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咖啡护肝作用的潜在机制。

Potential Mechanisms Underlying the Role of Coffee in Liver Health.

机构信息

Department of Gastroenterology and Hepatology, Erasmus MC University Medical Centre, Rotterdam, The Netherlands.

Department of Epidemiology, Erasmus MC University Medical Centre, Rotterdam, The Netherlands.

出版信息

Semin Liver Dis. 2018 Aug;38(3):193-214. doi: 10.1055/s-0038-1666869. Epub 2018 Jul 24.

Abstract

Coffee, the most consumed hot beverage worldwide, is composed of many substances, of which polyphenols, caffeine, and diterpenoids are well studied. Evidence on potential effects of coffee on human health has been accumulating over the past decades. Specifically, coffee has been postulated to be hepatoprotective in several epidemiological and clinical studies. Several underlying molecular mechanisms as to why coffee influences liver health have been proposed. In this review, the authors summarized the evidence on potential mechanisms by which coffee affects liver steatosis, fibrosis, and hepatic carcinogenesis. The experimental models reviewed almost unanimously supported the theorem that coffee indeed may benefit the liver. Either whole coffee or its specific compounds appeared to decrease fatty acid synthesis (involved in steatogenesis), hepatic stellate activation (involved in fibrogenesis), and hepatic inflammation. Moreover, coffee was found to induce apoptosis and increased hepatic antioxidant capacity, which are involved in carcinogenesis.

摘要

咖啡是全球最受欢迎的热饮之一,由多种物质组成,其中多酚、咖啡因和二萜类化合物研究得较为透彻。过去几十年来,有关咖啡对人体健康潜在影响的证据不断积累。具体而言,一些流行病学和临床研究表明咖啡对肝脏具有保护作用。提出了几种咖啡影响肝脏健康的潜在分子机制。在这篇综述中,作者总结了咖啡影响肝脏脂肪变性、纤维化和肝癌发生的潜在机制的证据。综述中所涉及的实验模型几乎一致支持这样一个理论,即咖啡确实可能对肝脏有益。全咖啡或其特定化合物似乎可以减少脂肪酸合成(参与脂肪生成)、肝星状细胞激活(参与纤维化)和肝脏炎症。此外,咖啡还被发现可诱导细胞凋亡和增加肝脏抗氧化能力,这涉及到癌症发生。

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