Systematic Review Article

水飞蓟素/水飞蓟宾对放射治疗毒性的辐射防护潜力:临床和实验研究的系统综述

卷 30, 期 33, 2023

发表于: 28 December, 2022

页: [3775 - 3797] 页: 23

弟呕挨: 10.2174/0929867330666221124155339

价格: $65

摘要

背景:虽然放射治疗是主要的癌症治疗方式之一,但在治疗期间将健康器官/组织暴露于电离辐射可导致不同的不良反应。在这方面,已经证明使用辐射防护剂可以减轻电离辐射引起的毒性。 目的:本研究旨在综述水飞蓟素/水飞蓟宾素在预防/减少电离辐射对健康细胞/组织的不良影响中的辐射防护潜力。 方法:基于PRISMA指南,对截至2022年4月Web of Science、PubMed、Scopus等不同数据库中“水飞蓟素/水飞蓟宾素治疗放射诱导毒性的潜在保护作用”的相关文献进行了全面系统的检索。根据本研究的纳入和排除标准,获得并筛选了455篇文章。最后,19篇论文被纳入本系统综述。 结果:研究结果显示,与对照组相比,电离辐射治疗组的存活率和体重都有所下降。研究还发现,辐射会对皮肤、消化系统、血液系统、淋巴系统、呼吸系统、生殖系统和泌尿系统产生轻微到严重的不良影响。然而,在大多数情况下,水飞蓟素/水飞蓟宾可以减轻电离辐射引起的不良反应。该中草药通过抗氧化、抗凋亡、抗炎等机制发挥辐射防护作用。 结论:本系统综述结果显示,水飞蓟素/水飞蓟宾与放疗联合治疗可减轻健康细胞/组织中放疗引起的不良反应。

