Institute of Animal Nutrition and Bromatology, Department of Bromatology and Nutrition Physiology, University of Life Sciences in Lublin, Akademicka 13, 20-950 Lublin, Poland.
Institute of Human Nutrition and Agriculture, The University College of Applied Sciences in Chełm, Pocztowa 54, 22-100 Chełm, Poland.
Nutrients. 2024 Aug 24;16(17):2837. doi: 10.3390/nu16172837.
The liver is a highly metabolically active organ, and one of the causes of its dysfunction is the damage caused by drugs and their metabolites as well as dietary supplements and herbal preparations. A common feature of such damage is drugs, which allows it to be defined as drug-induced liver injury (DILI). In this review, we analysed available research findings in the global literature regarding the effects of green tea and/or its phenolic compounds on liver function in the context of protective action during prolonged exposure to xenobiotics. We focused on the direct detoxifying action of epigallocatechin gallate (EGCG) in the liver, the impact of EGCG on gut microbiota, and the influence of microbiota on liver health. We used 127 scientific research publications published between 2014 and 2024. Improving the effectiveness of DILI detection is essential to enhance the safety of patients at risk of liver damage and to develop methods for assessing the potential hepatotoxicity of a drug during the research phase. Often, drugs cannot be eliminated, but appropriate nutrition can strengthen the body and liver, which may mitigate adverse changes resulting from DILI. Polyphenols are promising owing to their strong antioxidant and anti-inflammatory properties as well as their prebiotic effects. Notably, EGCG is found in green tea. The results of the studies presented by various authors are very promising, although not without uncertainties. Therefore, future research should focus on elucidating the therapeutic and preventive mechanisms of polyphenols in the context of liver health through the functioning of gut microbiota affecting overall health, with particular emphasis on epigenetic pathways.
肝脏是一个高度代谢活跃的器官,其功能障碍的原因之一是药物及其代谢物以及膳食补充剂和草药制剂造成的损伤。这种损伤的一个共同特征是药物,这使其可以被定义为药物性肝损伤(DILI)。在这篇综述中,我们分析了全球文献中关于绿茶及其酚类化合物在长时间暴露于外源性物质时对肝功能的保护作用的研究结果。我们重点研究了表没食子儿茶素没食子酸酯(EGCG)在肝脏中的直接解毒作用、EGCG 对肠道微生物群的影响以及微生物群对肝脏健康的影响。我们使用了 2014 年至 2024 年期间发表的 127 篇科学研究出版物。提高 DILI 检测的有效性对于提高处于肝损伤风险中的患者的安全性以及开发在研究阶段评估药物潜在肝毒性的方法至关重要。通常,药物无法消除,但适当的营养可以增强身体和肝脏的功能,从而减轻 DILI 导致的不良反应。多酚具有很强的抗氧化和抗炎特性以及益生元作用,因此具有很大的应用前景。值得注意的是,EGCG 存在于绿茶中。尽管存在不确定性,但不同作者提出的研究结果非常有希望。因此,未来的研究应侧重于通过影响整体健康的肠道微生物群的功能阐明多酚在肝脏健康方面的治疗和预防机制,特别强调表观遗传途径。