PLA Key Laboratory of Plateau Environmental Damage Control, Lanzhou General Hospital of Lanzhou Military Command, Lanzhou, 730050, China.
School of Pharmacy, Lanzhou University, Lanzhou, 730000, China.
Curr Drug Deliv. 2024;21(6):807-816. doi: 10.2174/1567201820666230309090241.
The plateau is a typical extreme environment with low temperature, low oxygen and high ultraviolet rays. The integrity of the intestinal barrier is the basis for the functioning of the intestine, which plays an important role in absorbing nutrients, maintaining the balance of intestinal flora, and blocking the invasion of toxins. Currently, there is increasing evidence that high altitude environment can enhance intestinal permeability and disrupt intestinal barrier integrity. This article mainly focuses on the regulation of the expression of HIF and tight junction proteins in the high altitude environment, which promotes the release of pro-inflammatory factors, especially the imbalance of intestinal flora caused by the high altitude environment. The mechanism of intestinal barrier damage and the drugs to protect the intestinal barrier are reviewed. Studying the mechanism of intestinal barrier damage in high altitude environment is not only conducive to understanding the mechanism of high altitude environment affecting intestinal barrier function, but also provides a more scientific medicine treatment method for intestinal damage caused by the special high altitude environment.
高原是一种典型的极端环境,具有低温、低氧和高紫外线等特点。肠道屏障的完整性是肠道发挥作用的基础,它在吸收营养物质、维持肠道菌群平衡和阻止毒素入侵方面发挥着重要作用。目前越来越多的证据表明,高原环境可以增强肠道通透性并破坏肠道屏障的完整性。本文主要关注高原环境下 HIF 和紧密连接蛋白表达的调节,促进促炎因子的释放,特别是高原环境引起的肠道菌群失衡。本文综述了肠道屏障损伤的机制及保护肠道屏障的药物。研究高原环境下肠道屏障损伤的机制不仅有助于了解高原环境影响肠道屏障功能的机制,还为特殊高原环境引起的肠道损伤提供了更科学的药物治疗方法。