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黄酮类化合物在肝硬化中的预防和治疗潜力:现状与未来展望

The Preventive and Therapeutic Potential of the Flavonoids in Liver Cirrhosis: Current and Future Perspectives.

作者信息

Sahu Rakesh, Goswami Sourav, Narahari Sastry G, Rawal Ravindra K

机构信息

Natural Product Chemistry Group, Chemical Sciences and Technology Division, CSIR-North East Institute of Science and Technology, Jorhat, 785006, Assam, India.

Academy of Scientific and Innovative Research (AcSIR), Ghaziabad, 201 002, Uttar Pradesh, India.

出版信息

Chem Biodivers. 2023 Feb;20(2):e202201029. doi: 10.1002/cbdv.202201029. Epub 2023 Jan 26.

Abstract

Non-alcoholic fatty liver disease (NAFLD) may vary from moderately mild non-alcohol fatty liver (NAFL) towards the malignant variant known as non-alcoholic steatohepatitis (NASH), which is marked by fatty liver inflammation and may progress to liver cirrhosis (LC), liver cancer, fibrosis, or liver failure. Flavonoids can protect the liver from toxins through their anti-inflammatory, antioxidant, anti-cancer, and antifibrogenic pharmacological activities. Furthermore, flavonoids protect against LC by regulation of hepatic stellate cells (HSCs) trans-differentiation, inhibiting growth factors like TGF-β and platelets-derived growth factor (PDGF), vascular epithelial growth factor (VEGF), viral infections like hepatitis-B, C and D viruses (HBV, HCV & HDV), autoimmune-induced, alcohol-induced, metabolic disorder-induced, causing by apoptosis, and regulating MAPK pathways. These flavonoids may be explored in the future as a therapeutic solution for hepatic diseases.

摘要

非酒精性脂肪性肝病(NAFLD)的病情严重程度各异,从轻度的单纯性脂肪肝(NAFL)到恶性的非酒精性脂肪性肝炎(NASH)不等,后者以肝脏炎症为特征,可能进展为肝硬化(LC)、肝癌、肝纤维化或肝衰竭。黄酮类化合物可通过其抗炎、抗氧化、抗癌和抗纤维化药理活性保护肝脏免受毒素侵害。此外,黄酮类化合物可通过调节肝星状细胞(HSC)的转分化、抑制转化生长因子-β(TGF-β)和血小板衍生生长因子(PDGF)等生长因子、血管内皮生长因子(VEGF)、乙型、丙型和丁型肝炎病毒(HBV、HCV和HDV)等病毒感染、自身免疫诱导、酒精诱导、代谢紊乱诱导、凋亡引起的损伤以及调节丝裂原活化蛋白激酶(MAPK)途径来预防肝硬化。这些黄酮类化合物未来有望作为肝病的治疗方案进行探索。

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