荔枝核提取物治疗非酒精性脂肪性肝炎作用的研究进展
Research Progress on the Therapeutic Effect of Lychee Seed Extract on Non-Alcoholic Steatohepatitis
摘要: 近年来,非酒精性脂肪性肝炎(NASH)的发病率不断上升,其发病机制复杂,包括糖、脂、胆固醇代谢改变、纤维化进展、炎症、免疫等。目前为止FDA尚未批准任何用于NASH治疗的药物。荔枝核作为荔枝的一部分,常常和果皮一起被丢弃,根据药理学研究显示,其具有相当大的利用价值。荔枝核提取物(LSE)中含有多种化合物,如多酚类、黄酮类、多糖和脂肪酸等,具有降血糖、抗氧化、调节肠道微生物群和脂质代谢等多种活性。因此,应更深一步了解LSE的药用价值,研究其对NASH的影响及其机制,为治疗NASH疾病提供新思路。
Abstract: In recent years, the incidence rate of Nonalcoholic Steatohepatitis (NASH) has been rising, and its pathogenesis is complex, including changes in sugar, lipid, and cholesterol metabolism, fibrosis progression, inflammation, immunity, etc. So far, the FDA has not approved any drugs for the treatment of NASH. As a part of lychee, lychee seeds are often discarded together with the litchi peel. Pharmacological studies have shown that they have considerable utilization value. Lychee Seed Extract (LSE) contains various compounds such as polyphenols, flavonoids, polysaccharides, and fatty acids, which have various activities such as lowering blood sugar, antioxidation, regulating intestinal microbiota and lipid metabolism. Therefore, it is necessary to understand the medicinal value of LSE further, study its effects and mechanisms on NASH, and provide new ideas for the treatment of NASH diseases.
文章引用:司砚汀, 蔡怡盈, 郭咏鑫, 周红权, 范正洋, 满淑丽, 彭伟盼. 荔枝核提取物治疗非酒精性脂肪性肝炎作用的研究进展[J]. 亚洲急诊医学病例研究, 2025, 13(3): 291-299. https://doi.org/10.12677/acrem.2025.133041

参考文献

[1] 刘瑞, 朱桢. 黄连解毒汤联合甘草酸二铵治疗非酒精性脂肪性肝炎(湿热蕴结证)的效果及对脂代谢、肝功能的影响[J]. 临床医学研究与实践, 2025, 10(7): 127-130.
[2] Huby, T. and Gautier, E.L. (2021) Immune Cell-Mediated Features of Non-Alcoholic Steatohepatitis. Nature Reviews Immunology, 22, 429-443. [Google Scholar] [CrossRef] [PubMed]
[3] Friedman, S.L., Neuschwander-Tetri, B.A., Rinella, M. and Sanyal, A.J. (2018) Mechanisms of NAFLD Development and Therapeutic Strategies. Nature Medicine, 24, 908-922. [Google Scholar] [CrossRef] [PubMed]
[4] Harrison, S.A., Bedossa, P., Guy, C.D., Schattenberg, J.M., Loomba, R., Taub, R., et al. (2024) A Phase 3, Randomized, Controlled Trial of Resmetirom in NASH with Liver Fibrosis. New England Journal of Medicine, 390, 497-509. [Google Scholar] [CrossRef] [PubMed]
[5] Rinella, M.E., Neuschwander-Tetri, B.A., Siddiqui, M.S., Abdelmalek, M.F., Caldwell, S., Barb, D., et al. (2023) AASLD Practice Guidance on the Clinical Assessment and Management of Nonalcoholic Fatty Liver Disease. Hepatology, 77, 1797-1835. [Google Scholar] [CrossRef] [PubMed]
[6] 秦辉, 曹阳, 黄孟阳, 等. 酒糟醇溶蛋白纳米复合涂膜剂在荔枝保鲜中的研究[J]. 食品安全导刊, 2025(10): 52-58+62.
[7] 任嘉佳, 杨兴, 吴石丽, 等. 荔枝核的化学成分及生物活性研究[J]. 中草药, 2022, 53(24): 7664-7671.
[8] 胡兴兰, 杨莹莹, 黄盼玲, 罗伟生, 梁健钦, 周金玲, 夏星. 荔枝核总黄酮通过改善肠道菌群结构减轻四氯化碳诱发的肝纤维化[J]. 中草药, 2025, 56(1): 145-153.
