name><surname>Duan</surname> <given-names>C</given-names></name> <name><surname>Tian</surname> <given-names>P</given-names></name> <name><surname>Ju</surname> <given-names>S</given-names></name> <name><surname>Yan</surname> <given-names>H</given-names></name> <etal/></person-group>. <article-title>The succession of fecal bacterial community and its correlation with the changes of serum immune indicators in lambs from birth to 4 months</article-title>. <source>J Integr Agric</source>. (<year>2023</year>) <volume>22</volume>:<fpage>537</fpage>&#x2013;<lpage>50</lpage>. doi: <pub-id pub-id-type="doi">10.1016/j.jia.2022.08.055</pub-id></citation></ref>
<ref id="ref63"><label>63.</label> <citation citation-type="journal"><person-group person-group-type="author"><name><surname>Iljazovic</surname> <given-names>A</given-names></name> <name><surname>Amend</surname> <given-names>L</given-names></name> <name><surname>Galvez</surname> <given-names>E</given-names></name> <name><surname>de Oliveira</surname> <given-names>R</given-names></name> <name><surname>Strowig</surname> <given-names>T</given-names></name></person-group>. <article-title>Modulation of inflammatory responses by gastrointestinal <italic>Prevotella</italic> spp.&#x2014;from associations to functional studies</article-title>. <source>Int J Med Microbiol</source>. (<year>2021</year>) <volume>311</volume>:<fpage>151472</fpage>. doi: <pub-id pub-id-type="doi">10.1016/j.ijmm.2021.151472</pub-id></citation></ref>
<ref id="ref64"><label>64.</label> <citation citation-type="journal"><person-group person-group-type="author"><name><surname>Iljazovic</surname> <given-names>A</given-names></name> <name><surname>Roy</surname> <given-names>U</given-names></name> <name><surname>Galvez</surname> <given-names>E</given-names></name> <name><surname>Lesker</surname> <given-names>TR</given-names></name> <name><surname>Zhao</surname> <given-names>B</given-names></name> <name><surname>Gronow</surname> <given-names>A</given-names></name> <etal/></person-group>. <article-title>Perturbation of the gut microbiome by <italic>Prevotella</italic> spp. enhances host susceptibility to mucosal inflammation</article-title>. <source>Mucosal Immunol</source>. (<year>2021</year>) <volume>14</volume>:<fpage>113</fpage>&#x2013;<lpage>24</lpage>. doi: <pub-id pub-id-type="doi">10.1038/s41385-020-0296-4</pub-id>, PMID: <pub-id pub-id-type="pmid">32433514</pub-id></citation></ref>
<ref id="ref65"><label>65.</label> <citation citation-type="journal"><person-group person-group-type="author"><name><surname>Moon</surname> <given-names>CD</given-names></name> <name><surname>Young</surname> <given-names>W</given-names></name> <name><surname>Maclean</surname> <given-names>PH</given-names></name> <name><surname>Cookson</surname> <given-names>AL</given-names></name> <name><surname>Bermingham</surname> <given-names>EN</given-names></name></person-group>. <article-title>Metagenomic insights into the roles of <italic>Proteobacteria</italic> in the gastrointestinal microbiomes of healthy dogs and cats</article-title>. <source>Microbiology</source>. (<year>2018</year>) <volume>7</volume>:<fpage>e00677</fpage>. doi: <pub-id pub-id-type="doi">10.1002/mbo3.677</pub-id></citation></ref>
</ref-list>
</back>
</article>