PMID- 37542856 OWN - NLM STAT- MEDLINE DCOM- 20230817 LR - 20230817 IS - 1950-6007 (Electronic) IS - 0753-3322 (Linking) VI - 165 DP - 2023 Sep TI - Phytochemicals for the treatment of metabolic diseases: Evidence from clinical studies. PG - 115274 LID - S0753-3322(23)01065-X [pii] LID - 10.1016/j.biopha.2023.115274 [doi] AB - With the continuous improvement of people's living standard, the incidence of metabolic diseases is gradually increasing in recent years. There is growing interest in finding drugs to treat metabolic diseases from natural compounds due to their good efficacy and limited side effects. Over the past few decades, many phytochemicals derived from natural plants, such as berberine, curcumin, quercetin, resveratrol, rutin, and hesperidin, have been shown to have good pharmacological activity against metabolic diseases in preclinical studies. More importantly, clinical trials using these phytochemicals to treat metabolic diseases have been increasing. This review comprehensively summarizes the clinical progress of phytochemicals derived from natural plants in the treatment of several metabolic diseases, including type 2 diabetes mellitus (T2DM), obesity and non-alcoholic fatty liver disease (NAFLD). Accumulating clinical evidence shows that a total of 18 phytochemicals have good therapeutic effects on the three metabolic diseases by lowering blood glucose and lipid levels, reducing insulin resistance, enhancing insulin sensitivity, increasing energy expenditure, improving liver function, and relieving inflammation and oxidative stress. The information will help us better understand the medicinal value of these phytochemicals and promote their clinical application in the treatment of metabolic diseases. CI - Copyright (c) 2023 The Authors. Published by Elsevier Masson SAS.. All rights reserved. FAU - Luo, Yuting AU - Luo Y AD - State Key Laboratory of Southwestern Chinese Medicine Resources, School of Pharmacy and School of Ethnic Medicine, Chengdu University of Traditional Chinese Medicine, Chengdu 611137, China. FAU - Zeng, Yujiao AU - Zeng Y AD - State Key Laboratory of Southwestern Chinese Medicine Resources, School of Pharmacy and School of Ethnic Medicine, Chengdu University of Traditional Chinese Medicine, Chengdu 611137, China. FAU - Peng, Jiayan AU - Peng J AD - State Key Laboratory of Southwestern Chinese Medicine Resources, School of Pharmacy and School of Ethnic Medicine, Chengdu University of Traditional Chinese Medicine, Chengdu 611137, China. FAU - Zhang, Kun AU - Zhang K AD - State Key Laboratory of Southwestern Chinese Medicine Resources, School of Pharmacy and School of Ethnic Medicine, Chengdu University of Traditional Chinese Medicine, Chengdu 611137, China. FAU - Wang, Lijie AU - Wang L AD - State Key Laboratory of Southwestern Chinese Medicine Resources, School of Pharmacy and School of Ethnic Medicine, Chengdu University of Traditional Chinese Medicine, Chengdu 611137, China. FAU - Feng, Tu AU - Feng T AD - School of Ecological Engineering, Guizhou University of Engineering Science, Bijie 551700, China. Electronic address: plantbiology@126.com. FAU - Nhamdriel, Tsedien AU - Nhamdriel T AD - Department of Tibetan medicine, University of Tibetan Medicine, Lhasa 850000, China. Electronic address: 536913114@qq.com. FAU - Fan, Gang AU - Fan G AD - State Key Laboratory of Southwestern Chinese Medicine Resources, School of Pharmacy and School of Ethnic Medicine, Chengdu University of Traditional Chinese Medicine, Chengdu 611137, China; Meishan Hospital of Chengdu University of Traditional Chinese Medicine, Meishan 620010, China. Electronic address: fangang1111@163.com. LA - eng PT - Journal Article PT - Review DEP - 20230803 PL - France TA - Biomed Pharmacother JT - Biomedicine & pharmacotherapy = Biomedecine & pharmacotherapie JID - 8213295 RN - 0 (Phytochemicals) SB - IM MH - Humans MH - *Diabetes Mellitus, Type 2/drug therapy MH - *Non-alcoholic Fatty Liver Disease/metabolism MH - *Insulin Resistance MH - Obesity/drug therapy MH - Phytochemicals/therapeutic use OTO - NOTNLM OT - Clinical evidence OT - Diabetes OT - Nonalcoholic fatty liver disease OT - Obesity OT - Phytochemicals COIS- Declaration of Competing Interest The authors declare that they have no known competing financial interests or personal relationships that could have appeared to influence the work reported in this paper. EDAT- 2023/08/06 05:42 MHDA- 2023/08/17 06:43 CRDT- 2023/08/05 18:05 PHST- 2023/06/12 00:00 [received] PHST- 2023/07/29 00:00 [revised] PHST- 2023/07/31 00:00 [accepted] PHST- 2023/08/17 06:43 [medline] PHST- 2023/08/06 05:42 [pubmed] PHST- 2023/08/05 18:05 [entrez] AID - S0753-3322(23)01065-X [pii] AID - 10.1016/j.biopha.2023.115274 [doi] PST - ppublish SO - Biomed Pharmacother. 2023 Sep;165:115274. doi: 10.1016/j.biopha.2023.115274. Epub 2023 Aug 3.