College of Pharmacy, Changchun University of Chinese Medicine, Changchun 130117, China.
Molecules. 2023 Jul 25;28(15):5645. doi: 10.3390/molecules28155645.
Non-alcoholic fatty liver disease (NAFLD) is the most common chronic liver disease in the world, and its incidence continues to increase each year. Yet, there is still no definitive drug that can stop its development. This review focuses mainly on lipotoxicity, oxidative stress, inflammation, and intestinal flora dysbiosis to understand NAFLD's pathogenesis. In this review, we used NCBI's PubMed database for retrieval, integrating in vivo and in vitro experiments to reveal the therapeutic effects of natural compounds on NAFLD. We also reviewed the mechanisms by which the results of these experiments suggest that these compounds can protect the liver from damage by modulating inflammation, reducing oxidative stress, decreasing insulin resistance and lipid accumulation in the liver, and interacting with the intestinal microflora. The natural compounds discussed in these papers target a variety of pathways, such as the AMPK pathway and the TGF-β pathway, and have significant therapeutic effects. This review aims to provide new possible therapeutic lead compounds and references for the development of novel medications and the clinical treatment of NAFLD. It offers fresh perspectives on the development of natural compounds in preventing and treating NAFLD.
非酒精性脂肪性肝病(NAFLD)是世界上最常见的慢性肝病,其发病率每年持续增加。然而,仍然没有明确的药物可以阻止其发展。本综述主要关注脂毒性、氧化应激、炎症和肠道菌群失调,以了解 NAFLD 的发病机制。在本综述中,我们使用 NCBI 的 PubMed 数据库进行检索,整合体内和体外实验,揭示天然化合物对 NAFLD 的治疗作用。我们还回顾了这些实验结果表明这些化合物可以通过调节炎症、减轻氧化应激、减少肝脏胰岛素抵抗和脂质积累以及与肠道微生物群相互作用来保护肝脏免受损伤的机制。这些论文中讨论的天然化合物针对多种途径,如 AMPK 途径和 TGF-β 途径,具有显著的治疗效果。本综述旨在为新型药物的开发和 NAFLD 的临床治疗提供新的可能的治疗先导化合物和参考,为天然化合物在预防和治疗 NAFLD 方面提供新的视角。