Review Article

Regulation of Mitochondrial Function by Natural Products for the Treatment of Metabolic Associated Fatty Liver Disease

Table 1

Regulating mitochondria to prevent MAFLD by natural products.

Type of natural productNatural productMitochondrial regulationExperimental models

MixtureTangshen prescription [33]Restoration of autophagy in damaged fatty liver and reduced mitochondrial damage caused by ROSMAFLD mouse models induced by a high-fat or choline-methionine-deficient diet
Zhifang prescription [34]Increased expression of Mfn1 and Opa1, which promote mitochondrial fusion and enhance mitochondrial autophagyMALFD rat models induced by a high-fat diet
Yinchen Linggui Zhugan decoction [35]Activation of autophagy, balancing the body’s oxidation and antioxidation systems, improving NASHMALFD rat models induced by a high-fat diet
Tiaogan lipi prescription [36]Improves MAFLD by increasing autophagy levelsMALFD rat models induced by a high-fat diet
Baohe pills and Baohe pills added with Polygoni Cuspidati Rhizoma et Radix [37]Reduced mitochondrial swelling, increasing the number of mitochondria, and maintaining mitochondrial function and integrityMAFLD rat models induced by modified high-fat emulsion
Sini San [38]Ability to resist lipid peroxidation, increase ATPase activity, reduce mitochondrial swelling, and increase mitochondrial membrane potentialMAFLD mouse models induced by methionine choline deficiency
Erchen decoction [39]Increased ATP synthesis and restoration of mitochondrial energy metabolism disordersMAFLD mouse models induced by a high-fat diet
Shuganjianpi Huatanhuoxue prescription [40]Reduced lipid peroxidation, accelerated β-oxidation in the mitochondriaMAFLD in vitro cell models
Fufang Zhajin granules [31]Improves mitochondrial lipid metabolism in liver cellsMALFD rat models induced by a high-fat diet
Huatan Qushi Huoxue prescription [41]Increased number of mitochondria and their cristae, enhanced liver cell energy metabolism, and restoration of mitochondrial morphology and functionNASH rat models induced by a high-fat diet combined with tetracycline intraperitoneal injection
Ganshu decoction [42]Reduced mitochondrial swelling, improved mitochondrial membrane fluidity, and regulation of mitochondrial lipid oxidation in liver cellsMALFD rat models induced by a high-fat diet
Ganshule tablets [43]Increased mitochondrial fatty acid β-oxidation and higher number of mitochondrial cristaeMALFD rat models induced by a high-fat diet
Ganzhikang capsules [44]Decreased synthesis of NEFA and TG, enhanced liver function and oxidation of fatty acids, and ability to scavenge free radicals and the products of lipid peroxidationMALFD rat models induced by a high-fat diet
Jiawei Zhaqu decoction [45]Improves lipid metabolism in the mitochondria, reduced UCP-2 and COX I productionMALFD rat models induced by a high-fat diet
Jianpi Shugan Jiangzhi prescription [46]Increased number of mitochondria and cristae, enhances ATP synthesis and energy metabolism, and increases fatty acid metabolismMAFLD mouse models induced by a high-fat diet and 10% CCL4 edible oil solution
Qingzhi Hugan prescription [47]Reduced mitochondrial swelling and improved mitochondrial morphologyMALFD rat models induced by a high-fat diet
Tiaogan Quzhi prescription [48]Reduced mitochondrial swelling, and improved mitochondrial morphologyMAFLD rat models induced by a high-fat diet
Xiaoyu Huatan decoction [49]Reduces mitochondrial swelling, increased number of mitochondria, increased ATP synthesis and mitochondrial energy reserves, and increased fatty acid metabolismMALFD rat models induced by a high-fat diet
Yishen Tiaogan prescription [50]Increases the number of mitochondria and the stability of membrane potential and improves the activity of cytochrome oxidase and the self-repair processes of damaged mitochondrial DNAMALFD rat models induced by high-fat diets
Zhigan prescription [4,51]Ability to reduce mitochondrial energy metabolism disorders, mitochondrial swelling in liver tissues, and ability to regulate mitochondrial autophagyMALFD rat models induced by a high-fat diet
Shiwei Ganzhikang capsules [52]Protection and repair of the mitochondrial membranes of liver cells and ability to promote the recovery of liver cell functionsMALFD rat models induced by high-fat diets
Allium Fistulosum bulbus [53,54]Improves mitochondrial respiratory function, increases mitochondrial biosynthesis, and promotes fatty acid oxidationMALFD rat models induced by a high-fat diet
Blueberry [55]Reduction of lipid peroxides, regulation of energy metabolism in hepatocyte mitochondria, maintenance of the balance between oxidation and antioxidation, and reduced oxidative stress responses in the liverMALFD rat models induced by a high-fat diet
Sibiraea angustata [56]Strengthen β-oxidation of fatty acids in the mitochondriaMALFD rat models induced by a high-fat diet
Granati Pericarpium [57]Enhanced antioxidant capacity and maintenance of stable mitochondrial functionsMALFD rat models induced by a high-fat diet
Sida orientalis [58]Improves mitochondrial oxidative stress
