Balakina Anastasiya, Sidorova Yuliya, Petrov Nikita, Shipelin Vladimir
Federal Research Centre of Nutrition and Biotechnology, Moscow 109240, Russia.
Molecules. 2025 Sep 18;30(18):3791. doi: 10.3390/molecules30183791.
Non-alcoholic fatty liver disease (NAFLD) is among the most prevalent liver disorders globally, affecting approximately 25% to 40% of the adult population. Closely associated with metabolic syndrome, obesity, insulin resistance, and dyslipidemia, NAFLD presents a growing burden due to its increasing incidence and high healthcare costs. In this context, the development of effective preventive and therapeutic strategies remains a pressing challenge in modern medicine. This review aims to analyze current scientific evidence on bioactive plant compounds-particularly polyphenols and polyprenols-including their natural sources, mechanisms of action, and potential applications in the prevention and dietary management of NAFLD. A growing body of evidence demonstrates that both polyphenols and polyprenols exert hepatoprotective, antioxidant, anti-inflammatory, and hypolipidemic effects. These compounds modulate signaling pathways implicated in hepatic steatosis and fibrosis, positively influence gut microbiota composition, and affect bile acid metabolism. Studies have confirmed the efficacy of polyphenol-rich foods (naringenin, resveratrol, chlorogenic acid, etc.) and polyprenol-based formulations in reducing body weight and liver steatosis, improving biochemical markers and insulin resistance. The combined application of polyphenols and polyprenols may yield synergistic effects on multiple pathogenic pathways and represents a promising direction for the dietary prevention and management of NAFLD.
非酒精性脂肪性肝病(NAFLD)是全球最常见的肝脏疾病之一,影响着约25%至40%的成年人口。NAFLD与代谢综合征、肥胖、胰岛素抵抗和血脂异常密切相关,由于其发病率不断上升和医疗成本高昂,带来的负担日益加重。在这种背景下,开发有效的预防和治疗策略仍然是现代医学面临的紧迫挑战。本综述旨在分析关于生物活性植物化合物——特别是多酚和多萜醇——的现有科学证据,包括它们的天然来源、作用机制以及在NAFLD预防和饮食管理中的潜在应用。越来越多的证据表明,多酚和多萜醇都具有肝脏保护、抗氧化、抗炎和降血脂作用。这些化合物调节与肝脂肪变性和纤维化相关的信号通路,对肠道微生物群组成产生积极影响,并影响胆汁酸代谢。研究已证实富含多酚的食物(柚皮素、白藜芦醇、绿原酸等)和基于多萜醇的制剂在减轻体重和肝脏脂肪变性、改善生化指标和胰岛素抵抗方面的功效。多酚和多萜醇的联合应用可能对多种致病途径产生协同作用,是NAFLD饮食预防和管理的一个有前景的方向。