Berberine as a multi-target therapeutic agent for obesity: from pharmacological mechanisms to clinical evidence

seppuku

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Quoting from the summary on Suppversity -

"How does it work? The anti-obesity efficacy work their magic via five core pathways:

(1) Transcriptional Regulation: Suppression of adipocyte differentiation genes and modulation of metabolic adipokine networks.

(2) Thermogenic Activation: Promotion of BAT activity and WAT browning via mitochondrial uncoupling mechanisms.

(3) Lipid Homeostasis: Modulation of plaque metabolism through LOX-1 downregulation and LDLR/SREBP2/CYP7A1 axis activation.

(4) Gut-Microbiota Crosstalk: Remodeling of enteric microbial composition and reinforcement of intestinal barrier integrity.

(5) Immunometabolic Reprogramming: Polarization of ATMs toward M2 phenotypes with concurrent suppression of NF-κB/STAT3 inflammatory cascades."
 

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