Hypolipidemic Effects of Soy Protein and Isoflavones in the Prevention of Non-Alcoholic Fatty Liver Disease- A Review

Plant Foods Hum Nutr. 2022 Sep;77(3):319-328. doi: 10.1007/s11130-022-00984-1. Epub 2022 Jun 9.

Abstract

Non-alcoholic fatty liver disease (NAFLD) is the most common chronic liver disease and affects about 25% of the population globally. Obesity and diabetes are the main causes of the disease characterized by excessive accumulation of lipids in the liver. There is currently no direct pharmacological treatments for NAFLD. Dietary intervention and lifestyle modification are the key strategies in the prevention and treatment of the disease. Soy consumption is associated with many health benefits such as decreased incidence of coronary heart disease, type-2 diabetes, atherosclerosis and obesity. The hypolipidemic functions of soy components have been shown in both animal studies and human clinical trials. Dietary soy proteins and associated isoflavones suppressed the formation and accumulation of lipid droplets in the liver and improved NAFLD-associated metabolic syndrome. The molecular mechanism(s) underlying the effects of soy components are mainly through modulation of transcription factors, sterol regulatory element-binding protein-1 and peroxisome proliferator-activated receptor-γ2, and expressions of their target genes involved in lipogenesis and lipolysis as well as lipid droplet-promoting protein, fat-specific protein-27. Inclusion of appropriate amounts of soy protein and isoflavones in the diets might be a useful approach to decrease the prevalence of NAFLD and mitigate disease burden.

Keywords: Human and animal studies; Hypolipidemic; Isoflavones; Non-alcoholic fatty liver disease; Soy.

Publication types

  • Review

MeSH terms

  • Animals
  • Apoptosis Regulatory Proteins / metabolism
  • Humans
  • Isoflavones* / pharmacology
  • Isoflavones* / therapeutic use
  • Lipid Metabolism
  • Liver / metabolism
  • Non-alcoholic Fatty Liver Disease* / diet therapy
  • Non-alcoholic Fatty Liver Disease* / metabolism
  • Non-alcoholic Fatty Liver Disease* / prevention & control
  • Obesity / complications
  • PPAR gamma / metabolism
  • Soybean Proteins* / pharmacology
  • Soybean Proteins* / therapeutic use
  • Sterol Regulatory Element Binding Protein 1 / metabolism

Substances

  • Apoptosis Regulatory Proteins
  • CIDEC protein, human
  • Isoflavones
  • PPAR gamma
  • Soybean Proteins
  • Sterol Regulatory Element Binding Protein 1