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利用食物来源的β-葡聚糖预防和治疗非酒精性脂肪性肝病(NAFLD)。

Utilization of Food-Derived β-Glucans to Prevent and Treat Non-Alcoholic Fatty Liver Disease (NAFLD).

作者信息

Kei Nelson, Wong Vincent Wai Sun, Lauw Susana, You Lijun, Cheung Peter Chi Keung

机构信息

Food and Nutritional Sciences Program, School of Life Sciences, The Chinese University of Hong Kong, Hong Kong SAR, China.

Department of Medicine and Therapeutics, The Chinese University of Hong Kong, Hong Kong SAR, China.

出版信息

Foods. 2023 Sep 1;12(17):3279. doi: 10.3390/foods12173279.

Abstract

Non-alcoholic fatty liver disease (NAFLD) has become the most common chronic liver disease nowadays. Currently, there is no officially approved drug to treat NAFLD. In view of the increasing global prevalence of NAFLD and an absence of treatments, the development of effective treatments is of utmost importance. β-glucan, a natural bioactive polysaccharide, has demonstrated hepatoprotective effects in NAFLD prevention and treatment. This review solely focuses on gathering the published preclinical animal studies that demonstrated the anti-liver injury, anti-steatotic, anti-inflammatory, anti-fibrotic, and antioxidant activities of β-glucan. The impact of β-glucan on gut microbiota and its metabolites including short-chain fatty acids and bile acids as the underlying mechanism for its bioactive beneficial effect on NAFLD is also explored. Given the limited knowledge of β-glucan on anti-fibrotic activity, bile acid metabolism, and gut microbiota function, additional relevant research is highly encouraged to lay a solid foundation for the use of food-derived β-glucan as a functional food for NAFLD. It is envisaged that further investigation of food-derived β-glucan in human clinical studies should be carried out for its wider utilization.

摘要

非酒精性脂肪性肝病(NAFLD)已成为当今最常见的慢性肝病。目前,尚无官方批准用于治疗NAFLD的药物。鉴于全球NAFLD患病率不断上升且缺乏有效治疗方法,开发有效的治疗手段至关重要。β-葡聚糖是一种天然生物活性多糖,已在NAFLD的预防和治疗中显示出肝脏保护作用。本综述仅聚焦于收集已发表的临床前动物研究,这些研究证明了β-葡聚糖的抗肝损伤、抗脂肪变性、抗炎、抗纤维化和抗氧化活性。同时,还探讨了β-葡聚糖对肠道微生物群及其代谢产物(包括短链脂肪酸和胆汁酸)的影响,这是其对NAFLD产生生物活性有益作用的潜在机制。鉴于目前关于β-葡聚糖在抗纤维化活性、胆汁酸代谢和肠道微生物群功能方面的认识有限,强烈鼓励开展更多相关研究,以便为将食物来源的β-葡聚糖用作NAFLD的功能性食品奠定坚实基础。预计应在人体临床研究中进一步研究食物来源的β-葡聚糖,以实现其更广泛的应用。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6260/10486587/043e515402b8/foods-12-03279-g001.jpg

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