Sabini Jasmine Harumi, Timotius Kris Herawan
Faculty of Medicine and Health Sciences, Krida Wacana Christian University, Jakarta 11510, Indonesia.
Curr Issues Mol Biol. 2025 Feb 27;47(3):159. doi: 10.3390/cimb47030159.
Fat accumulation is the hallmark of metabolic dysfunction-associated steatotic liver disease (MASLD). Given the intimidating nature of its treatment, curcumin (CUR) emerges as a potential therapeutic agent due to its proven effectiveness in managing MASLD. This review aimed to evaluate previous reports on the hepatoprotective and fat-accumulation-reductive effects of CUR administration in preventing or treating MASLD. CUR administration can modulate serum liver enzymes and lipid profiles. The fat accumulation of MASLD is the primary cause of oxidative stress and inflammation. By reducing fat accumulation, CUR may attenuate the inflammation and oxidative stress in MASLD. In addition, CUR has been proven to restore the dysfunctional cellular energy metabolism capacity and attenuate fibrogenesis (antifibrotic agent). Their hepatoprotective effects are associated with fat accumulation in MASLD. Lipid metabolism (lipogenesis, lipolysis, and lipophagy) is correlated with their hepatoprotective effects. CUR has prophylactic and therapeutic effects, particularly in early-stage MASLD, primarily when it is used as a fat reducer. It can be considered an excellent natural therapeutic drug for MASLD because it protects the liver and attenuates fat accumulation, especially in the early stage of MASLD development.
脂肪堆积是代谢功能障碍相关脂肪性肝病(MASLD)的标志。鉴于其治疗的棘手性,姜黄素(CUR)因其在治疗MASLD方面已被证实的有效性而成为一种潜在的治疗药物。本综述旨在评估先前关于CUR给药在预防或治疗MASLD中的肝脏保护和减少脂肪堆积作用的报道。CUR给药可调节血清肝酶和血脂谱。MASLD的脂肪堆积是氧化应激和炎症的主要原因。通过减少脂肪堆积,CUR可能减轻MASLD中的炎症和氧化应激。此外,CUR已被证明可恢复功能失调的细胞能量代谢能力并减轻纤维化(抗纤维化药物)。它们的肝脏保护作用与MASLD中的脂肪堆积有关。脂质代谢(脂肪生成、脂肪分解和脂质自噬)与它们的肝脏保护作用相关。CUR具有预防和治疗作用,特别是在早期MASLD中,主要是当其用作脂肪减少剂时。它可被认为是治疗MASLD的一种优秀天然治疗药物,因为它可保护肝脏并减轻脂肪堆积,尤其是在MASLD发展的早期阶段。
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