Pisonero-Vaquero Sandra, González-Gallego Javier, Sánchez-Campos Sonia, García-Mediavilla María Victoria
Institute of Biomedicine (IBIOMED), Campus Universitario, 24071, Leon, Spain.
Curr Med Chem. 2015;22(25):2991-3012. doi: 10.2174/0929867322666150805094940.
Non-alcoholic fatty liver disease (NAFLD), the hepatic manifestation of metabolic syndrome, is one of the most common chronic liver diseases, which may progress to fibrosis, cirrhosis and hepatocellular carcinoma. NAFLD is characterized by the accumulation of lipids in the liver arising from multiple factors: increased fatty acid uptake, increased de novo lipogenesis, reduced fatty acid oxidation and very low density lipoproteins (VLDL) secretion. Most therapeutic approaches for this disease are often directed at reducing body mass index and improving insulin resistance through lifestyle modifications, bariatric surgery and pharmacological treatments. Nevertheless, there is increasing evidence that the use of natural compounds, as polyphenols, exert multiple benefits on the disorders associated with NAFLD. These molecules seem to be able to regulate the expression of genes mainly involved in de novo lipogenesis and fatty acid oxidation, which contributes to their lipid-lowering effect in the liver. Their antioxidant, anti-inflammatory, antifibrogenic and antilipogenic properties seem to confer on them a great potential as strategy for preventing NAFLD progression. In this review, we summarized the effects of these compounds, especially flavonoids, and their mechanisms of action, that have been reported in several studies carried out in in vitro and in vivo models of NAFLD.
非酒精性脂肪性肝病(NAFLD)是代谢综合征的肝脏表现,是最常见的慢性肝病之一,可能进展为纤维化、肝硬化和肝细胞癌。NAFLD的特征是肝脏中脂质的积累,其由多种因素引起:脂肪酸摄取增加、从头脂肪生成增加、脂肪酸氧化减少以及极低密度脂蛋白(VLDL)分泌减少。针对这种疾病的大多数治疗方法通常旨在通过生活方式改变、减肥手术和药物治疗来降低体重指数并改善胰岛素抵抗。然而,越来越多的证据表明,使用天然化合物,如多酚,对与NAFLD相关的疾病具有多种益处。这些分子似乎能够调节主要参与从头脂肪生成和脂肪酸氧化的基因的表达,这有助于它们在肝脏中的降脂作用。它们的抗氧化、抗炎、抗纤维化和抗脂肪生成特性似乎赋予它们作为预防NAFLD进展策略的巨大潜力。在这篇综述中,我们总结了这些化合物,尤其是黄酮类化合物的作用及其作用机制,这些已在NAFLD的体外和体内模型的多项研究中有所报道。