Molecular mechanisms and therapeutic implications of dihydromyricetin in liver disease

Biomed Pharmacother. 2021 Oct:142:111927. doi: 10.1016/j.biopha.2021.111927. Epub 2021 Jul 30.

Abstract

Recent studies demonstrated that dihydromyricetin (DHM) has prominent therapeutic effects on liver injury and liver cancer. By summarizing the current preclinical in vitro and in vivo studies, the present review examines the preventive and therapeutic effects of DHM on liver disorders as well as its potential mechanisms. Briefly, in both chemical- and alcohol-induced liver injury models, DHM ameliorates hepatocyte necrosis and steatosis while promoting liver regeneration. In addition, DHM can alleviate nonalcoholic fatty liver disease (NAFLD) via regulating lipid/glucose metabolism, probably due to its anti-inflammatory or sirtuins-dependent mechanisms. Furthermore, DHM treatment inhibits cell proliferation, induces apoptosis and autophagy and regulates redox balance in liver cancer cells, thus exhibiting remarkable anti-cancer effects. The pharmacological mechanisms of DHM may be associated with its anti-inflammatory, anti-oxidative and apoptosis-regulatory benefits. With the accumulating interests in utilizing natural products to target common diseases, our work aims to improve the understanding of DHM acting as a novel drug candidate for liver diseases and to accelerate its translation from bench to bedside.

Keywords: Dihydromyricetin; Liver disease; Molecular mechanisms; Therapy.

Publication types

  • Review

MeSH terms

  • Carcinoma, Hepatocellular / metabolism
  • Carcinoma, Hepatocellular / prevention & control
  • Flavonols / pharmacokinetics
  • Flavonols / pharmacology*
  • Flavonols / therapeutic use*
  • Humans
  • Liver Diseases / metabolism
  • Liver Diseases / prevention & control*
  • Liver Diseases, Alcoholic / metabolism
  • Liver Diseases, Alcoholic / prevention & control
  • Liver Failure, Acute / metabolism
  • Liver Failure, Acute / prevention & control
  • Liver Neoplasms / metabolism
  • Liver Neoplasms / prevention & control
  • Liver Regeneration / drug effects
  • Non-alcoholic Fatty Liver Disease / metabolism
  • Non-alcoholic Fatty Liver Disease / prevention & control
  • Protective Agents / pharmacokinetics
  • Protective Agents / pharmacology*
  • Protective Agents / therapeutic use*

Substances

  • Flavonols
  • Protective Agents
  • dihydromyricetin