[9] Yan, M., Man, S., Ma, L. and Gao, W. (2022) Comprehensive Molecular Mechanisms and Clinical Therapy in Nonalcoholic Steatohepatitis: An Overview and Current Perspectives. Metabolism, 134, Article 155264. [Google Scholar] [CrossRef] [PubMed]
[10] 邓桃英, 王彩鸾, 林艳华, 等. 胰岛素抵抗代谢评分与非酒精性脂肪性肝病的关联性分析[J]. 现代预防医学, 2025, 52(6): 989-993+1030.
[11] Galicia-Garcia, U., Benito-Vicente, A., Jebari, S., Larrea-Sebal, A., Siddiqi, H., Uribe, K.B., et al. (2020) Pathophysiology of Type 2 Diabetes Mellitus. International Journal of Molecular Sciences, 21, Article 6275. [Google Scholar] [CrossRef] [PubMed]
[12] Ross, T.T., Crowley, C., Kelly, K.L., Rinaldi, A., Beebe, D.A., Lech, M.P., et al. (2020) Acetyl-CoA Carboxylase Inhibition Improves Multiple Dimensions of NASH Pathogenesis in Model Systems. Cellular and Molecular Gastroenterology and Hepatology, 10, 829-851. [Google Scholar] [CrossRef] [PubMed]
[13] 于培良, 赵立春, 廖夏云, 等. 荔枝核化学成分和药理活性研究进展[J]. 中国民族民间医药, 2018, 27(15): 41-46.
[14] 王倩, 赵立春, 周改莲, 等. 荔枝核研究进展及其质量标志物预测分析[J]. 食品工业科技, 2020, 41(6): 343-350.
[15] Wang, L., Lou, G., Ma, Z. and Liu, X. (2011) Chemical Constituents with Antioxidant Activities from Litchi (Litchi chinensis Sonn.) Seeds. Food Chemistry, 126, 1081-1087. [Google Scholar] [CrossRef
[16] 尹蕊, 杨兴, 董维茂, 等. 盐炙荔枝核化学成分及其抗氧化活性研究[J]. 中成药, 2025, 47(2): 480-486.
[17] 周洁. 荔枝核指纹图谱及抗氧化活性相关性研究[D]: [硕士学位论文]. 哈尔滨: 黑龙江大学, 2018.
[18] 张敏, 王磊. 荔枝核多酚对非酒精性脂肪肝病模型大鼠脂代谢的影响[J]. 中国中药杂志, 2020, 45(12): 2873-2879.
[19] Li, X., et al. (2019) Litchi Seed Extract Attenuates Hepatic Steatosis via AMPK-Mediated Lipogenesis Suppression. Journal of Ethnopharmacology, 231, 1-9.
[20] 陈晓华, 等. 荔枝核提取物通过PPARα/CPT1通路改善肝细胞脂质蓄积[J]. 中华肝脏病杂志, 2021, 29(6): 556-561.
[21] 李娜, 等. 荔枝核活性成分调控FGF21改善非酒精性脂肪肝病的机制研究[J]. 药学学报, 2022, 57(3): 789-795.
[22] Zhang, H., et al. (2021) Litchi Seed Procyanidins Ameliorate Hepatic Cholesterol Accumulation via LXRα/CYP7A1 Modulation. Molecular Nutrition & Food Research, 65, e2100253.
[23] 陆永旺, 劳玲玲, 陈华妮, 等. 酸荔枝核黄酮体外抗氧化作用的研究[J]. 中国酿造, 2013, 32(7): 104-106+122.
[24] Zhou, B., Luo, Y., Bi, H., et al. (2024) Amelioration of Nonalcoholic Fatty Liver Disease by Inhibiting the Deubiquitylating Enzyme RPN11. Cell Metabolism, 36, 2228-2244.e7.
[25] 周志文, 李姗, 刘湘花, 等. 中药单体调控氧化应激抗肝纤维化的机制和价值[J]. 临床肝胆病杂志, 2021, 37(9): 2198-2202.
