Black Pepper Ext. (Piper nigrum) (fruit) (standardized to contain 95% Piperine) (BioPerine®)
5 mg
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Top Medical Research Studies
9
Coenzyme Q10 improves liver health
Six-month supplementation with high dose coenzyme Q10 improves liver steatosis, endothelial, vascular and myocardial function in patients with metabolic-dysfunction associated steatotic liver disease: a randomized double-blind, placebo-controlled trial.
We conducted a study to explore the effects of high-dose coenzyme Q10 supplementation on patients suffering from liver disease related to metabolic dysfunction, known as Metabolic-dysfunction Associated Steatotic Liver Disease (MASLD). In a well-structured double-blind, placebo-controlled trial with sixty participants, half received 240 mg of coenzyme Q10 daily, while the other half received a placebo for six months.
Our findings were promising. Patients taking coenzyme Q10 showed significant improvements in various aspects of their health related to liver functions and cardiovascular health. Specifically, we observed a reduction in liver fat content, as assessed by the controlled attenuation parameter, along with better blood vessel function and heart performance. For instance, the flow-mediated dilation of the brachial artery and the coronary flow reserve significantly improved in those receiving the supplement.
Interestingly, while the placebo group did not show any improvements during the six-month period, the coenzyme Q10 group demonstrated a clear correlation between the reduction in liver fat and enhancements in micro- and macrovascular functions. These results suggest that coenzyme Q10 could potentially be a beneficial treatment option for those battling MASLD.
Read More
9
CoQ10 protects against liver damage
Effects of idebenone and coenzyme Q10 on NLRP3/caspase-1/IL-1β pathway regulation on ethanol-induced hepatotoxicity in rats.
We explored the detrimental effects of chronic alcohol consumption on liver health, particularly focusing on how coenzyme Q10 (CoQ10) might help mitigate this damage. By conducting a study with rats, we investigated the relationship between ethanol-induced hepatotoxicity and the activation of specific inflammatory pathways.
The study involved giving rats increasing doses of ethanol over 30 days to induce liver damage, followed by treatment with CoQ10 in varying doses. We measured several liver health indicators and observed how CoQ10 affected inflammation and oxidative stress related to liver toxicity.
Our findings revealed that CoQ10 treatment significantly reduced liver damage markers and inflammation levels linked to the NLRP3/caspase-1/IL-1β pathway. Notably, we discovered that CoQ10 was more effective than its analog, idebenone (IDE), in protecting the liver from the harmful effects of alcohol.
This research is promising, as it highlights CoQ10's potential to serve as a therapeutic option for treating liver disease caused by alcohol consumption, shedding light on its antioxidant and anti-inflammatory properties.
Read More
4
CoQ10's variable effects on NAFLD
Effects of coenzyme Q10 supplementation on lipid profiles and liver enzymes of nonalcoholic fatty liver disease (NAFLD) patients: A systematic review and meta-analysis of randomized controlled trials.
We aimed to understand how coenzyme Q10, an antioxidant, might influence patients suffering from non-alcoholic fatty liver disease (NAFLD). In our systematic review and meta-analysis, we examined various randomized controlled trials that utilized CoQ10 as part of the treatment regimen for NAFLD.
The findings from the six studies we reviewed showed an overall non-significant decrease in lipid profiles, which includes total cholesterol, low-density lipoprotein (LDL), high-density lipoprotein (HDL), and triglycerides. Additionally, liver enzymes such as aspartate transaminase and alanine transaminase tended to decline as well, but these results did not reach statistical significance across the board.
However, when we performed sensitivity analysis by excluding certain studies, we noted significant reductions in specific liver enzymes. Our subgroup analyses even revealed that the effects of coenzyme Q10 varied based on the dosage given and the duration of treatment. Despite these nuances, no publication bias was detected, reinforcing the reliability of the existing studies.
Overall, while there isn't a broad significant benefit observed from CoQ10 supplementation for NAFLD patients, our findings suggest that it may have beneficial effects under certain conditions. This indicates a need for further research to uncover the specific circumstances in which CoQ10 might be effective.
Read More
Most Useful Reviews
9
Promotes detoxification
1 people found this helpful
Q10 is a powerful antioxidant that protects against free radicals, crucial for liver disease. I ordered it for my mother, who needed detox support, and it significantly boosts energy levels and reduces fatigue.
