FIGURE 7.
Schematic diagram of the therapeutic mechanism of combined use of bicyclol and berberine against NAFLD. Bicyclol enhanced lipolysis through p62-Nrf2-CES2 signaling axis and improved β-oxidation through p62-Nrf2-PPARα signaling axis, while berberine suppressed the de novo lipogenesis by inhibiting protein expressions of ACC and FAS, along with the regulation of lipid metabolisms via the gut microbiota, and thus co-facilitating to ameliorate the occurrence and progress of NAFLD. The green arrow shows a stimulatory effect, the red flathead shows an inhibitory effect.
