• Identified pVc and dexmedetomidine as synergistic enhancers of intestinal stem cell self-renewal via Nrf2 and α2-AR pathways.
• Demonstrated that pVc acts through Nrf2-mediated antioxidant responses, while α2-AR activation suppresses cAMP signaling.
• In vivo administration of these compounds enhances intestinal epithelial renewal and maintains stem cell positioning.
• α2-AR activation promotes regeneration after radiation injury, suggesting therapeutic potential for intestinal damage.
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