[26] Chen, Z., Xiao, J., Liu, H., et al. (2020) Astaxanthin Attenuates Oxidative Stress and Immune Impairment in D-Galactose-Induced Aging in Rats by Activating the Nrf2/Keap1 Pathway and Suppressing the NF-κB Pathway. Food & Function, 11, 8099-8111. https://www.sohu.com/a/777817589_120218946. [Google Scholar] [CrossRef
[27] Bedard, K. and Krause, K.H. (2007) The NOX Family of ROS-Generating NADPH Oxidases: Physiology and Pathophysiology. Physiological Reviews, 87, 245-313. [Google Scholar] [CrossRef] [PubMed]
[28] Chalasani, N., Younossi, Z., Lavine, J.E., Charlton, M., Cusi, K., Rinella, M., et al. (2017) The Diagnosis and Management of Nonalcoholic Fatty Liver Disease: Practice Guidance from the American Association for the Study of Liver Diseases. Hepatology, 67, 328-357. [Google Scholar] [CrossRef] [PubMed]
[29] Guo, H., Luo, H., Yuan, H., Xia, Y., Shu, P., Huang, X., et al. (2021) Author Correction: Litchi Seed Extracts Diminish Prostate Cancer Progression via Induction of Apoptosis and Attenuation of EMT through Akt/GSK-3β Signaling. Scientific Reports, 11, Article No. 15201. [Google Scholar] [CrossRef] [PubMed]
[30] 赵欢, 田玉凤, 杨兰兰, 等. 荔枝核提取物的化学成分及其抗炎活性[J]. 现代食品科技, 2025, 41(2): 83-93.
[31] 周学东, 刘庆涛. 荔枝核总黄酮对肝纤维化模型大鼠肝细胞损伤的改善作用[J]. 中国药房, 2015, 26(22): 3099-3102.
[32] Fang, J., Yu, C., Li, X., Yao, J., Fang, Z., Yoon, S., et al. (2022) Gut Dysbiosis in Nonalcoholic Fatty Liver Disease: Pathogenesis, Diagnosis, and Therapeutic Implications. Frontiers in Cellular and Infection Microbiology, 12, Article ID: 997018. [Google Scholar] [CrossRef] [PubMed]
[33] Kolodziejczyk, A.A., Zheng, D., Shibolet, O. and Elinav, E. (2018) The Role of the Microbiome in NAFLD and NASH. EMBO Molecular Medicine, 11, e9302. [Google Scholar] [CrossRef] [PubMed]
[34] Adams, L.A., Anstee, Q.M., Tilg, H. and Targher, G. (2017) Non-Alcoholic Fatty Liver Disease and Its Relationship with Cardiovascular Disease and Other Extrahepatic Diseases. Gut, 66, 1138-1153. [Google Scholar] [CrossRef] [PubMed]
[35] Fan, Y. and Pedersen, O. (2020) Gut Microbiota in Human Metabolic Health and Disease. Nature Reviews Microbiology, 19, 55-71. [Google Scholar] [CrossRef] [PubMed]
[36] Chen, J. and Vitetta, L. (2020) Gut Microbiota Metabolites in NAFLD Pathogenesis and Therapeutic Implications. International Journal of Molecular Sciences, 21, Article 5214. [Google Scholar] [CrossRef] [PubMed]
[37] Deng, M., Qu, F., Chen, L., Liu, C., Zhang, M., Ren, F., et al. (2020) SCFAs Alleviated Steatosis and Inflammation in Mice with NASH Induced by MCD. Journal of Endocrinology, 245, 425-437. [Google Scholar] [CrossRef] [PubMed]
[38] Xiang, H., Sun, D., Liu, X., She, Z. and Chen, Y. (2022) The Role of the Intestinal Microbiota in Nonalcoholic Steatohepatitis. Frontiers in Endocrinology, 13, Article 812610. [Google Scholar] [CrossRef] [PubMed]
[39] Xiang, J., Chi, Y., Han, J., Kong, P., Liang, Z., Wang, D., et al. (2022) Litchi chinensis Seed Prevents Obesity and Modulates the Gut Microbiota and Mycobiota Compositions in High-Fat Diet-Induced Obese Zebrafish. Food & Function, 13, 2832-2845. [Google Scholar] [CrossRef] [PubMed]
[40] Li, Q., Wang, J., Lv, J., Liu, D., Xiao, S., Mo, J., et al. (2024) Total Flavonoids of Litchi Seed Alleviates Schistosomiasis Liver Fibrosis in Mice by Suppressing Hepatic Stellate Cells Activation and Modulating the Gut Microbiomes. Biomedicine & Pharmacotherapy, 178, Article 117240. [Google Scholar] [CrossRef] [PubMed]