PMID- 32883127 OWN - NLM STAT- MEDLINE DCOM- 20210628 LR - 20221207 IS - 1744-5116 (Electronic) IS - 1388-0209 (Print) IS - 1388-0209 (Linking) VI - 58 IP - 1 DP - 2020 Dec TI - Chinese medicinal plants for the potential management of high-altitude pulmonary oedema and pulmonary hypertension. PG - 815-827 LID - 10.1080/13880209.2020.1804407 [doi] AB - CONTEXT: Despite the abundance of knowledge regarding high-altitude pulmonary edoema (HAPE) and high-altitude pulmonary hypertension (HAPH), their prevalence continues to be on the rise. Thus, there is an urgent need for newer safe, effective, and relatively economic drug candidates. China is particularly known for the use of medicinal plants. OBJECTIVE: This review summarizes the medicinal plants used for HAPE and HAPH in the past 30 years, as well as some potential plants. METHODS: Publications on HAPE and HAPH from 1990 to 2020 were identified using Web of Science, PubMed, SCOPUS, Springer Link, Google Scholar databases, Chinese Clinical Trial Registry and CNKI with the following keywords: 'medicinal plants,' 'hypoxia,' 'high altitude pulmonary edema,' 'high altitude pulmonary hypertension,' 'pathophysiology,' 'mechanisms,' 'prevention,' 'treatment,' 'human,' 'clinical,' 'safety,' and 'pharmacokinetics.' RESULTS: We found 26 species (from 20 families) out of 5000 plants which are used for HAPE and HAPH prevention or treatment. Rhodiola rosea Linn. (Crassulaceae) is the most widely utilized. The most involved family is Lamiaceae, which contains 5 species. DISCUSSION AND CONCLUSIONS: We mainly reviewed the medicinal plants and mechanisms for the treatment of HAPE and HAPH, and we also assessed related toxicology experiments, pharmacokinetics and bioavailability. Potential medicinal plants were also identified. Further research is needed to determine the pharmacological effects and active ingredients of these potential medicinal plants. FAU - Wang, Tingting AU - Wang T AD - Department of Central Laboratory, The General Hospital of Western Theater Command, Chengdu, Sichuan, P. R. China. FAU - Hou, Jun AU - Hou J AD - Department of Central Laboratory, The General Hospital of Western Theater Command, Chengdu, Sichuan, P. R. China. FAU - Xiao, Wenjing AU - Xiao W AD - Department of Central Laboratory, The General Hospital of Western Theater Command, Chengdu, Sichuan, P. R. China. FAU - Zhang, Yaolei AU - Zhang Y AD - Faculty of Medical, Southwest Jiaotong University, Chengdu, Sichuan, P. R. China. FAU - Zhou, Longfu AU - Zhou L AD - Department of Central Laboratory, The General Hospital of Western Theater Command, Chengdu, Sichuan, P. R. China. FAU - Yuan, Li AU - Yuan L AD - Faculty of Medical, Southwest Jiaotong University, Chengdu, Sichuan, P. R. China. FAU - Yin, Xiaoqiang AU - Yin X AD - Department of Central Laboratory, The General Hospital of Western Theater Command, Chengdu, Sichuan, P. R. China. FAU - Chen, Xin AU - Chen X AD - Department of Laboratory Medicine, The Third People's Hospital of Chengdu/Affiliated Hospital of Southwest, Jiaotong University, Chengdu, Sichuan, P. R. China. FAU - Hu, Yonghe AU - Hu Y AD - Department of Central Laboratory, The General Hospital of Western Theater Command, Chengdu, Sichuan, P. R. China. LA - eng PT - Journal Article PT - Review PL - England TA - Pharm Biol JT - Pharmaceutical biology JID - 9812552 RN - 0 (Plant Extracts) SB - IM MH - Altitude MH - Animals MH - Asian People MH - Biological Availability MH - Humans MH - Hypertension, Pulmonary/*drug therapy MH - Mice MH - Plant Extracts/*pharmacology MH - Plants, Medicinal MH - Pulmonary Edema/*drug therapy MH - Rats PMC - PMC8641673 OTO - NOTNLM OT - Rhodiola rosea. Lamiaceae OT - Hypoxia OT - high altitude disease OT - mechanisms COIS- No potential conflict of interest was reported by the author(s). EDAT- 2020/09/05 06:00 MHDA- 2021/06/29 06:00 PMCR- 2020/09/03 CRDT- 2020/09/05 06:00 PHST- 2020/09/05 06:00 [entrez] PHST- 2020/09/05 06:00 [pubmed] PHST- 2021/06/29 06:00 [medline] PHST- 2020/09/03 00:00 [pmc-release] AID - 1804407 [pii] AID - 10.1080/13880209.2020.1804407 [doi] PST - ppublish SO - Pharm Biol. 2020 Dec;58(1):815-827. doi: 10.1080/13880209.2020.1804407.