Read More
9
Reduced side effects
3 people found this helpful
For those experiencing side effects from statins, Q10 is invaluable. It alleviates the liver disease load and lessens side effects. I have been taking it for over a year and am pleased with the results.
Read More
7.5
Supports liver health
3 people found this helpful
I recommend CoQ10, which helps offset the negatives of cholesterol tablets I'm using. It reassures me that my liver is functioning well, thanks to regular tests with my naturopath.
We explored the potential of coenzyme Q10 (CoQ) in combination with selenium (Se) to improve liver health in a mouse model of metabolic dysfunction-associated steatohepatitis (MASH). Our recent study involved male C57BL/6J mice fed a methionine choline-deficient diet, known to induce liver problems. The treatment groups received CoQ, Se, or both substances together for four weeks, while a control group received a methionine choline-sufficient diet.
The results revealed that both CoQ and Se, particularly when used in combination, significantly reduced liver inflammation, fibrosis, and fat accumulation. We observed that these antioxidants alleviated oxidative stress and decreased markers of lipid peroxidation, alongside improving liver enzyme levels in the mice's blood. Importantly, the combination therapy also appeared to support cellular health by regulating proteins related to a specific type of cell death known as ferroptosis.
Our findings suggest that CoQ, especially in tandem with selenium, has therapeutic potential for managing liver diseases like MASH. This research opens doors for deeper investigations into antioxidant treatments for liver health, showcasing how we might leverage natural compounds for better outcomes in metabolic liver conditions.
Read More
9
Coenzyme Q10 improves liver health
Six-month supplementation with high dose coenzyme Q10 improves liver steatosis, endothelial, vascular and myocardial function in patients with metabolic-dysfunction associated steatotic liver disease: a randomized double-blind, placebo-controlled trial.
We conducted a study to explore the effects of high-dose coenzyme Q10 supplementation on patients suffering from liver disease related to metabolic dysfunction, known as Metabolic-dysfunction Associated Steatotic Liver Disease (MASLD). In a well-structured double-blind, placebo-controlled trial with sixty participants, half received 240 mg of coenzyme Q10 daily, while the other half received a placebo for six months.
Our findings were promising. Patients taking coenzyme Q10 showed significant improvements in various aspects of their health related to liver functions and cardiovascular health. Specifically, we observed a reduction in liver fat content, as assessed by the controlled attenuation parameter, along with better blood vessel function and heart performance. For instance, the flow-mediated dilation of the brachial artery and the coronary flow reserve significantly improved in those receiving the supplement.
Interestingly, while the placebo group did not show any improvements during the six-month period, the coenzyme Q10 group demonstrated a clear correlation between the reduction in liver fat and enhancements in micro- and macrovascular functions. These results suggest that coenzyme Q10 could potentially be a beneficial treatment option for those battling MASLD.
Read More
9
CoQ10 protects against liver damage
Effects of idebenone and coenzyme Q10 on NLRP3/caspase-1/IL-1β pathway regulation on ethanol-induced hepatotoxicity in rats.
We explored the detrimental effects of chronic alcohol consumption on liver health, particularly focusing on how coenzyme Q10 (CoQ10) might help mitigate this damage. By conducting a study with rats, we investigated the relationship between ethanol-induced hepatotoxicity and the activation of specific inflammatory pathways.
The study involved giving rats increasing doses of ethanol over 30 days to induce liver damage, followed by treatment with CoQ10 in varying doses. We measured several liver health indicators and observed how CoQ10 affected inflammation and oxidative stress related to liver toxicity.
Our findings revealed that CoQ10 treatment significantly reduced liver damage markers and inflammation levels linked to the NLRP3/caspase-1/IL-1β pathway. Notably, we discovered that CoQ10 was more effective than its analog, idebenone (IDE), in protecting the liver from the harmful effects of alcohol.
This research is promising, as it highlights CoQ10's potential to serve as a therapeutic option for treating liver disease caused by alcohol consumption, shedding light on its antioxidant and anti-inflammatory properties.
Read More
9
CoQ10 shows protective potential
Evaluation of the protective effect of coenzyme Q on hepatotoxicity caused by acute phosphine poisoning.
