Background
Ripened Pu-erh tea (RpPT), a distinctively fermented Chinese Geographical Indication product, is highly valued for its sensory properties and potential health benefits. However, the core health benefits of RpPT remain incompletely defined, and the underlying mechanisms are not fully elucidated.
Scope and approach
This review synthesizes evidence from the past four decades, gathered from both international and Chinese academic databases, to systematically define RpPT's core health benefits and elucidate their mechanistic basis, thereby supporting its practical applications.
Key findings and conclusions
Analysis of 351 studies indicates that RpPT's primary health benefits include hypolipidemic, hypoglycemic, and redox-inflammatory balance effects, along with organ-protective, detoxifying, anti-cancer, and antimicrobial properties. The central mechanism involves profound remodeling of the gut microbiota, characterized by a decreased Firmicutes/Bacteroidetes ratio and an increase in beneficial genera such as Akkermansia, Bifidobacterium, and Lactobacillus. These changes elevate the production of short-chain fatty acids (SCFAs) such as acetate, propionate, and butyrate, while reducing lipopolysaccharide (LPS) levels and bile salt hydrolase (BSH) activity. Consequently, improve intestinal redox-inflammatory status (SOD↑, GSH↑, MDA↓, NF-κB↓, IL-6↓, TNF-α↓) and intestinal barrier function. Systemically, SCFAs activate the PPARγ/AMPK pathways in the liver and adipose tissue, promoting lipid β-oxidation and thermogenesis while inhibiting lipogenesis and improving glucose homeostasis. Simultaneously, reduced BSH activity alters bile acid metabolism, activating the gut-liver FXR-FGF15 axis to facilitate lipolysis. Clinical trials confirm RpPT exerts metabolic regulation, antioxidative, anti-inflammatory, gut microbiota modulation, and organ protection efficacy. Thus, RpPT's core health benefits stem from its modulation of the gut microbiome, which enhances intestinal redox-inflammatory balance and barrier function, hence promotes metabolic homeostasis, positioning it as a promising functional beverage for managing metabolic disorders.
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