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通过肠道微生物群揭示急性高原病的发病机制及预防策略

Unraveling the pathogenesis and prevention strategies of acute high-altitude illness through gut microecology.

作者信息

Qi Ping, Jiang Xiansen, Wang Xiaojuan, Sheng Liang, Liang Jiawen, Zhang Lei

机构信息

The First Clinical Medical College, Lanzhou University, Lanzhou, 730000, PR China.

Department of General Surgery, The First Hospital of Lanzhou University, Lanzhou, 730000, PR China.

出版信息

NPJ Biofilms Microbiomes. 2025 Apr 22;11(1):62. doi: 10.1038/s41522-025-00701-1.

DOI:10.1038/s41522-025-00701-1
PMID:40263277
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12015534/
Abstract

High-altitude environments, characterized by hypobaric and hypoxic conditions, induce acute hypoxia, resulting in decreased blood oxygen saturation. This hypoxic stress perturbs gut microecological homeostasis, significantly contributing to the pathogenesis of acute mountain sickness. Consequently, elucidating the mechanisms by which high altitude affects gut homeostasis is crucial for developing effective interventions.

摘要

高海拔环境以低压和低氧为特征,会引发急性缺氧,导致血氧饱和度下降。这种缺氧应激会扰乱肠道微生态平衡,对急性高山病的发病机制有显著影响。因此,阐明高海拔影响肠道平衡的机制对于开发有效的干预措施至关重要。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1506/12015534/5cb2cc36efa4/41522_2025_701_Fig4_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1506/12015534/9f0cd856b1f4/41522_2025_701_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1506/12015534/292b3c9730ae/41522_2025_701_Fig2_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1506/12015534/376b401e306d/41522_2025_701_Fig3_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1506/12015534/5cb2cc36efa4/41522_2025_701_Fig4_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1506/12015534/9f0cd856b1f4/41522_2025_701_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1506/12015534/292b3c9730ae/41522_2025_701_Fig2_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1506/12015534/376b401e306d/41522_2025_701_Fig3_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1506/12015534/5cb2cc36efa4/41522_2025_701_Fig4_HTML.jpg

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本文引用的文献

1
Gut microbiota contributes to high-altitude hypoxia acclimatization of human populations.肠道微生物群有助于人类适应高海拔缺氧环境。
Genome Biol. 2024 Aug 28;25(1):232. doi: 10.1186/s13059-024-03373-w.
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Altitude illnesses.高山病。
Nat Rev Dis Primers. 2024 Jun 20;10(1):43. doi: 10.1038/s41572-024-00526-w.
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Meta-analysis identifying gut microbial biomarkers of Qinghai-Tibet Plateau populations and the functionality of microbiota-derived butyrate in high-altitude adaptation.元分析鉴定青藏高原人群的肠道微生物生物标志物和微生物衍生丁酸盐在高原适应中的功能。
Gut Microbes. 2024 Jan-Dec;16(1):2350151. doi: 10.1080/19490976.2024.2350151. Epub 2024 May 7.
4
Longitudinal multi-omics analysis uncovers the altered landscape of gut microbiota and plasma metabolome in response to high altitude.纵向多组学分析揭示了高原反应中肠道微生物群和血浆代谢组的改变。
Microbiome. 2024 Apr 5;12(1):70. doi: 10.1186/s40168-024-01781-5.
5
Mimicry of microbially-derived butyrate reveals templates for potent intestinal epithelial HIF stabilizers.微生物源丁酸的模拟揭示了强效肠上皮缺氧诱导因子稳定剂的模板。
Gut Microbes. 2023 Dec;15(2):2267706. doi: 10.1080/19490976.2023.2267706. Epub 2023 Oct 11.
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Citrus tangerine pith extract alleviates hypoxia-induced ileum damage in mice by modulating intestinal microbiota.柑橘白皮提取物通过调节肠道微生物群缓解缺氧诱导的小鼠回肠损伤。
Food Funct. 2023 Jul 3;14(13):6062-6072. doi: 10.1039/d3fo01096a.
7
Butyrate ameliorates chronic alcoholic central nervous damage by suppressing microglia-mediated neuroinflammation and modulating the microbiome-gut-brain axis.丁酸盐通过抑制小胶质细胞介导的神经炎症和调节微生物-肠道-脑轴来改善慢性酒精性中枢神经损伤。
Biomed Pharmacother. 2023 Apr;160:114308. doi: 10.1016/j.biopha.2023.114308. Epub 2023 Jan 28.
8
The effect of HIF on metabolism and immunity.低氧诱导因子对代谢和免疫的影响。
Nat Rev Nephrol. 2022 Sep;18(9):573-587. doi: 10.1038/s41581-022-00587-8. Epub 2022 Jun 20.
9
Microbial Metabolite Regulation of Epithelial Cell-Cell Interactions and Barrier Function.微生物代谢物对上皮细胞-细胞相互作用和屏障功能的调节。
Cells. 2022 Mar 10;11(6):944. doi: 10.3390/cells11060944.
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The Intestinal Barrier Dysfunction as Driving Factor of Inflammaging.肠道屏障功能障碍作为炎症衰老的驱动因素。
Nutrients. 2022 Feb 23;14(5):949. doi: 10.3390/nu14050949.