We set out to explore how Coenzyme Q10 (CoQ) might guard against liver damage caused by aluminum phosphide (AlP) poisoning. This type of poisoning is a serious issue in many countries and can have dire consequences for organ health, especially the liver.
Our study involved several groups of subjects, some receiving CoQ treatment while others were exposed to AlP alone. We examined the effects of CoQ at various doses, looking closely at liver function and health indicators, such as certain enzymes and oxidative stress markers.
Our findings showed that AlP treatment led to significant liver damage, decreasing the activity of important mitochondrial components and raising oxidative stress levels. However, when we administered CoQ, we observed a noteworthy improvement in liver health markers and a reduction in apoptosis, or cell death. This suggests that CoQ may help support liver function by protecting against oxidative damage and maintaining mitochondrial health.
In summary, Coenzyme Q10 appears to play a beneficial role in combating liver toxicity caused by AlP poisoning, showcasing its potential as a protective treatment.
Read More
9
Coenzyme Q10 aids liver cancer treatment
Investigation of the effects of catharanthine and Q10 on Nrf2 and its association with MMP-9, MRP1, and Bcl-2 and apoptosis in a model of hepatocellular carcinoma.
This study explored how coenzyme Q10 (Q10) affects liver disease, particularly in hepatocellular carcinoma cells known as HepG2. We found that Q10 serves as a potent antioxidant, showing promise in reducing oxidative stress in these cancer cells. Our analysis revealed that Q10 treatment led to decreased oxidative stress products and enhanced the cells' antioxidant capacity.
Interestingly, while Q10 reduced levels of the Nrf2 protein associated with cancer cell survival, another compound called catharanthine had the opposite effect by increasing Nrf2 levels. This distinction is crucial, as Nrf2 plays a role in how cancer cells respond to treatment. Notably, we observed that Q10 also lowered the expression of certain proteins linked to metastasis and drug resistance, namely MMP-9 and MRP1.
When it came to inducing apoptosis, or programmed cell death, both treatments did increase apoptotic activity, but Q10 proved to be more effective than catharanthine. In fact, our findings suggest that even when used together, the benefits of catharanthine were overshadowed by Q10's stronger effects. Overall, our results indicate that coenzyme Q10 is not only beneficial for reducing oxidative stress but also plays a significant role in inducing cell death in liver cancer cells, making it a valuable candidate for further research in liver disease treatment.
Q10 is a powerful antioxidant that protects against free radicals, crucial for liver disease. I ordered it for my mother, who needed detox support, and it significantly boosts energy levels and reduces fatigue.
Read More
9
Reduced side effects
3 people found this helpful
For those experiencing side effects from statins, Q10 is invaluable. It alleviates the liver disease load and lessens side effects. I have been taking it for over a year and am pleased with the results.
Read More
7.5
Supports liver health
3 people found this helpful
I recommend CoQ10, which helps offset the negatives of cholesterol tablets I'm using. It reassures me that my liver is functioning well, thanks to regular tests with my naturopath.
Read More
8
Essential for health
1 people found this helpful
Coenzyme Q10 is vital, especially as its levels drop after 35. It’s important for overall health and particularly beneficial for combating liver disease, making supplementation imperative.
Read More
8
More energy
3 people found this helpful
Coenzyme Q10 is beneficial for conditions like liver disease and chronic fatigue syndrome. I buy it for my mother-in-law, and she says it gives her a surge of energy, almost like rejuvenation.
Read More
Frequently Asked Questions
Liver disease encompasses a variety of conditions that affect the liver's ability to function effectively. The liver is a vital organ responsible for many important tasks, including metabolizing nutrients, detoxifying harmful substances, and producing bile for digestion. Common forms of liver disease include hepatitis, fatty liver disease, cirrhosis, and liver cancer. Each of these conditions can significantly impact liver function and overall health, leading to symptoms that range from fatigue and jaundice to more serious complications requiring urgent medical attention.
The causes of liver disease are diverse and can include chronic alcohol abuse, viral infections, autoimmune disorders, and metabolic conditions like obesity and diabetes. Early detection is key to managing liver disease effectively, often involving lifestyle changes, medications, and sometimes surgical interventions. Regular check-ups and liver function tests are recommended for individuals at higher risk, such as those with a family history of liver disease or those who lead certain lifestyle habits. Adopting a balanced diet and reducing alcohol intake can greatly aid in liver health and help prevent the onset of these conditions.
