“…This generates a latent cellular state of restricted energy production which may suddenly and unexpectedly progress to organ failure if substrate supply is further decreased (eg, because of a temporary heart insufficiency) or an extreme organ performance is demanded (eg, because of high muscle workload, intake of new drugs, long-term starvation or an infectious disease). 2,3 It is necessary to decipher the molecular mechanisms underlying disease-related metabolic changes at the cellular level to understand how malfunctions of tissues, organs and organisms develop. This will also help to develop efficient medical strategies to prevent or delay the disease manifestation and to improve recovery of the affected organ.…”