A Comprehensive Review of Natural Products against Liver Fibrosis: Flavonoids, Quinones, Lignans, Phenols, and Acids.
作者信息
Pan Xiaoqi, Ma Xiao, Jiang Yinxiao, Wen Jianxia, Yang Lian, Chen Dayi, Cao Xiaoyu, Peng Cheng
机构信息
School of Pharmacy, Chengdu University of Traditional Chinese Medicine, Chengdu 611137, China.
School of Public Health, Chengdu University of Traditional Chinese Medicine, Chengdu 611137, China.
出版信息
Evid Based Complement Alternat Med. 2020 Oct 5;2020:7171498. doi: 10.1155/2020/7171498. eCollection 2020.
Liver fibrosis resulting from continuous long-term hepatic damage represents a heavy burden worldwide. Liver fibrosis is recognized as a complicated pathogenic mechanism with extracellular matrix (ECM) accumulation and hepatic stellate cell (HSC) activation. A series of drugs demonstrate significant antifibrotic activity in vitro and in vivo. No specific agents with ideally clinical efficacy for liver fibrosis treatment have been developed. In this review, we summarized the antifibrotic effects and molecular mechanisms of 29 kinds of common natural products. The mechanism of these compounds is correlated with anti-inflammatory, antiapoptotic, and antifibrotic activities. Moreover, parenchymal hepatic cell survival, HSC deactivation, and ECM degradation by interfering with multiple targets and signaling pathways are also involved in the antifibrotic effects of these compounds. However, there remain two bottlenecks for clinical breakthroughs. The low bioavailability of natural products should be improved, and the combined application of two or more compounds should be investigated for more prominent pharmacological effects. In summary, exploration on natural products against liver fibrosis is becoming increasingly extensive. Therefore, natural products are potential resources for the development of agents to treat liver fibrosis.