Aguirre Leixuri, Portillo Maria Puy, Hijona Elizabeth, Bujanda Luis
Leixuri Aguirre, Maria Puy Portillo, Nutrition and Obesity Group, Department of Nutrition and Food Science, University of Basque Country (UPV/EHU) and Centro de Investigación Lucio Lascaray, 01006 Vitoria, Spain.
World J Gastroenterol. 2014 Jun 21;20(23):7366-80. doi: 10.3748/wjg.v20.i23.7366.
Non-alcoholic fatty liver disease covers a wide spectrum of liver pathologies which range from simple steatosis to non-alcoholic steatohepatitis. Polyphenols are members of a very large family of plant-derived compounds that can have beneficial effects on human health, and thus their study has become an increasingly important area of human nutrition research. The aim of the present review is to compile published data concerning the effects of both isolated polyphenols as well as polyphenol extracts, on hepatocyte and liver fat accumulation under different steatosis-inducing conditions. The results reported clearly show that this group of biomolecules is able to reduce fat accumulation, but further studies are needed to establish the optimal dose and treatment period length. With regard to the potential mechanisms of action, there is a good consensus. The anti-lipidogenic effect of polyphenols is mainly due to reduced fatty acid and triacylglycerol synthesis, increased in fatty acid oxidation, and reduced of oxidative stress and inflammation. As a general conclusion, it can be stated that polyphenols are biomolecules which produce hepatoprotective effects. To date, these beneficial effects have been demonstrated in cultured cells and animal models. Thus, studies performed in humans are needed before these molecules can be considered as truly useful tools in the prevention of liver steatosis.
非酒精性脂肪性肝病涵盖了广泛的肝脏病变,范围从单纯性脂肪变性到非酒精性脂肪性肝炎。多酚是一大类植物源化合物的成员,它们对人体健康可能具有有益作用,因此对它们的研究已成为人类营养研究中一个日益重要的领域。本综述的目的是汇编已发表的有关分离的多酚以及多酚提取物在不同脂肪变性诱导条件下对肝细胞和肝脏脂肪积累影响的数据。报道的结果清楚地表明,这类生物分子能够减少脂肪积累,但需要进一步研究以确定最佳剂量和治疗周期长度。关于潜在的作用机制,已达成了良好的共识。多酚的抗脂肪生成作用主要归因于脂肪酸和三酰甘油合成减少、脂肪酸氧化增加以及氧化应激和炎症减轻。总的来说,可以说多酚是产生肝脏保护作用的生物分子。迄今为止,这些有益作用已在培养细胞和动物模型中得到证实。因此,在将这些分子视为预防肝脏脂肪变性的真正有用工具之前,需要在人体中进行研究。