Coenzyme Q10, often abbreviated as CoQ10, is a naturally occurring antioxidant that is found in the cells of the body. It plays a crucial role in the production of energy within mitochondria, which are the powerhouses of our cells. CoQ10 is important for maintaining cellular energy levels and overall health, as it assists in the conversion of food into energy. Additionally, it helps protect cells from oxidative damage, which is linked to various conditions such as heart disease and aging.
As a dietary supplement, CoQ10 is popular for its potential benefits, including promoting heart health, improving energy levels, and supporting cognitive function. It's particularly beneficial for individuals who are taking statin medications, as these drugs can lower natural CoQ10 levels in the body. While more research is needed to determine its efficacy fully, many users have reported positive experiences. If you’re considering adding CoQ10 to your supplement routine, it’s best to consult with a healthcare professional to determine the appropriate dosage and ensure it fits your health needs.
Coenzyme Q10 (CoQ10) is a naturally occurring antioxidant that plays a critical role in energy production within cells and may have potential benefits for liver health. Some research has indicated that CoQ10 might help mitigate oxidative stress and inflammation, which are important factors involved in liver disease. For individuals suffering from conditions like non-alcoholic fatty liver disease (NAFLD) or liver cirrhosis, supplementation with CoQ10 may improve liver function markers and enhance overall liver health. However, it's important to note that while some studies suggest positive outcomes, the research is not yet conclusive, and further large-scale clinical trials are necessary to fully understand its efficacy and safety in this context.
If you're considering CoQ10 as a supplement for liver disease, it’s wise to consult with a healthcare professional first. They can provide personalized advice and ensure it complements other treatments or lifestyle changes you may be undergoing. Additionally, CoQ10 should not be viewed as a standalone solution, but rather as part of a comprehensive approach to managing liver health, which could include dietary adjustments, regular exercise, and avoiding alcohol and harmful substances.
Based on user reviews, the timeline for seeing results from Coenzyme Q10 (CoQ10) supplementation can vary. Many users report noticeable improvements in energy levels and a reduction in fatigue after taking the supplement for a few weeks. For instance, one reviewer noted their mother experienced a significant boost in energy shortly after starting the supplement, indicating a potentially quick onset of benefits for liver support Read Review. Another user mentioned being pleased with the results after more than a year of consistent intake, suggesting that some benefits may accrue over a longer period Read Review.
Overall, many users find CoQ10 advantageous for improving liver health and overall wellbeing, noting that while some immediate benefits can be felt quickly, sustained use may lead to more pronounced effects over a longer duration Read Review. If you're considering this supplement for liver disease, you might start to feel some positive changes within weeks, but patience is essential, as the full spectrum of benefits often unfolds over time.
Coenzyme Q10, often known as CoQ10, is emerging as a potential supplement for supporting liver health, particularly in the context of various liver diseases. Research indicates that CoQ10, especially when combined with selenium, can significantly reduce liver inflammation, fibrosis, and fat accumulation in a mouse model of metabolic dysfunction-associated steatohepatitis (MASH). This combination therapy also alleviated oxidative stress and improved liver enzyme levels, suggesting CoQ10's role in enhancing liver health [1]. Additionally, a study involving patients with metabolic dysfunction-related liver disease highlighted that high-dose CoQ10 supplementation resulted in improvements in liver fat content and overall liver function, marking it as a promising treatment option for conditions like metabolic-dysfunction associated steatotic liver disease (MASLD) [3].
However, it's essential to note that while CoQ10 demonstrates protective benefits against liver damage in various scenarios—such as drug-induced liver toxicity and oxidative stress—it may not always yield significant outcomes across the board. For instance, a meta-analysis examining CoQ10's effects on non-alcoholic fatty liver disease (NAFLD) indicated that while reductions in liver enzymes were observed, the overall benefits were not statistically significant. This points to the need for further research to identify the most effective conditions and dosages for CoQ10's use in liver health [9]. Overall, the current body of research supports the therapeutic potential of CoQ10 for liver disease, but also underscores the importance of continued studies to fully understand its efficacy and best applications.
