Herbal derivative Model Treatment and dosage Lipid regulation mechanism(s) Reference
Lycium barbarum (wolfberry, goji berry) Eight-week induction of NAFLD using a voluntary high-fat diet model (30% fat) in SD rats Daily oral feeding with 1 mg/kg LBP Rebalance the expression of lipogenic genes (SREBP1c and PPARγ2) and lipolytic genes (ATGL and adiponectin); Reduce circulating FFAs [85]
Garlic Eight-week induction of NAFLD using a voluntary high-fat diet model (30% fat) in SD rats Intraperitoneal injection of 200 mg/kg garlic-derived SAMC 3 times a week Rebalance the expression of lipogenic gene (SREBP1c) and lipolytic gene (adiponectin); Reduce circulating FFAs [82]
High-fat diet induction for 10 weeks to form NAFLD in SD rats Oral feeding with 2.86 g/kg aged garlic extract 5 times a week. In co-treatment with or without exercise Reduce visceral fat; Attenuate total cholesterol, low-density lipoprotein-cholesterol and triglycerides [128]
Five-week induction of NAFLD using high-fat diet in SD rats Dietary supplementation of 2% (w/w) high hydrostatic pressure extract of garlic Reduce the plasma levels of triglyceride and low-density lipoprotein cholesterol; Reduce the hepatic triglyceride and total cholesterol levels; Up-regulate the expression of apolipoprotein A-I, ABCA1 and LCAT [129]
Green tea Obese ob/ob mice model Six-week feeding of green tea extract at 0.5, 1 or 2% (w/w) Reduce the hepatic lipid content and alpha-tocopherol level; Restore the adiponectin level; Attenuate the expression of SREBP-1c, FAS, SCD-1 and HSL with decreased serum NEFA content [91,92]
  Three-week NAFLD induction by high-fat diet in C57BL/6 mice Eight-week oral feeding with 300 mg/kg or 1200 mg/kg RGTC (grape extract-green tea catechin-L-carnitine combination mixture) Reduce the plasma level of low-density lipoprotein cholesterol and triglycerides; Down-regulate the plasma level of glutamic-oxaloacetic transaminase and glutamic-pyruvic transaminase [93]
  Eleven-month NAFLD induction using high-fat diet in C57BL/6 mice Co-treatment with 0.1-0.5% (w/w) tea catechins Decrease visceral and hepatic fat accumulation; Increase the expression of acyl-CoA oxidase and medium chain acyl-CoA dehydrogenase [94]
Resveratrol Ten-week induction for NAFLD using high-fat diet in Wistar rats (in vivo); HepG2 incubated with high concentration of glucose (25 mM) and insulin (100 nM) to induce steatosis (in vitro) Oral administration with 100 mg/kg resveratrol (in vivo); HepG2 cells were exposed to 10, 25, and 50 μM resveratrol for 6 or 24 h (in vitro). Improve insulin resistance and triacylglycerol accumulation; Promote the activity of AMPK; Suppress the expression of SREBP-1c and FAS [104]
Fifteen-week NAFLD induction with high-fat diet in C57Bl/6J mice Dietary form of 200 or 400 mg/kg/day resveratrol Increase aerobic capacity; Decrease PGC-1α acetylation but increase PGC-1α activity; Activate SIRT1 [105]
HepG2 cell was exposed to 0.05-0.3 mM palmitate for 24 h to induce steatosis Co-treatment with 0.4 μM resveratrol Up-regulate the expression of SIRT1 and FoxO1; Reduce the expression and activity of SREBP1 [106]
Obese fa/fa Zucker rats Six-week oral feeding with 15 mg/kg or 45 mg/kg resveratrol Reduce hepatic triacylglycerol; Increase the activity of CPT-Iα and ACO; Reduce the content of NEFA and ALP [107]
Milk thistle NAFLD patients Food supplement containing silybum marianum (epaclin 3.5 g) was given twice a day, 6 months Improve fat accumation through the reduction of γGT [110]
NAFLD patients Four pieces/day of the complex silybin-vitamin E-phospholipids for 6 months and another six months of follow up Improve insulin resistance through down-regulation of γGT [111]
  Obese db/db mice were fed with methionine-choline deficient (MCD) diet for 4 weeks to induce NAFLD Daily i.p. injection of 20 mg/kg silibinin Restore the expression and activity of SCD-1; Induce the expression and activity of acyl-CoA oxidase and the expression of liver fatty acid-binding protein [112]
Curcumin Obese ob/ob mice model for 21 weeks Oral fed with 1% or 3% curcumin in a dietary form (w/w) Reduce serum triglyceride level; Down-regulate SREBP-1c [113]
Isolated HSCs were stimulated by LDL to evaluate the effects of curcumin Co-treatment with 0-30 µM curcumin for 24 h Decrease LDL receptor abundance and cellular cholesterol; Activate PPARγ and differentially regulate the expression of SREBPs [114]
Coffee Wistar rats were fed with high-fat diet for 3 months to induce NAFLD Oral feeding with decaffeinated coffee or coffee polyphenols or melanoidins Reduce hepatic fat content; Attenuate lipid peroxidation; Increase the expression of adiponection receptor and PPARγ [117]
ABCA1, ATP-Binding Cassette Transporter A1, ACO: Acyl-Coenzyme A Oxidase, ALP: Alkaline Phosphatase, ATGL: Adipose Triglyceride Lipase, CPT-Iα: Carnitine Palmitoyltransferase-Iα, FAS: Fatty Acid Synthase, FFA: Free Fatty Acid, GT: Glutamyl-Transpeptidase, Hscs: Hepatic Stellate Cells, HSL: Hormone-Sensitive Lipase, Foxo1: Forkhead Box Protein O1, LCAT: Lecithin:Cholesterol Acyltransferase, LDL: Low Density Lipopeotein, NAFLD: Non-Alcoholic Fatty Liver Disease, NEFA: Nonesterified Fatty Acid, PGC-1α: Peroxisome Proliferator-Activated Receptor Gamma Coactivator-1-Α, PPAR: Peroxisome Proliferator-Activated Receptor, SCD-1: Stearoyl Coa Desaturase-1, SD: Sprague-Dawley, SIRT1: Sirtuin 1, SREBP-1c: Sterol Regulatory-Element-Binding Protein-1c;
Table 1: Summary of impacts of herbal derivative treatment on hepatic lipid metabolism from recent studies.