Energy homeostasis is also essential for maintaining animal health and meeting energy requirements. During the perinatal period, especially around calving, animals experience NEB due to insufficient dietary intake and lactation onset. Appropriate body tissue mobilization is necessary for early lactating cows to meet their milk secretion requirements. However, the intense mobilization of body tissues may have detrimental effects on reproductivity, lactation performance, and welfare (
Contreras et al., 2017;
Mann, 2022). Long-term NEB induces metabolic disorders. Ketosis is regarded as one of the most devastating diseases during the freshening period of dairy cows and causes economic loss. The disease is characterized by ketone bodies accumulating in various body fluids, including beta-hydroxybutyrate acid (BHBA), acetoacetate, and acetone (
Cainzos et al., 2022;
Deniz et al., 2020). Ketosis affects the metabolite profiles of the rumen, mainly manifested as high concentrations of butyric acid, sucrose, BHBA, and valerate, and low concentrations of glucose and propionate (
Eom et al., 2021). However, high concentrations of butyrate and valerate may pose challenges, as approximately 30% of butyrate and 20% of valerate can be converted into BHBA and subsequently taken up by the rumen epithelial wall and transported throughout the body via the circulatory system (
Doreau et al., 2001).Ketosis affects rumen function; thus, changes in the rumen microbiota may be closely associated with the occurrence of ketosis in the perinatal period. Previous research revealed that the rumen microbial community diversity did not differ among cows in normal (100 DIM), transition, and ketosis conditions; however, changes were observed in the abundance of some rumen microbes. For instance, the relative abundance of
S.
bovis increased, while that of
M.
elsdenii and
S.
ruminantium was reduced in transition and ketosis cows (
Wang et al., 2012). The decrease in
M.
elsdenii and
S.
ruminantium may exacerbate the NEB of transition or ketosis in dairy cows because they can utilize carbohydrates or lactic acid as substrates to synthesize propionate (
Henning et al., 2010;
Russell and Hino, 1985;
Stevenson and Weimer, 2007). Moreover, rumen microbial richness decreased in cows with subclinical ketosis (
Xiang et al., 2022), which is inconsistent with the research of
Wang et al. (2012). Further analysis indicated that the abundance of several rumen microbes, such as
Bacteroidota,
Christensenellaceae_R-7,
Ruminococcus, and
Thermomonas, increased, whereas rumen
Prevotella abundance decreased in dairy cows with subclinical ketosis.
Christensenellaceae_R-7 and
Thermomonas had a positive correlation with blood BHBA content, while
Prevotella had a negative correlation with BHBA (
Xiang et al., 2022). Christensenellaceae produces acetate and butyrate by utilizing structural carbohydrates (
Lima et al., 2015;
Morotomi et al., 2012) and has a positive and negative correlation with BHBA and propionate concentrations, respectively (
Zhang et al., 2022), and is possibly involved in the production of ketone bodies. In contrast,
Prevotella species are significantly positively correlated with rumen propionate concentrations (
Zhu et al., 2018). A case study predicted the relationship among rumen microbes, milk BHBA, and acetone; milk ketone bodies were strongly associated with rumen Prevotellaceae and Ruminococcaceae (
Gebreyesus et al., 2020), both of which have a negative relationship with BHBA (
Scharen et al., 2018) and NEB (
Derakhshani et al., 2016). Thus, milk BHBA and acetone concentrations can be used to predict the rumen microbial composition of dairy cows. Few research studies have revealed that ketosis affects rumen microbial composition and reduces the relative abundance of propionic acid-producing microbes in the rumen because propionate is an important gluconeogenesis substrate. This negative effect may aggravate the problem of insufficient glucose supply in dairy cows experiencing NEB over the transition period (
Fig. 2). However, more parallel and longitudinal studies are needed to confirm these alterations. These studies should include cows with subclinical and clinical ketosis or cows with different body mobilization conditions.