Users report a range of symptomatic improvements when taking Coenzyme Q10 (CoQ10), particularly concerning liver health and energy levels. Many individuals have noted significant boosts in energy and reductions in fatigue. For example, one reviewer shared that after starting CoQ10, their mother experienced a notable increase in energy, which was crucial for her detox support in managing liver disease Read Review. Another user highlighted that taking CoQ10 helped alleviate the side effects associated with statin medications, showcasing its beneficial effects on liver function over an extended period of use Read Review.
Additionally, reviewers acknowledged the supplement's role in overall wellbeing, with one individual mentioning a sense of reassurance regarding liver function following regular tests after taking CoQ10 Read Review. Another user remarked on the rejuvenating effects of CoQ10, suggesting that it offers substantial benefits for conditions related to chronic fatigue and liver health Read Review. While results can vary between individuals, these shared experiences indicate that CoQ10 may play an important role in enhancing energy and supporting liver health for many users.
Users report that combining Coenzyme Q10 (CoQ10) with other supplements and medications can yield significant benefits for those managing liver disease. Many reviewers highlight CoQ10's antioxidant properties as crucial in supporting liver health and alleviating fatigue, particularly in individuals who are also dealing with the side effects of other medications like statins. One user noted that after incorporating CoQ10 into their regimen, they experienced a marked improvement in energy levels, crucial for detox support in their mother's treatment Read Review. Likewise, another reviewer emphasized the importance of CoQ10 in reducing liver disease load while mitigating the adverse effects they experienced from statin use, praising its long-term efficacy Read Review.
Additionally, some users suggest that CoQ10 can complement other supplements effectively, improving overall wellbeing. One reviewer mentioned using CoQ10 alongside cholesterol medications, expressing confidence in liver function through regular check-ups Read Review. Others echoed its benefits in rejuvenating energy levels and enhancing health in the context of liver disease and chronic conditions Read Review. Such user experiences indicate that combining CoQ10 with other supplements or medications may be advantageous for individuals managing liver health.
Recent research points to 240 mg of coenzyme Q10 (CoQ10) as an optimal daily dose for improving liver health in patients with metabolic dysfunction-associated steatotic liver disease (MASLD). In a well-structured trial, participants receiving this dosage exhibited significant reductions in liver fat content and improvements in liver function markers over a six-month period [3]. The study indicated that regular supplementation with this dose correlates with enhanced cardiovascular health as well, further underscoring its potential benefits beyond liver function.
CoQ10 treatments also show promise in other contexts, like in protecting against liver damage induced by drugs such as methotrexate, though careful evaluation is advised due to mixed outcomes in some scenarios [2]. In essence, while 240 mg appears beneficial and supported by clinical evidence, the need for individualized treatment plans remains crucial, as responses to CoQ10 can vary based on specific health conditions and combined treatments. Hence, consulting with healthcare providers before starting any supplementation is advisable.
9
Promotes detoxification
1 people found this helpful
Q10 is a powerful antioxidant that protects against free radicals, crucial for liver disease. I ordered it for my mother, who needed detox support, and it significantly boosts energy levels and reduces fatigue.
9
Reduced side effects
3 people found this helpful
For those experiencing side effects from statins, Q10 is invaluable. It alleviates the liver disease load and lessens side effects. I have been taking it for over a year and am pleased with the results.
8
Essential for health
1 people found this helpful
Coenzyme Q10 is vital, especially as its levels drop after 35. It’s important for overall health and particularly beneficial for combating liver disease, making supplementation imperative.
7.5
Supports liver health
3 people found this helpful
I recommend CoQ10, which helps offset the negatives of cholesterol tablets I'm using. It reassures me that my liver is functioning well, thanks to regular tests with my naturopath.
8
More energy
3 people found this helpful
Coenzyme Q10 is beneficial for conditions like liver disease and chronic fatigue syndrome. I buy it for my mother-in-law, and she says it gives her a surge of energy, almost like rejuvenation.
9
CoQ10 and Se improve liver health
Coenzyme Q and Selenium Co-Supplementation Alleviate Methionine Choline-Deficient Diet-Induced Metabolic Dysfunction-Associated Steatohepatitis in Mice.
We explored the potential of coenzyme Q10 (CoQ) in combination with selenium (Se) to improve liver health in a mouse model of metabolic dysfunction-associated steatohepatitis (MASH). Our recent study involved male C57BL/6J mice fed a methionine choline-deficient diet, known to induce liver problems. The treatment groups received CoQ, Se, or both substances together for four weeks, while a control group received a methionine choline-sufficient diet.