关键词: 抗癌、放疗、水飞蓟素、水飞蓟宾、抗氧化、抗凋亡、抗炎。

[1]
Mortezaee, K.; Narmani, A.; Salehi, M.; Bagheri, H.; Farhood, B.; Haghi-Aminjan, H.; Najafi, M. Synergic effects of nanoparticles-mediated hyperthermia in radiotherapy/chemotherapy of cancer. Life Sci., 2021, 269, 119020.
[http://dx.doi.org/10.1016/j.lfs.2021.119020] [PMID: 33450258]
[2]
Siegel, R.L.; Miller, K.D.; Fuchs, H.E.; Jemal, A. Cancer statistics, 2022. CA Cancer J. Clin., 2022, 72(1), 7-33.
[http://dx.doi.org/10.3322/caac.21708] [PMID: 35020204]
[3]
Liang, J.L.; Luo, G.F.; Chen, W.H.; Zhang, X.Z. Recent advances in engineered materials for immunotherapy-involved combination cancer therapy. Adv. Mater., 2021, 33(31), 2007630.
[http://dx.doi.org/10.1002/adma.202007630] [PMID: 34050564]
[4]
Jiang, J.; Shen, N.; Ci, T.; Tang, Z.; Gu, Z.; Li, G.; Chen, X. Combretastatin A4 nanodrug-induced MMP9 amplification boosts tumor-selective release of Doxorubicin prodrug. Adv. Mater., 2019, 31(44), 1904278.
[http://dx.doi.org/10.1002/adma.201904278] [PMID: 31549774]
[5]
Ford, E.C.; Terezakis, S. How safe is safe? Risk in radiotherapy. Int. J. Radiat. Oncol. Biol. Phys., 2010, 78(2), 321-322.
[http://dx.doi.org/10.1016/j.ijrobp.2010.04.047] [PMID: 20832662]
[6]
Baskar, R.; Lee, K.A.; Yeo, R.; Yeoh, K.W. Cancer and radiation therapy: current advances and future directions. Int. J. Med. Sci., 2012, 9(3), 193-199.
[http://dx.doi.org/10.7150/ijms.3635] [PMID: 22408567]
[7]
Mortezaee, K.; Parwaie, W.; Motevaseli, E.; Mirtavoos-Mahyari, H.; Musa, A.E.; Shabeeb, D.; Esmaely, F.; Najafi, M.; Farhood, B. Targets for improving tumor response to radiotherapy. Int. Immunopharmacol., 2019, 76, 105847.
[http://dx.doi.org/10.1016/j.intimp.2019.105847] [PMID: 31466051]
[8]
Farhood, B; Geraily, G; Abtahi, SMM Abtahi SMM: A systematic review of clinical applications of polymer gel dosimeters in radiotherapy. Appl. Radiat. Isotopes, 2019, 143, 47-59.
[http://dx.doi.org/10.1016/j.apradiso.2018.08.018]
[9]
Bagheri, H.; Rabie Mahdavi, S.; Shekarchi, B.; Manouchehri, F.; Farhood, B. Measurement of the contralateral breast photon and thermal neutron doses in breast cancer radiotherapy: A comparison between physical and dynamic wedges. Radiat. Prot. Dosimetry, 2018, 178(1), 73-81.
[http://dx.doi.org/10.1093/rpd/ncx076] [PMID: 28591863]
[10]
Moding, E.J.; Kastan, M.B.; Kirsch, D.G. Strategies for optimizing the response of cancer and normal tissues to radiation. Nat. Rev. Drug Discov., 2013, 12(7), 526-542.
[http://dx.doi.org/10.1038/nrd4003] [PMID: 23812271]
[11]
Farhood, B.; khodamoradi, E.; Hoseini-Ghahfarokhi, M.; Motevaseli, E.; Mirtavoos-Mahyari, H.; Eleojo Musa, A.; Najafi, M. TGF-β in radiotherapy: Mechanisms of tumor resistance and normal tissues injury. Pharmacol. Res., 2020, 155, 104745.
[http://dx.doi.org/10.1016/j.phrs.2020.104745] [PMID: 32145401]
[12]
Kim, J.H.; Jenrow, K.A.; Brown, S.L. Mechanisms of radiation-induced normal tissue toxicity and implications for future clinical trials. Radiat. Oncol. J., 2014, 32(3), 103-115.
[http://dx.doi.org/10.3857/roj.2014.32.3.103] [PMID: 25324981]
[13]
Kavanagh, BD; Pan, CC; Dawson, LA; Das, SK; Li, XA; Ten Haken, RK; Miften, M Radiation dose–volume effects in the stomach and small bowel. Int. J. Radiat. Oncol., 201076(3), S101-S107.
[http://dx.doi.org/10.1016/j.ijrobp.2009.05.071]
[14]
Pollom, EL; Deng, L; Pai, RK; Brown, JM; Giaccia, A; Loo, BW, Jr; Shultz, DB; Le, QT; Koong, AC; Chang, DT Gastrointestinal toxicities with combined antiangiogenic and stereotactic body radiation therapy. Int. J. Radiat. Oncol., 2015, 92(3), 568-576.
[http://dx.doi.org/10.1016/j.ijrobp.2015.02.016]
[15]
Yahyapour, R.; Amini, P.; Saffar, H.; Rezapoor, S.; Motevaseli, E.; Cheki, M.; Farhood, B.; Nouruzi, F.; Shabeeb, D.; Eleojo Musa, A.; Najafi, M. Metformin protects against radiation-induced heart injury and attenuates the upregulation of dual oxidase genes following rat’s chest Irradiation. Int. J. Mol. Cell. Med., 2018, 7(3), 193-202.
[PMID: 31565651]
[16]
Sheikhzadeh, P.D.; Khezerloo, D.; Mortezazadeh, T.; Farhood, B.; Seyfizadeh, N.; Pezhman, L. The effect of date palm seed extract as a new potential radioprotector in gamma-irradiated mice. J. Cancer Res. Ther., 2019, 15(3), 517-521.
[http://dx.doi.org/10.4103/jcrt.JCRT_1341_16] [PMID: 31169213]
[17]
Aliasgharzadeh, A.; Farhood, B.; Amini, P.; Saffar, H.; Motevaseli, E.; Rezapoor, S.; Nouruzi, F.; Shabeeb, D.H.; Eleojo Musa, A.; Mohseni, M.; Moradi, H.; Najafi, M. Melatonin attenuates upregulation of duox1 and duox2 and protects against lung injury following chest irradiation in rats. Cell J., 2019, 21(3), 236-242.
