Park Sunmin, Cho Song Mi, Jin Bo Ram, Yang Hye Jeong, Yi Qiu Jing
Department of Food and Nutrition, Obesity/Diabetes Center, Hoseo University, Asan 31499, Korea.
Food Functional Research Division, Korean Food Research Institutes, Wanjoo 55365, Korea.
Exp Biol Med (Maywood). 2019 Dec;244(18):1629-1641. doi: 10.1177/1535370219889319. Epub 2019 Nov 21.
We hypothesized that a mixture of blackberry fruit and leaf extracts may alleviate non-alcoholic fatty liver disease (NAFLD). Rats with diet-induced NAFLD were used to test the hypothesis and explore possible mechanisms. Male Sprague–Dawley rats were orally administered diets 51% of energy from fat and 450 mg dextrin/kg bw (NAFLD-control), 50% ethanol blackberry leaf extract (450 mg/kg bw; BL), 50% ethanol blackberry fruit extract (450 mg/kg bw; BF), the mixture of blackberry leaf and fruit extracts (2:1; 150 mg/kg bw; BLF), and milk thistle extracts (150 mg/kg bw; positive-control) for 12 weeks. Normal-control rats were fed low-fat diets with 450 mg dextrin/kg bw (20 En% fat diet) Body weight, visceral fat mass, liver triglycerides, serum cholesterol, triglyceride, non-esterified fatty acid, and insulin resistance were all elevated in rats in the NAFLD-control group compared to the normal-controls. Rats in the NAFLD-control group exhibited liver damage accompanied by increased oxidative stress and inflammation compared to the rats in the normal-control group. BL and BLF protected the NAFLD rats against the triglyceride and lipid peroxide accumulation, improved insulin sensitivity and dyslipidemia, and increased the antioxidant enzymes, SOD, and GSH-Px, to levels similar to the normal-control group. Further, BL and BLF ameliorated inflammation and hepatocyte damage compared to the NAFLD-controls, and they suppressed mRNA expressions of genes involved in triglyceride synthesis (FAS and SREBP-1c). BLF also modulated the gut microbiota by elevating and in the feces from the cecum compared to the NAFLD-control group. The integrity of intestinal tissues was improved, and the number of goblet cells was elevated by BLF. In conclusion, BL and BLF prevented high-fat diet-induced liver damage by protecting against oxidation and inflammation-induced injury. BLF (human equivalent 1.3 g/day) might, therefore, be used as a therapeutic agent for NAFLD.
NAFLD is a diet-related metabolic disease with no good drug treatments. Therefore, dietary interventions are needed to alleviate NAFLD. This paper demonstrated that feeding a blackberry leaf and fruit mixture extract can alleviate diet-induced NAFLD in rats. Specifically, the blackberry extract, rich in flavonoids and anthocyanins decreased hepatic triglycerides and lipid peroxides, increased genes related to beta oxidation, decreased those involved fatty acid biosynthesis, alleviated oxidative stress, and suppressed pro-inflammatory cytokine release. The blackberry extract also alleviated gut dysbiosis that was associated with NAFLD by increasing the amount of and in the feces. This research demonstrated that the extract of a common and inexpensive fruit can help alleviate NAFLD and associated intestinal dysbiosis at a dose equivalent to 1.3 g/day in humans. If this work can be duplicated in humans, it would provide a safe and inexpensive intervention to help alleviate NAFLD.
我们假设黑莓果实和叶提取物的混合物可能减轻非酒精性脂肪性肝病(NAFLD)。采用饮食诱导的NAFLD大鼠来验证这一假设并探索可能的机制。将雄性斯普拉格-道利大鼠分别口服给予能量51%来自脂肪且含有450mg糊精/kg体重的饮食(NAFLD对照组)、50%乙醇黑莓叶提取物(450mg/kg体重;BL)、50%乙醇黑莓果实提取物(450mg/kg体重;BF)、黑莓叶和果实提取物的混合物(2:1;150mg/kg体重;BLF)以及水飞蓟提取物(150mg/kg体重;阳性对照),持续12周。正常对照组大鼠喂食含有450mg糊精/kg体重的低脂饮食(脂肪含量20%能量的饮食)。与正常对照组相比,NAFLD对照组大鼠的体重、内脏脂肪量、肝脏甘油三酯、血清胆固醇、甘油三酯、非酯化脂肪酸以及胰岛素抵抗均升高。与正常对照组大鼠相比,NAFLD对照组大鼠表现出肝脏损伤,同时伴有氧化应激和炎症增加。BL和BLF保护NAFLD大鼠免受甘油三酯和脂质过氧化物积累的影响,改善胰岛素敏感性和血脂异常,并使抗氧化酶超氧化物歧化酶(SOD)和谷胱甘肽过氧化物酶(GSH-Px)增加至与正常对照组相似的水平。此外,与NAFLD对照组相比,BL和BLF减轻了炎症和肝细胞损伤,并且它们抑制了参与甘油三酯合成的基因(脂肪酸合酶(FAS)和固醇调节元件结合蛋白1c(SREBP-1c))的mRNA表达。与NAFLD对照组相比,BLF还通过提高盲肠粪便中的 和 来调节肠道微生物群。BLF改善了肠道组织的完整性,并增加了杯状细胞的数量。总之,BL和BLF通过防止氧化和炎症诱导的损伤来预防高脂饮食诱导的肝脏损伤。因此,BLF(人体等效剂量1.3g/天)可能用作NAFLD的治疗药物。
NAFLD是一种与饮食相关的代谢疾病,没有良好的药物治疗方法。因此,需要饮食干预来减轻NAFLD。本文证明喂食黑莓叶和果实混合物提取物可减轻大鼠饮食诱导的NAFLD。具体而言,富含黄酮类化合物和花青素的黑莓提取物降低了肝脏甘油三酯和脂质过氧化物,增加了与β氧化相关的基因,减少了参与脂肪酸生物合成的基因,减轻了氧化应激,并抑制了促炎细胞因子的释放。黑莓提取物还通过增加粪便中的 和 量来减轻与NAFLD相关的肠道菌群失调。这项研究表明,一种常见且廉价水果的提取物可以帮助减轻NAFLD以及相关的肠道菌群失调,其剂量相当于人体1.3g/天。如果这项工作能够在人体中重复进行,它将提供一种安全且廉价的干预措施来帮助减轻NAFLD。