Gecko [59]Ability to resist lipid peroxidation, prevents oxidative stress, reduces the production of lipid peroxides, and prevents cell apoptosisMAFLD mouse models induced by a high-fat diet
Trillium tschonoskii [60]Reduces mitochondrial swellingMAFLD rat models induced by a high-fat diet combined with the intraperitoneal injection of carbon tetrachloride solution
Gynostemma pentaphyllum [61]Ability to adjust the molecular structure of mitochondrial cardiolipin and improved mitochondrial functionsPrimary hepatocytes cultured in high glucose
Extract of Polygoni Multiflori Radix [62]Prevents the β-oxidation of mitochondrial fatty acids and improves liver lipid metabolismMAFLD mouse model induced by an MCD diet
Rhodiola crenulata extract [63]Improves insulin resistance, downregulates lipid synthesis in the liverMAFLD models of C57BL/6 mice induced by a high-fat diet
Polysaccharides of Cordyceps [64]Reduces mitochondrial swelling and increases the number of mitochondrial cristaeMAFLD rat models induced by a high-fat emulsion
Total flavonoids of Litsea Coreana [65]Increases the number of mitochondrial cristae, improves mitochondrial morphology and functionMAFLD rat models induced by a fat emulsion gavage
Notoginseng total saponins [66]Decreases hydroxyl free radicals in the mitochondria of liver cells, reduces MDA concentrations, and increases total superoxide dismutase activity and the total antioxidant capacity of serum
Polysaccharides of Ganoderma lucidum [67]Improves mitochondrial ultrastructure, reduces mitochondrial swelling, lowers cytochrome C levels, reduces the activity of apoptotic proteins, and increases mitochondrial oxidation and related enzyme activitiesMALFD rat models induced by a high-fat diet
Pomegranate polyphenols [68]Increases ATP content, inhibits mitochondrial protein oxidation, and improves the activity of mitochondrial complex enzymes in the liverMALFD rat models induced by a high-fat diet
MonomerHesperidin [69]Reduces mitochondrial swelling and increases the number of mitochondrial cristaeMAFLD rat models induced by a fat emulsion gavage and sucrose feeding
Dihydromyricetin [70]Regulates the SIRT3 pathway to promote the expression of mitochondrial DNA coding genes, maintains the enzymatic activity of the mitochondrial respiratory chain complex, and increases mitochondrial ROS scavenging activityMALFD rat models induced by a high-fat diet
Polydatin [71]Enhances the body’s antioxidant capacity, reduces the production of lipid peroxides, and improves the β-oxidation of mitochondrial fatty acidsMALFD rat models induced by a high-fat diet
Salvianolic acid [72]Protects mitochondria, regulates lipid metabolism, controls oxidative stress and lipid peroxidation, and inhibits apoptosisMALFD rat models induced by a high-fat diet
Baicalin [73]Inhibits the formation of mitochondrial ROS, increases mitochondrial ATP synthesis, and restores the activity of respiratory chain complexes I and IIMAFLD rat models induced by a methionine choline-deficient diet
Betaine [74]Its effect of reducing lipid accumulation is achieved by inhibiting the expression of obesity-related genes and N6-methyladenosine demethylation, thereby improving mitochondrial functions
Curcumin [7577]Attenuates oxidative stress and the expression of inflammatory factors, alleviates steatosis in MAFLD rats through the activation of autophagy and the prevention of mitochondrial apoptosisMAFLD rat models induced by high-sugar and high-fat diets
Quercetin [78]Improves mitochondrial morphological damage and dysfunction in the liver, promotes mitochondrial biosynthesis, promotes mitochondrial fusion and division, enhances PINK1-parkin-mediated mitochondrial autophagy levels, and improves mitochondrial homeostasisMAFLD models of C57BL/6 mice induced by a high-fat diet
Rhein [79]Reduces mitochondrial swelling and deformationMALFD rat models induced by a high-fat diet
Sophocarpine [80]Inhibits the synthesis of inflammatory cytokines, downregulates UCP-2, and increases the rate of mitochondrial lipid oxidationMALFD rat models induced by a high-fat diet
α-Mangostin [81]Reduces the activity of apoptotic proteins, increases mitochondrial oxidation rates and related enzyme activitiesMALFD rat models induced by a high-fat diet
Oxymatrine [82]Increases CPT-1 enzyme activity and the β-oxidation of fatty acids in the mitochondriaMAFLD rat models induced by a high-fructose diet
Sennoside A [83]Protects mitochondrial structure and function by targeting VDAC1MAFLD mice models induced by a high-fructose diet
Resveratrol [84]Increases the number of mitochondriaMAFLD rat models induced by a high-fructose diet

ATP, adenosine triphosphate; COX I, cytochrome oxidase I; CPT-1, carnitine acyl transferase-1; DNA, deoxyribonucleic acid; MAFLD, metabolic associated fatty liver disease; MDA, malondialdehyde; Mfn1, mitofusin1; NASH, nonalcoholic steatohepatitis; NEFA, nonesterified fatty acid; Opa1, optic atrophy proteins; ROS, reactive oxygen species; TG, triglyceride; UCP-2, mitochondrial uncoupling protein 2; VDAC1, recombinant voltage-dependent anion channel protein 1; SIRT3, sirtuin-3.