Review Article

Aldose Reductase Inhibitors of Plant Origin in the Prevention and Treatment of Alcoholic Liver Disease: A Minireview

Table 1

Effects of some natural AR inhibitors on ALD in rodents.

TreatmentExperimental modelEffectsRef.

QuercetinRats treated with 50% ethanol for 10 daysPrevents ethanol-induced liver injury by enhancing antioxidative activity and suppressing the induction of cytokines, chemokinesChen et al. [18]
QuercetinRats administrated with alcohol (4.0 g/kg) for 90 daysProtects against chronic ethanol toxicity through its hypolipidemic effect and antioxidative roleTang et al. [19]
QuercetinRats administrated with alcohol (4.0 g/kg) for 90 daysAttenuates ethanol-derived microsomal oxidative stress by suppressing the downregulation of HO-1 and the induction of CYP2E1Tang et al. [20]
QuercetinRats treated with ethanol (2.0 g/kg) for 30 daysPrevents long-term alcohol consumption-induced oxidative stress and cytokinesKahraman et al. [21]
QuercetinMice fed with Lieber-deCarli alcohol-liquid diets for 15 weeksAlleviates ethanol-elicited mitochondrial damage through enhancing AMPK- and ERK2-mediated mitophagyYu et al. [22]
LuteolinMice exposed to alcohol (1%, 2%, and 4% for 3 d, and 5% for 9 d) and a binge (30% ethanol) on the last dayAmeliorates ethanol-induced hepatic steatosis and injury by activating AMPK and suppressing SREBP-1c/FAS pathwayLiu et al. [23]
ApigeninMice given 56% erguotou wine by gavage for 30 daysExerts a protective effect on alcohol-induced liver injury by regulating hepatic CYP2E1-mediated oxidative stress and PPARα, SREBP-1c and FAS gene expressionWang et al. [24]
Fisetin Mice given 50% ethanol p.o. (10 ml/kg body weight) every 12 hours for a total of 5 dosesAmeliorate alcohol-induced hepatic damage by restoring the antioxidant and MMP/TIMP balanceKoneru et al. [25]
FisetinMice fed with Lieber-deCarli alcohol-liquid diets for 4 weeksAttenuates alcohol-induced hepatic steatosis by increasing hepatic protein levels of p-AMPK, ACOX1, CYP4A, and MTTPSun et al. [26]
BaicalinRats intragastrically administrated with alcohol continuously for 4 or 8 weeksExerts beneficial effects on alcohol-induced liver injury through inhibiting oxidative stress, proinflammatory cytokines expression, and the regulation of the sonic hedgehog pathwayWang et al. [27]
BaicalinMice treated by chronic plus binge ethanol feedingAmeliorates ethanol-induced liver injury by modulating oxidative stress and inflammation via CYP2E1 and NRF2He et al. [28]
PuerarinRats treated with 40% ethanol (8 g/kg/d) for 5 daysPrevents acute ALD by enhancing antioxidative capacityZhao et al. [29]
PuerarinRats provided with the Liber-deCarli liquid diet for 8 weeksAlleviates chronic alcoholic liver injury by inhibiting endotoxin gut leakage, Kupffer cell activation, and endotoxin receptors expressionPeng et al. [30]
PuerarinRats treated with 6 g/kg/d, 7 g/kg/d, 8 g/kg/d (for a period of 1 week respectively), and 9 g/kg/d (for a period of 21 weeks) of 56% alcoholProtects against alcohol-induced liver lesions through improving metabolic functionChen et al. [31]
Puerarin/ GenisteinMice gastrically infused with 50% alcohol once per day for 5 weeksAlleviates hepatic damage induced by chronic alcohol administration through potential antioxidant, anti-inflammatory, or anti-apoptotic mechanismsZhao et al. [32]
GenisteinRats underwent intragastric administration of alcohol (5.0–9.5 g/kg) once a day for 24 weeksAmeliorates ethanol-induced liver injury and even liver fibrosis by decreasing oxidative stress and production of inflammatory and by inhibiting fibrogenic mediatorsHuang et al. [33]
CurcuminRats treated with ethanol (starting dose was 8 g/kg/d and final dose was 16 g/kg/d) plus fish oil for 4 weeksPrevents experimental ALD by suppressing the activation of NF-κB and the induction of cytokines, chemokinesNanji et al. [34]
CurcuminMice treated with ethanol (2.4 g/kg/day ethanol for the initial 4 weeks and 4 g/kg/day for another 2 weeks)Prevents chronic ALD by decreasing ROS generation and enhancing antioxidative capacityRong et al. [35]
CurcuminMice administered orally with alcohol (5 g/kg body weight) once a day for 6 weeks and fed a high-fat dietProtects alcohol-induced liver damage by modulating alcohol metabolic pathway, enhancing antioxidant activity and activating AMPKLee et al. [36]
CurcuminRats given ethanol (56% v/v, 10 mL/kg) orally once every day for 9 weeksAttenuates ALD by modulating lipid deposition in hepatocytes via a Nrf2/FXR activation and modulating the expression of SREBP-1c, fatty acid synthase, and PPAR-αLu et al. [37]
CurcuminMice given 2.4 g/kg/day ethanol plus olive oil once a day for 6 weeksProtects the liver from chronic-ethanol induced injury through attenuating oxidative stress, at least partially, through ERK/p38/Nrf2-mediated anti-oxidant signaling pathwaysXiong et al. [38]
CurcuminRats fed with Lieber-deCarli low menhaden and high menhaden alcohol-liquid diets for 8 weeksProtects against chronic alcohol-induced liver injury by enhancing antioxidative capacityVaratharajalu et al. [39]
CurcuminMice fed with Lieber-deCarli alcohol-liquid diets for 4 weeksImproves alcoholic fatty liver by inhibiting biosynthesis of unsaturated fatty acids, fatty acid biosynthesis and pentose and glucuronate interconversionsGuo et al. [40]
CurcuminRats fed 50% ethanol (7.5 g/kg body weight/day) orally twice a day for 4 weeksImproves ethanol-induced liver injury by reducing oxidative stress and inhibiting NF-κB activationSamuhasaneeto et al. [41]
Ellagic acidRats fed 20% alcohol orally (7.9 g/kg body weight) for 45 daysExerts beneficial effects against alcohol-induced damageDevipriya et al. [42]
Ellagic acidRats fed 20% alcohol orally (7.9 g/kg body weight) for 45 daysDecreases the expression pattern of fibrotic markers during alcohol-induced toxicityDevipriya et al. [43]
Ellagic acidMice fed with Lieber-deCarli alcohol-liquid diets for 5 weeksImproves alcoholic fatty liver by suppressing the expression of the genes related to cell stress and up-regulating the genes involved in bile acid synthesis, unsaturated fatty acid elongation, and tetrahydrofolate synthesisYao et al. [44]
Silymarin /SilybinMice received ethanol (5 g/kg body weight) by gavage every 12 hours for a total of 3 dosesProtects against the acute alcoholic liver injury by decreasing oxidative stress and production of inflammatory cytokinesSong et al. [45]
Silymarin /SilybinMice fed ethanol (1.6 g/kg body weight) for 12 weeksPrevents long-term alcohol consumption-induced liver injury by enhancing antioxidant activity and suppressing the induction of cytokinesDas et al. [46]
Chlorogenic acidMice fed ethanol (3 g/kg body weight) for 7 consecutive daysPrevents ethanol-induced acute liver injury by reducing oxidative stress, steatosis, apoptotic cell death, and fibrosisKim et al. [47]