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Table 4 Traditional Chinese medicines in regulation of phosphorylation in SLD

From: Phosphorylation: new star of pathogenesis and treatment in steatotic liver disease

Category

Name

Treatment effect

Phosphorylation action site

Potential mechanism

Traditional Chinese medicine

Breviscapine [89]

Reducing lipid accumulation/inflammation/liver injury/fibrosis

p-TAK1

Linking the anti-NASH effects of breviscapine was inhibition of p-TAK1 and the subsequent mitogen-activated protein kinase signaling cascade

Cordycepin [92]

Attenuating aminotransferases and lipid accumulation

p-AMPK

Against hepatic steatosis, inflammation, liver injury, and fibrosis in mice under metabolic stress through activation of the AMPK signaling pathway

Salidroside [93]

Regulating glucose metabolism dysregulation/lipid accumulation/fibrosis

p-AMPK

alleviated lipid accumulation and inflammatory response in primary hepatocytes via promoting AMPK signaling pathway activation

Resveratrol [36, 94]

Improving liver histology and reversing serum biochemical abnormalities

p-FOXO3a/p-JNK

Improving insulin resistance, hepatic steatosis, oxidative stress and inflammation, through SIRT1-mediated FOXO3a phosphorylation and NF-kB deacetylation; suppressing oxidative stress by inhibition of p-JNK

Anthocyanin [90]

Reducing liver fat deposition and triglyceride formation to alleviate NAFLD

p-AMPK/p-ACC

Increasing p-AMPK and p-ACC to reduce SREBP-1c, FAS, PPARγ to relieve inflammation and fat accumulation

Coffeeberry [91]

Reducing liver fat deposition and inflammation in NAFLD

p-mTOR

Protecting the liver by reducing oxidative stress, activating the CaMKII/CREB/BDNF pathway and improving autophagic and apoptotic

Triptolide [33]

Revealing a reduction in liver enzymes and bilirubin

p-AMPK

Activating p-AMPK and further led to increasing p-ACC1 to ameliorate hepatic lipogenesis, fatty acid oxidation, and fibrosis of NAFLD

Oxyberberine /berberine [95, 96]

Attenuating the clinical manifestations of NAFLD

p-IRS-1/p-AMPK

Inhibiting aberrant p-IRS-1 and upregulating PI3K, p-AKT/AKT and p-GSK-3β/GSK-3β to improve hepatic insulin signal transduction, and activating p-AMPK to block inflammation and fibrosis

Morin [97]

Against hyperlipidemia and steatosis

p-AMPK/p-ACC/p-AKT

Upregulating PPARα and decreasing SREBP‐1c, both of which are dependent upon p-ACC, p-AMPK and p-AKT, while suppressing NF‐kB and MAPK

Corosolic acid [98, 99]

Reducing fat accumulation and transaminase serum cholesterol and triglyceride

p-AMPK/p-JNK

Increasing p-AMPK to inhibit SREBP-1c to reduce fat deposition, upregulating p-IkB to reduce NF-kB and p-JNK to block inflammatory reaction and improve insulin resistance

Ginsenoside [100, 101]

Reducing lipid deposition in liver

p-AMPK

modulating the expression of factors correlated with lipid synthesis and metabolism via activating the p-LKB1 and p-AMPK

Vine tea polyphenol [102]

Balancing fatty acid oxidation/fat production/liver oxidative stress

p-AMPK

Activating p-AMPK α and subsequently promote PPARα, CPT1A and cytochrome P450 to enhance fatty acid oxidation to relieve NAFLD

Quercetin [103]

Regulating fat production

p-AMPK

Direct anti-lipogenic effect via inhibiting DNL pathway by p-AMPK

Aurantio-obtusin [104]

Improving adiposity/insulin resistance

p-AMPK

Promoting autophagy and degradation of lipid droplets via p-AMPK, subsequently activating PPAR α and reducing the expression of genes involved in lipid biosynthesis to trigger TFEB to promote SLD

Patchouli alcohol [105]

Improve insulin resistance/fat deposition

p-AMPK

Increased p-AMPK and SIRT1 to ameliorate inflammation, thereby attenuating skeletal muscle insulin resistance and hepatic steatosis

Zingerone [106]

Relieving hyperglycemia/hyperlipidemia

p-AMPK

Preventing hepatic deposition, steatosis, and oxidative damage via p-AMPK/Nrf2 axis and concomitant suppression of SREBP1, SREBp2, and NF-kB p65

Scopoletin/umbelliferone [107]

Attenuating the clinical manifestations of NAFLD

p-JNK

Decreased ER stress and cell death by intermediating p-JNK as well as ROS production

Astragalus mongholicus polysaccharides [108]

Improving glycolipid metabolism

p-AMPK/p-NF-kB

Reducing fat accumulation related to p-AMPK and PPARα via the decrease of SREBP-1; downregulating TLR4 and p-NF-kB to block inflammation

Lycopus lucidus Turcz. ex Benth [109]

Decreasing body weight/liver weight/serum ALT, TC, LDL

p-AMPK

Expression of sterol-regulatory element-binding protein 1 decreasing while that of p-AMPK and PPARα increasing

Gentiana scabra [110]

Anti-inflammation/anti-oxidation/anti-fibrosis

p-TAK1/p-NF-kB

Inhibiting p-TBK1 to block p-NF-kB to block inflammation and macrophage dysfunction

Artemisia capillaris [111]

Reducing fatty acid synthesis/TG

p-PI3K/p-AMPK

Promoting p- AKT and p-AMPK to inhibit SREBP-1c reducing lipogenesis and lipid accumulation

Mogrosides [112]

Reducing body weight/liver fat deposition

p-AMPK

Upregulating p-AMPK and SQSTM1 to inhibit reactive oxygen species production and lipid accumulation

Fufang Zhenzhu Tiaozhi formula [113]

Having an influence on hepatic steatosis and fibrosis in T2DM and coronary heart disease with NASH

p-AMPK

Upregulating the expression levels of p-AMPK and BCL2 and downregulated BAX as to attenuated hepatic steatosis and fibrosis