The present application relates to the fields of
medicine,
biotechnology and clinical critical
medicine, and specifically discloses application of
tauroursodeoxycholic acid or pharmaceutically acceptable salt, derivative or precursor thereof in preparation of a
drug for improving intestinal
barrier function and prognosis of a patient with
sepsis. The present application discloses for the first time a
molecular mechanism of TUDCA for protecting intestinal
barrier function by regulating a
signal axis of intestinal
flora-Coriolic acids-PPARbeta-ILK, and TUDCA significantly improves the integrity of intestinal barrier by restoring intestinal
flora balance, inhibiting generation of harmful
metabolite Coriolic acids and activating the PPARbeta-ILK
signal pathway. In the treatment of
sepsis, TUDCA not only helps to repair the intestinal barrier, but also can improve the
clinical prognosis of the patient, reduce the level of
systemic inflammation, alleviate multiple organ failure caused by
sepsis, and improve the
survival rate, thereby providing a new strategy for the treatment of sepsis.