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膳食表没食子儿没食子酸酯补充剂用于治疗肥胖症和非酒精性脂肪性肝病的安全性和有效性:最新进展

The Safety and Efficacy of Dietary Epigallocatechin Gallate Supplementation for the Management of Obesity and Non-Alcoholic Fatty Liver Disease: Recent Updates.

作者信息

Yan Ruike, Cao Yanli

机构信息

Department of Endocrinology and Metabolism, Institute of Endocrinology, NHC Key Laboratory of Diagnosis and Treatment of Thyroid Diseases, The First Affiliated Hospital of China Medical University, Shenyang 110001, China.

出版信息

Biomedicines. 2025 Jan 15;13(1):206. doi: 10.3390/biomedicines13010206.

DOI:10.3390/biomedicines13010206
PMID:39857788
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11762999/
Abstract

Epigallocatechin gallate (EGCG) is the predominant bioactive catechin in green tea, and it has been ascribed a range of beneficial health effects. Current increases in obesity and non-alcoholic fatty liver disease (NAFLD) rates represent a persistent and burdensome threat to global public health. While many clinical studies have demonstrated that EGCG is associated with positive effects on various health parameters, including metabolic biomarkers, waist circumference, and body weight when consumed by individuals affected by obesity and NAFLD, there are also some reports suggesting that it may entail some degree of hepatotoxicity. The present review provides a comprehensive summary of the extant clinical findings pertaining to the safety and effectiveness of EGCG in managing obesity and NAFLD, with a particular focus on how treatment duration and dose level affect the bioactivity of this compound.

摘要

表没食子儿没食子酸酯(EGCG)是绿茶中主要的生物活性儿茶素,人们认为它对健康有一系列有益影响。目前肥胖率和非酒精性脂肪性肝病(NAFLD)发病率的上升对全球公共卫生构成了持续且沉重的威胁。虽然许多临床研究表明,肥胖和NAFLD患者摄入EGCG后,它对包括代谢生物标志物、腰围和体重在内的各种健康参数有积极影响,但也有一些报告表明它可能有一定程度的肝毒性。本综述全面总结了关于EGCG在治疗肥胖和NAFLD方面的安全性和有效性的现有临床研究结果,特别关注治疗持续时间和剂量水平如何影响该化合物的生物活性。

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The Safety and Efficacy of Dietary Epigallocatechin Gallate Supplementation for the Management of Obesity and Non-Alcoholic Fatty Liver Disease: Recent Updates.膳食表没食子儿没食子酸酯补充剂用于治疗肥胖症和非酒精性脂肪性肝病的安全性和有效性:最新进展
Biomedicines. 2025 Jan 15;13(1):206. doi: 10.3390/biomedicines13010206.
2
Therapeutic Activity of Green Tea Epigallocatechin-3-Gallate on Metabolic Diseases and Non-Alcoholic Fatty Liver Diseases: The Current Updates.表没食子儿茶素没食子酸酯对代谢性疾病和非酒精性脂肪性肝病的治疗作用:最新进展。
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Epigallocatechin gallate alleviates non-alcoholic fatty liver disease through the inhibition of the expression and activity of Dipeptide kinase 4.没食子儿茶素没食子酸酯通过抑制二肽激酶 4 的表达和活性来缓解非酒精性脂肪性肝病。
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Coadministration of epigallocatechin-3-gallate (EGCG) and caffeine in low dose ameliorates obesity and nonalcoholic fatty liver disease in obese rats.表没食子儿茶素没食子酸酯(EGCG)和咖啡因低剂量联合给药可改善肥胖大鼠的肥胖和非酒精性脂肪性肝病。
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Mol Nutr Food Res. 2018 Jan;62(1). doi: 10.1002/mnfr.201700483. Epub 2017 Oct 12.
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Epigallocatechin gallate attenuates fibrosis, oxidative stress, and inflammation in non-alcoholic fatty liver disease rat model through TGF/SMAD, PI3 K/Akt/FoxO1, and NF-kappa B pathways.没食子酸表没食子儿茶素酯通过 TGF/SMAD、PI3 K/Akt/FoxO1 和 NF-κB 通路减轻非酒精性脂肪性肝病大鼠模型的纤维化、氧化应激和炎症。
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本文引用的文献

1
Stabilization of hypoxia-inducible factor 1α and regulation of specific gut microbes by EGCG contribute to the alleviation of ileal barrier disorder and obesity.EGCG 通过稳定缺氧诱导因子 1α 和调节特定肠道微生物,有助于缓解回肠屏障紊乱和肥胖。
Food Funct. 2024 Sep 30;15(19):9983-9994. doi: 10.1039/d4fo02283a.
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Epigallocatechin gallate alleviates non-alcoholic fatty liver disease through the inhibition of the expression and activity of Dipeptide kinase 4.没食子儿茶素没食子酸酯通过抑制二肽激酶 4 的表达和活性来缓解非酒精性脂肪性肝病。
Clin Nutr. 2024 Aug;43(8):1769-1780. doi: 10.1016/j.clnu.2024.06.018. Epub 2024 Jun 19.
3
Tea Polyphenol Epigallocatechin Gallate Protects Against Nonalcoholic Fatty Liver Disease and Associated Endotoxemia in Rats via Modulating Gut Microbiota Dysbiosis and Alleviating Intestinal Barrier Dysfunction and Related Inflammation.茶多酚表没食子儿茶素没食子酸酯通过调节肠道微生物群失调、减轻肠道屏障功能障碍及相关炎症,对大鼠非酒精性脂肪性肝病及相关内毒素血症具有保护作用。
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4
Worldwide trends in underweight and obesity from 1990 to 2022: a pooled analysis of 3663 population-representative studies with 222 million children, adolescents, and adults.全球范围内 1990 年至 2022 年体重不足和肥胖趋势:对 3663 项具有 2.22 亿儿童、青少年和成年人代表性的人群研究进行的汇总分析。
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5
EGCG-NPs inhibition HO-1-mediated reprogram iron metabolism against ferroptosis after subarachnoid hemorrhage.EGCG-NPs 通过抑制 HO-1 介导的铁代谢重编程来抑制蛛网膜下腔出血后的铁死亡。
Redox Biol. 2024 Apr;70:103075. doi: 10.1016/j.redox.2024.103075. Epub 2024 Feb 11.
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A Phase 3, Randomized, Controlled Trial of Resmetirom in NASH with Liver Fibrosis.一项评估 Resmetirom 治疗伴有肝纤维化的 NASH 的 3 期随机对照试验。
N Engl J Med. 2024 Feb 8;390(6):497-509. doi: 10.1056/NEJMoa2309000.
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Prenatal EGCG consumption impacts hepatic glycogen synthesis and lipid metabolism in adult mice.产前 EGCG 摄入影响成年小鼠肝脏糖原合成和脂质代谢。
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Recompensation in cirrhosis: unravelling the evolving natural history of nonalcoholic fatty liver disease.肝硬化的代偿:揭开非酒精性脂肪性肝病的自然史演变。
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A Zwitterionic Hydrogel with Anti-Oxidative and Anti-Inflammatory Properties for the Prevention of Peritoneal Adhesion by Inhibiting Mesothelial-Mesenchymal Transition.一种具有抗氧化和抗炎特性的两性离子水凝胶,通过抑制间皮-间充质转化来预防腹膜粘连。
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