The results revealed that both CoQ and Se, particularly when used in combination, significantly reduced liver inflammation, fibrosis, and fat accumulation. We observed that these antioxidants alleviated oxidative stress and decreased markers of lipid peroxidation, alongside improving liver enzyme levels in the mice's blood. Importantly, the combination therapy also appeared to support cellular health by regulating proteins related to a specific type of cell death known as ferroptosis.
Our findings suggest that CoQ, especially in tandem with selenium, has therapeutic potential for managing liver diseases like MASH. This research opens doors for deeper investigations into antioxidant treatments for liver health, showcasing how we might leverage natural compounds for better outcomes in metabolic liver conditions.
9
Coenzyme Q10 improves liver health
Six-month supplementation with high dose coenzyme Q10 improves liver steatosis, endothelial, vascular and myocardial function in patients with metabolic-dysfunction associated steatotic liver disease: a randomized double-blind, placebo-controlled trial.
We conducted a study to explore the effects of high-dose coenzyme Q10 supplementation on patients suffering from liver disease related to metabolic dysfunction, known as Metabolic-dysfunction Associated Steatotic Liver Disease (MASLD). In a well-structured double-blind, placebo-controlled trial with sixty participants, half received 240 mg of coenzyme Q10 daily, while the other half received a placebo for six months.
Our findings were promising. Patients taking coenzyme Q10 showed significant improvements in various aspects of their health related to liver functions and cardiovascular health. Specifically, we observed a reduction in liver fat content, as assessed by the controlled attenuation parameter, along with better blood vessel function and heart performance. For instance, the flow-mediated dilation of the brachial artery and the coronary flow reserve significantly improved in those receiving the supplement.
Interestingly, while the placebo group did not show any improvements during the six-month period, the coenzyme Q10 group demonstrated a clear correlation between the reduction in liver fat and enhancements in micro- and macrovascular functions. These results suggest that coenzyme Q10 could potentially be a beneficial treatment option for those battling MASLD.
4
CoQ10's variable effects on NAFLD
Effects of coenzyme Q10 supplementation on lipid profiles and liver enzymes of nonalcoholic fatty liver disease (NAFLD) patients: A systematic review and meta-analysis of randomized controlled trials.
We aimed to understand how coenzyme Q10, an antioxidant, might influence patients suffering from non-alcoholic fatty liver disease (NAFLD). In our systematic review and meta-analysis, we examined various randomized controlled trials that utilized CoQ10 as part of the treatment regimen for NAFLD.
The findings from the six studies we reviewed showed an overall non-significant decrease in lipid profiles, which includes total cholesterol, low-density lipoprotein (LDL), high-density lipoprotein (HDL), and triglycerides. Additionally, liver enzymes such as aspartate transaminase and alanine transaminase tended to decline as well, but these results did not reach statistical significance across the board.
However, when we performed sensitivity analysis by excluding certain studies, we noted significant reductions in specific liver enzymes. Our subgroup analyses even revealed that the effects of coenzyme Q10 varied based on the dosage given and the duration of treatment. Despite these nuances, no publication bias was detected, reinforcing the reliability of the existing studies.
Overall, while there isn't a broad significant benefit observed from CoQ10 supplementation for NAFLD patients, our findings suggest that it may have beneficial effects under certain conditions. This indicates a need for further research to uncover the specific circumstances in which CoQ10 might be effective.
7
CoQ10 impacts MTX liver toxicity
Should combined MTX and CoQ10 use be reconsidered in terms of steatosis? A biochemical, flow cytometry, histopathological experimental study.
We aimed to investigate how coenzyme Q10 (CoQ10) affects liver damage related to methotrexate (MTX), a drug commonly used for treating cancers and autoimmune diseases. In our study involving twenty-four female Wistar albino rats, we divided the animals into four distinct groups. Some received only MTX, while others were treated with both MTX and CoQ10 over a week-long period.
Through diligent analysis, we noted that the use of CoQ10 showed protective effects against MTX-induced liver damage. Histopathological examinations revealed increased apoptosis, fibrosis, and inflammation in the MTX-only group, but these adverse effects notably decreased in the group that also received CoQ10.
