Ma Qiong, Shi An-Hua, Zhao Xi, Chen Wen-Ling
Yunnan University of Chinese Medicine Kunming 650500, China Key Laboratory of Microcosmic Syndrome Differentiation Kunming 650500, China.
Yunnan University of Chinese Medicine Kunming 650500, China the First Clinical College of Yunnan University of Chinese Medicine Kunming 650500, China.
Zhongguo Zhong Yao Za Zhi. 2022 Oct;47(19):5113-5120. doi: 10.19540/j.cnki.cjcmm.20220704.601.
Non-alcoholic fatty liver disease(NAFLD), as a metabolic stress liver injury disease, is one of the most common chronic liver diseases, which seriously threatens people's health. The pathogenesis of NAFLD is very complex. A large number of studies show that the hepatic mitochondrial dysfunction leads to the disorder of hepatic glucose and lipid metabolism, oxidative stress, and inflammation, thus inducing hepatocyte apoptosis, which plays an important role in the progression of NAFLD. In recent years, researchers have begun to focus on developing drugs that slowed the progression of NAFLD by regulating the hepatic mitochondrial function. Chinese medicine has a good curative effect on the treatment of NAFLD, with the advantages of high safety and few side effects. Various studies have shown that Chinese medicine prevented and treated NAFLD by regulating the mitochondrial function. Therefore, this paper summarized the relationship between NAFLD and mitochondria, and the mechanism of Chinese medicine(single Chinese medicine, Chinese medicine monomer, and Chinese medicine compound prescription) in the prevention and treatment of NAFLD by regulating mitochondrial function. This paper is expected to provide references for clinical application of traditional Chinese medicine in the treatment of NAFLD by regulating mitochondrial function.
非酒精性脂肪性肝病(NAFLD)作为一种代谢应激性肝损伤疾病,是最常见的慢性肝病之一,严重威胁着人们的健康。NAFLD的发病机制非常复杂。大量研究表明,肝脏线粒体功能障碍会导致肝脏葡萄糖和脂质代谢紊乱、氧化应激及炎症反应,进而诱导肝细胞凋亡,这在NAFLD的进展过程中起着重要作用。近年来,研究人员已开始致力于研发通过调节肝脏线粒体功能来减缓NAFLD进展的药物。中医在NAFLD的治疗方面具有良好疗效,具有安全性高、副作用少的优点。各项研究表明,中医通过调节线粒体功能来防治NAFLD。因此,本文综述了NAFLD与线粒体之间的关系,以及中药(单味中药、中药单体及中药复方制剂)通过调节线粒体功能防治NAFLD的机制。本文有望为中医通过调节线粒体功能治疗NAFLD的临床应用提供参考。