2021
DOI: 10.1017/s0954422421000056
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Effects of betaine on non-alcoholic liver disease

Abstract: Nonalcoholic fatty liver disease (NAFLD) is increasingly prevalent, and the challenge of prevention and treatment is increasing. The “multiple hits” hypothesis of multiple insults, such as dietary fat intake, de novo lipogenesis, insulin resistance, oxidative stress, mitochondrial dysfunction, gut dysbiosis and hepatic inflammation, can provide a more accurate explanation of the pathogenesis of NAFLD. Betaine plays important roles in regulating the genes associated with NAFLD through anti-inflammatory effects,… Show more

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Cited by 24 publications
(9 citation statements)
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“…Studies have shown that the lack of betaine contributes to the progression of NAFLD and can interfere with NAFLD through the AMPK signalling pathway, but the specific mechanism remains to be further explored. 16 Nicotinic acid is a compound that has been promoted in clinical practice, and its anti-NAFLD mechanism may be related to inhibiting DGAT2, affecting fatty acid synthesis, and reducing hepatic oxidative stress. 17 Gallic acid is thought to exert anti-NAFLD effects by Food & Function Paper improving glucose and lipid metabolism and the health of the gut microbiota and inhibiting lipid accumulation by interfering with the AMPK signalling pathway.…”
Section: Discussionmentioning
confidence: 99%
“…Studies have shown that the lack of betaine contributes to the progression of NAFLD and can interfere with NAFLD through the AMPK signalling pathway, but the specific mechanism remains to be further explored. 16 Nicotinic acid is a compound that has been promoted in clinical practice, and its anti-NAFLD mechanism may be related to inhibiting DGAT2, affecting fatty acid synthesis, and reducing hepatic oxidative stress. 17 Gallic acid is thought to exert anti-NAFLD effects by Food & Function Paper improving glucose and lipid metabolism and the health of the gut microbiota and inhibiting lipid accumulation by interfering with the AMPK signalling pathway.…”
Section: Discussionmentioning
confidence: 99%
“…Given that phosphatidylcholine is required for VLDL synthesis/secretion, part of the pathogenesis of NAFLD is expected to be related to liver choline depletion (31). Several studies have shown the effectiveness of betaine on fatty liver (32)(33)(34)(35). Although choline can also be affected by the betaine pathway because it can be converted into betaine by the oxidation of choline, it can also have a positive effect on increasing the production of VLDL and helping to exporting TG from the liver through the phosphatidylcholine pathway.…”
Section: Discussionmentioning
confidence: 99%
“…BHMT and GNMT are key proteins in the metabolism of betaine to glycine, and downregulation results in increased levels of betaine. Betaine has been shown to reduce liver fat accumulation in rats, improve insulin resistance, and reduce hepatic steatosis ( 53 ). The intervention of MSS may regulate pyruvate metabolism by limiting PCK1, a key enzyme in the process of pyruvate metabolism, and limit the process of gluconeogenesis, while increasing the amount of betaine in the liver, improving the metabolism in the liver of rats fed with the high-fat diet.…”
Section: Discussionmentioning
confidence: 99%