Table 1. Summary of scientific papers examining effects of coffee on human liver injury, fibrosis, and HCC.
Author/Year | Disease | Beverage | Coffee/Caffeine dose | Clinical effect |
---|---|---|---|---|
Liver Enzymes | ||||
Casiglia/1993 | None | Coffee | 3 cups per day | Lower mean ALT/GGT/bilirubin
among coffee drinkers |
Honjo/2001 | None | Coffee | 1 to >5 cups/d | Stepwise decrease in risk of
elevated ALT with each cup of coffee per day |
Poikolanien/1997 | None | Boiled or
Filtered coffee |
4–6 cups/d
>7 cups/d |
Reduced likelihood of elevated
GGT. Greater effect with filtered coffee. |
Tanaka/1997 | None/Alcohol | Coffee | 0 to >5 cups per day | Lower mean GGT/ALT with each
cup of coffee. No effect of green tea. |
Ruhl/2005 | Alcohol/NAFLD/Viral
hepatitis |
Coffee/Total
caffeine |
0 to 20 cups per day | Lower ALT with increasing coffee
or caffeine intake. |
Modi/2010 | HCV | Coffee/Total
caffeine |
0 to 1022 mg caffeine
per day |
No correlation between ALT and
coffee or caffeine consumption |
Liver Fibrosis | ||||
Molloy/2012 | NAFLD | Coffee/Total
caffeine |
0 to 822 mg caffeine
per day |
Increased coffee associated with
reduced risk of NASH and fibrosis. No effect seen with other sources of caffeine. |
Modi/2010 | HCV | Coffee/Total
caffeine |
0 to 1022 mg caffeine
per day |
Reduced fibrosis seen in patients
with higher coffee consumption. |
Corrao/1994 | Cirrhosis | Coffee | 0 to >4 cups per day | Reduced odds of cirrhosis with
increasing coffee intake |
Freedman/2009 | HCV (F3/F4) | Coffee | 0 to >5 cups per day | Reduced hepatic decompensation
with increased coffee intake |
Hepatocellular carcinoma | ||||
Gallus/2002 | HCC | Coffee | 0 to >3 cups per day | Reduced odds of developing HCC
among coffee drinkers |
Larsson/2007 | HCC | Coffee | Meta-analysis | Consistent reduced risk of HCC
among coffee drinkers. Limited or no effect with other sources of caffeine. |
Bravi/2013 | HCC | Coffee | Meta-analysis | Relative risk of 0.6 for HCC among
coffee drinkers vs. non-drinkers |