However, an unexpected finding emerged: the combination of MTX and CoQ10 led to fatty liver degeneration and elevated levels of certain oxidative stress markers. This suggests that while CoQ10 can offer some protective benefits to the liver, its concurrent use with MTX raises concerns that merit further investigation.
In summary, while CoQ10 demonstrates some advantages in alleviating liver toxicity from MTX, the emergence of fatty degeneration in combined treatments prompts a careful reevaluation of its co-administration.
References
Choi H, Choi J, Go Y, Chung J. Coenzyme Q and Selenium Co-Supplementation Alleviate Methionine Choline-Deficient Diet-Induced Metabolic Dysfunction-Associated Steatohepatitis in Mice. Nutrients. 2025;17. 10.3390/nu17020229
Aydin I, Erisgin Z, Cinar E, Barak MZ, Tekelioglu Y, et al. Should combined MTX and CoQ10 use be reconsidered in terms of steatosis? A biochemical, flow cytometry, histopathological experimental study. Drug Chem Toxicol. 2024. 10.1080/01480545.2024.2442660
Vrentzos E, Ikonomidis I, Pavlidis G, Katogiannis K, Korakas E, et al. Six-month supplementation with high dose coenzyme Q10 improves liver steatosis, endothelial, vascular and myocardial function in patients with metabolic-dysfunction associated steatotic liver disease: a randomized double-blind, placebo-controlled trial. Cardiovasc Diabetol. 2024;23:245. 10.1186/s12933-024-02326-8
Yoladi FB, Palabiyik-Yucelik SS, Bahador Zirh E, Halici Z, Baydar T. Effects of idebenone and coenzyme Q10 on NLRP3/caspase-1/IL-1β pathway regulation on ethanol-induced hepatotoxicity in rats. Drug Chem Toxicol. 2024;47:1205. 10.1080/01480545.2024.2351191
Hooshangi Shayesteh MR, Hami Z, Chamanara M, Parvizi MR, Golaghaei A, et al. Evaluation of the protective effect of coenzyme Q on hepatotoxicity caused by acute phosphine poisoning. Int J Immunopathol Pharmacol. 2024;38:3946320241250286. 10.1177/03946320241250286
Akbel E, Kucukkurt I, Ince S, Demirel HH, Acaroz DA, et al. Investigation of protective effect of resveratrol and coenzyme Q against cyclophosphamide-induced lipid peroxidation, oxidative stress and DNA damage in rats. Toxicol Res (Camb). 2024;13:tfad123. 10.1093/toxres/tfad123
Heidari-Kalvani N, Alizadeh-Fanalou S, Yarahmadi S, Fallah S, Alipourfard I, et al. Investigation of the effects of catharanthine and Q10 on Nrf2 and its association with MMP-9, MRP1, and Bcl-2 and apoptosis in a model of hepatocellular carcinoma. Naunyn Schmiedebergs Arch Pharmacol. 2024;397:2507. 10.1007/s00210-023-02767-0
Nalbant MA, EroÄŸlu O. Effects of Pyrroloquinoline Quinone (PQQ) and Coenzyme Q10 on Mitochondrial Genes, MitomiRs and Cellular Properties in HepG2 Cell Line. Cell Mol Biol (Noisy-le-grand). 2023;69:60. 10.14715/cmb/2023.69.4.9
Ardekani A, Tabrizi R, Maleki E, Bagheri Lankarani K, Heydari ST, et al. Effects of coenzyme Q10 supplementation on lipid profiles and liver enzymes of nonalcoholic fatty liver disease (NAFLD) patients: A systematic review and meta-analysis of randomized controlled trials. Food Sci Nutr. 2023;11:2580. 10.1002/fsn3.3315
Hibino M, Maeki M, Tokeshi M, Ishitsuka Y, Harashima H, et al. A system that delivers an antioxidant to mitochondria for the treatment of drug-induced liver injury. Sci Rep. 2023;13:6961. 10.1038/s41598-023-33893-7
He X, Liang SM, Wang HQ, Tao L, Sun FF, et al. Mitoquinone protects against acetaminophen-induced liver injury in an FSP1-dependent and GPX4-independent manner. Toxicol Appl Pharmacol. 2023;465:116452. 10.1016/j.taap.2023.116452