Wan Ziyao, Hallajzadeh Jamal
School of Pharmacy University College London London UK.
Research Center for Evidence-Based Health Management Maragheh University of Medical Sciences Maragheh Iran.
Food Sci Nutr. 2025 Jul 24;13(7):e70555. doi: 10.1002/fsn3.70555. eCollection 2025 Jul.
Nonalcoholic fatty liver disease (NAFLD) is characterized by excessive liver fat accumulation that can progress to the more severe NASH. Impaired autophagy, the cellular process of recycling damaged organelles and proteins, has been observed in NAFLD. Interestingly, the compound resveratrol has been shown to induce autophagy in liver cells, potentially helping to alleviate NAFLD. Resveratrol can also trigger apoptosis, or programmed cell death, in hepatocellular carcinoma (HCC) cells, the most common form of liver cancer, by inhibiting key signaling pathways. This apoptosis-inducing effect highlights resveratrol's therapeutic potential for HCC. Additionally, the cytotoxicity of resveratrol in cancer cells suggests that it may selectively target and eliminate damaged or malignant cells, further contributing to its anticancer properties. Resveratrol activates the AMPK protein complex, which regulates energy balance and autophagy, suggesting it may help remove damaged cellular components in NAFLD. While preclinical studies are promising, further clinical research is still needed to evaluate the efficacy and safety of resveratrol for treating NAFLD and HCC.
非酒精性脂肪性肝病(NAFLD)的特征是肝脏脂肪过度积累,可发展为更严重的非酒精性脂肪性肝炎(NASH)。自噬是细胞回收受损细胞器和蛋白质的过程,在NAFLD中已观察到自噬受损。有趣的是,白藜芦醇已被证明可诱导肝细胞自噬,可能有助于缓解NAFLD。白藜芦醇还可通过抑制关键信号通路,触发肝细胞癌(HCC)细胞(最常见的肝癌形式)中的凋亡或程序性细胞死亡。这种诱导凋亡的作用突出了白藜芦醇对HCC的治疗潜力。此外,白藜芦醇在癌细胞中的细胞毒性表明,它可能选择性地靶向并消除受损或恶性细胞,进一步增强其抗癌特性。白藜芦醇激活AMPK蛋白复合物,该复合物调节能量平衡和自噬,表明它可能有助于清除NAFLD中受损的细胞成分。虽然临床前研究很有前景,但仍需要进一步的临床研究来评估白藜芦醇治疗NAFLD和HCC的疗效和安全性。