Page 44 - 《中国药房》2023年23期
P. 44
标呈正相关)。相关研究发现,Akkermansia可代谢产生 Glycyrrhiza glabra (licorice):a comprehensive review on
丙酸盐,从而激活G蛋白偶联受体43,缓解NAFLD造成 its phytochemistry,biological activities,clinical evidence
的脂肪积累,降低胰岛素抵抗;且Akkermansia表面的配 and toxicology[J]. Plants,2021,10(12):2751.
体可结合肠道黏膜表面的 Toll 样受体 2,从而改善肠道 [ 7 ] WU M N,WU Y Q,DENG B G,et al. Isoliquiritigenin de‐
[12]
炎症和肠黏膜屏障损伤 。Ileibacterium 被报道其丰度 creases the incidence of colitis-associated colorectal can‐
cer by modulating the intestinal microbiota[J]. Oncotar‐
与结肠炎和动脉粥样硬化呈正相关 [13―14] 。肠黏膜屏障
get,2016,7(51):85318-85331.
对于吸收人体必需营养物质以及防止肠道有害微生物
[ 8 ] JIAN L N,WU H X,ZENG H Y,et al. Isoliquiritigenin at‐
入侵至关重要,其功能改变可导致肠道黏膜通透性增
tenuates non-alcoholic fatty liver disease via the ameliora‐
加。Claudin-4、Occludin、ZO-1 等肠道屏障功能相关蛋 tion of hepatic inflammation and autophagy in mice[J]. J
白的表达下降,可增加细菌产生的病原体相关分子模式 Funct Foods,2023,109:105770.
从肠道中经肝门静脉进入肝脏的可能性,进而引起肝脏 [ 9 ] PAWLAK M,LEFEBVRE P,STAELS B. Molecular
[15]
炎症,促进NAFLD的进程 。本研究结果显示,异甘草 mechanism of PPARα action and its impact on lipid me‐
素可显著升高肠道屏障功能相关蛋白的表达水平。这 tabolism,inflammation and fibrosis in non-alcoholic fatty
提示,异甘草素可通过调节肠道菌群,改善肠黏膜屏障, liver disease[J]. J Hepatol,2015,62(3):720-733.
进而缓解NAFLD。 [10] YANG J,ZHANG H L,PARHAT K,et al. Molecular
综上所述,异甘草素可显著延缓NAFLD的进展,其 imaging of brown adipose tissue mass[J]. Int J Mol Sci,
2021,22(17):9436.
作用机制可能与调节肠道菌群、改善肠屏障功能有关。
[11] COMPARE D,COCCOLI P,ROCCO A,et al. Gut-liver
参考文献
axis:the impact of gut microbiota on non-alcoholic fatty
[ 1 ] YOUNOSSI Z M,GOLABI P,PAIK J M,et al. The
liver disease[J]. Nutr Metab Cardiovasc Dis,2012,22(6):
global epidemiology of nonalcoholic fatty liver disease
471-476.
(NAFLD) and nonalcoholic steatohepatitis (NASH):a
[12] KIMURA I,OZAWA K,INOUE D,et al. The gut micro‐
systematic review[J]. Hepatology,2023,77(4):1335-
biota suppresses insulin-mediated fat accumulation via the
1347.
short-chain fatty acid receptor GPR43[J]. Nat Commun,
[ 2 ] BOURSIER J,DIEHL A M. Implication of gut microbiota
2013,4:1829.
in nonalcoholic fatty liver disease[J]. PLoS Pathog,2015, [13] GU Y Y,ZHANG Y X,LI M,et al. Ferulic acid amelio‐
11(1):e1004559. rates atherosclerotic injury by modulating gut microbiota
[ 3 ] CHEN J Z,VITETTA L. Gut microbiota metabolites in
and lipid metabolism[J]. Front Pharmacol,2021,12:
NAFLD pathogenesis and therapeutic implications[J]. Int 621339.
J Mol Sci,2020,21(15):5214. [14] LIN H Y,MA X P,YANG X R,et al. Natural shikonin
[ 4 ] ARON-WISNEWSKY J,VIGLIOTTI C,WITJES J,et al. and acetyl-shikonin improve intestinal microbial and pro‐
Gut microbiota and human NAFLD:disentangling micro‐ tein composition to alleviate colitis-associated colorectal
bial signatures from metabolic disorders[J]. Nat Rev Ga- cancer[J]. Int Immunopharmacol,2022,111:109097.
stroenterol Hepatol,2020,17(5):279-297. [15] LI Q,REMPEL J D,YANG J Q,et al. The effects of
[ 5 ] ZHANG L,YANG S Y,QI-LI F R,et al. Administration pathogen-associated molecular patterns on peripheral
of isoliquiritigenin prevents nonalcoholic fatty liver disease blood monocytes in patients with non-alcoholic fatty liver
through a novel IQGAP2-CREB-SIRT1 axis[J]. Phytother disease[J]. J Clin Exp Hepatol,2022,12(3):808-817.
Res,2021,35(7):3898-3915. (收稿日期:2023-07-12 修回日期:2023-10-11)
[ 6 ] WAHAB S,ANNADURAI S,ABULLAIS S S,et al. (编辑:唐晓莲)
· 2854 · China Pharmacy 2023 Vol. 34 No. 23 中国药房 2023年第34卷第23期