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RELEVANCE A special place in the development of enteral insufficiency is given to dysproteinemia, which is one of the leading causes of the development of decubital ulcers in patients with spinal cord injury. Early enteral nutrition partially solved this problem, but the incidence of bedsores still remains high and reaches 68%. The risk of metabolic disorders in the acute period of spinal injury is largely determined by non-occlusive intestinal ischemia against the background of spinal shock, neurohumoral dysregulation; intra-intestinal and intra-abdominal hypertension; change in intestinal microflora. Pathological changes in the intestinal wall occur during the first 20 days after injury and further exacerbate chronic maldigestion, malabsorption, intestinal dyskinesia in patients with traumatic spinal cord disease. New knowledge about the features of early enteral nutrition in patients in the acute period of traumatic spinal cord disease will reduce the risk of decubitus ulcerative defects.AIM OF THE STUDY To study the dynamics of metabolic processes in the tissues of the small intestine in the acute period of spinal injury.MATERIAL AND METHODS Wistar rats (n=22). Spinal injury was simulated by acute complete transection of the spinal cord at the level of Th5–Th6 vertebrae. The assessment of metabolic changes in the cells of the serous membrane of the intestine was performed immediately, 3 and 24 hours after injury. The metabolism was assessed in vivo using fluorescence time-resolved macroimaging technology FLIM by autofluorescence in the spectral channel of the metabolic cofactor nicotinamide adenine dinucleotide (phosphate).RESULTS The acute period of spinal cord injury is accompanied by a change in the endogenous autofluorescence of the serous membrane of the small intestine: a statistically significant decrease in the mean fluorescence lifetime (τm), the lifetime of the long component (τ2), and the relative contribution of the long component (а2) in 24 h after injury was recorded. The changes observed using FLIM confirm the catabolic type of metabolism in the tissues of the small intestine after spinal cord injury.CONCLUSION For the first time in the experiment in vivo it has been shown that the acute period of spinal injury is accompanied by a violation of metabolic processes in the tissues of the small intestine. This fact requires a more balanced approach in calculating the calorie content of nutrients used for early enteral nutrition in patients with spinal cord injury.

A significant number of genetically encoded indicators based on fluorescent proteins that allow detecting changes in various parameters: membrane potential shift, pH, concentrations of hydrogen peroxide, lactate, pyruvate, NAD+/NADH, ATP, calcium cations, etc. have been created. Some of them (for example, indicators of calcium cations and hydrogen peroxide) are successfully used by numerous groups of researchers in experiments in vivo. The fundamental limitation of most fluorescent indicators is their ability to only qualitatively assess the change in the parameter of interest in the cell. The nature of this limitation is that it is difficult to compare the absolute value of the measured parameter and the detected fluorescent signal for various reasons. Quantitative measurements impose an additional requirement on the indicator signal: it should not depend on the technical features of the experiment (such as the level of protein expression, the type and power of the excitation source, a set of fluorescent filters, etc.). The fulfillment of this requirement may be associated with the detection of the indicator signal in the time domain, where the main characteristic of the signal is the fluorescence lifetime. The fluorescence lifetime is an absolute value, insensitive to changes in the intensity of the excitation source, detection settings, losses in the optical path or sample, changes in the concentration of the fluorophore in the sample, photobleaching. Thus, when calibrating an indicator in the time domain, a specific value of the measured parameter is associated with a specific value of the fluorescence lifetime. The time-resolved imaging mode imposes its own limitations on the properties of the indicator's fluorescent core. Thus, the lifetime of its fluorescence should change in proportion to the value of the measured parameter, which is not characteristic of any fluorophore. In this work, we make a brief review of the principles of detection of the fluorescent signal of genetically encoded indicators, focusing on current approaches related to the analysis of time-resolved data.