[PMID: 31210428]
[18]
Farhood, B.; Aliasgharzadeh, A.; Amini, P.; Saffar, H.; Motevaseli, E.; Rezapoor, S.; Nouruzi, F.; Shabeeb, D.; Eleojo Musa, A.; Ashabi, G.; Mohseni, M.; Moradi, H.; Najafi, M. Radiation-induced dual oxidase upregulation in rat heart tissues: Protective effect of melatonin. Medicina (Kaunas), 2019, 55(7), 317.
[http://dx.doi.org/10.3390/medicina55070317] [PMID: 31252673]
[19]
Farhood, B.; Aliasgharzadeh, A.; Amini, P.; Rezaeyan, A.; Tavassoli, A.; Motevaseli, E.; Shabeeb, D.; Eleojo Musa, A.; Najafi, M. Mitigation of radiation-induced lung pneumonitis and fibrosis using metformin and melatonin: A histopathological study. Medicina (Kaunas), 2019, 55(8), 417.
[http://dx.doi.org/10.3390/medicina55080417] [PMID: 31366142]
[20]
Amini, P.; Nodooshan, S.J.; Ashrafizadeh, M.; Eftekhari, S-M.; Aryafar, T.; Khalafi, L.; Musa, A.E.; Mahdavi, S.R.; Najafi, M.; Farhood, B. Resveratrol induces apoptosis and attenuates proliferation of MCF-7 cells in combination with radiation and hyperthermia. Curr. Mol. Med., 2021, 21(2), 142-150.
[PMID: 32436827]
[21]
Farhood, B.; Hassanzadeh, G.; Amini, P.; Shabeeb, D.; Musa, A.E.; Khodamoradi, E.; Mohseni, M.; Aliasgharzadeh, A.; Moradi, H.; Najafi, M. Mitigation of radiation-induced gastrointestinal system injury using resveratrol or Alpha-lipoic Acid: A Pilot Histopathological Study. Anti-Inflamm. Anti-Allergy Agents Med. Chem., 2020, 19(4), 413-424.
[http://dx.doi.org/10.2174/1871523018666191111124028]
[22]
Nodooshan, S.J.; Amini, P.; Ashrafizadeh, M.; Tavakoli, S.; Aryafar, T.; Khalafi, L.; Musa, A.E.; Mahdavi, S.R.; Najafi, M.; Ahmadi, A. Suberosin attenuates the proliferation of MCF-7 breast cancer cells in combination with radiotherapy or hyperthermia. Curr. Drug Res. Rev., 2021, 13(2), 148-153.
[PMID: 33371865]
[23]
Motallebzadeh, E.; Tameh, A.A.; Zavareh, S.A.T.; Farhood, B.; Aliasgharzedeh, A.; Mohseni, M. Neuroprotective effect of melatonin on radiation-induced oxidative stress and apoptosis in the brainstem of rats. J. Cell. Physiol., 2020, 235(11), 8791-8798.
[http://dx.doi.org/10.1002/jcp.29722] [PMID: 32324264]
[24]
Arabzadeh, A.; Mortezazadeh, T.; Aryafar, T.; Gharepapagh, E.; Majdaeen, M.; Farhood, B. Therapeutic potentials of resveratrol in combination with radiotherapy and chemotherapy during glioblastoma treatment: A mechanistic review. Cancer Cell Int., 2021, 21(1), 391.
[http://dx.doi.org/10.1186/s12935-021-02099-0] [PMID: 34289841]
[25]
Sheikholeslami, S.; Khodaverdian, S.; Dorri-Giv, M.; Mohammad Hosseini, S.; Souri, S.; Abedi-Firouzjah, R.; Zamani, H.; Dastranj, L.; Farhood, B. The radioprotective effects of alpha-lipoic acid on radiotherapy-induced toxicities: A systematic review. Int. Immunopharmacol., 2021, 96, 107741.
[http://dx.doi.org/10.1016/j.intimp.2021.107741] [PMID: 33989970]
[26]
Ahmed, R.F.; Moussa, R.A.; Eldemerdash, R.S.; Zakaria, M.M.; Abdel-Gaber, S.A. Ameliorative effects of silymarin on HCl-induced acute lung injury in rats; role of the Nrf-2/HO-1 pathway. Iran. J. Basic Med. Sci., 2019, 22(12), 1483-1492.
[PMID: 32133068]
[27]
Comelli, M.C.; Mengs, U.; Schneider, C.; Prosdocimi, M. Toward the definition of the mechanism of action of silymarin: activities related to cellular protection from toxic damage induced by chemotherapy. Integr. Cancer Ther., 2007, 6(2), 120-129.
[http://dx.doi.org/10.1177/1534735407302349] [PMID: 17548791]
[28]
de Oliveira, D.R.; Tintino, S.R.; Braga, M.F.; Boligon, A.A.; Athayde, M.L.; Coutinho, H.D.; de Menezes, I.R.; Fachinetto, R. In vitro antimicrobial and modulatory activity of the natural products silymarin and silibinin. BioMed Res. Int., 2015, 2015, 292797.
[PMID: 25866771]
[29]
Ferenci, P. Silymarin in the treatment of liver diseases: What is the clinical evidence? Clin. Liver Dis. (Hoboken), 2016, 7(1), 8-10.
[http://dx.doi.org/10.1002/cld.522] [PMID: 31041017]
[30]
Ferenci, P.; Dragosics, B.; Dittrich, H.; Frank, H.; Benda, L.; Lochs, H.; Meryn, S.; Base, W.; Schneider, B. Randomized controlled trial of silymarin treatment in patients with cirrhosis of the liver. J. Hepatol., 1989, 9(1), 105-113.
[http://dx.doi.org/10.1016/0168-8278(89)90083-4] [PMID: 2671116]
[31]
Abenavoli, L.; Milic, N. Silymarin for Liver Disease. In: Liver Pathophysiology; Muriel, P., Ed.; Academic Press: Boston, 2017; pp. 621-631.
[http://dx.doi.org/10.1016/B978-0-12-804274-8.00045-X]
[32]
Gazák, R.; Walterová, D.; Kren, V. Silybin and silymarin--new and emerging applications in medicine. Curr. Med. Chem., 2007, 14(3), 315-338.
[http://dx.doi.org/10.2174/092986707779941159] [PMID: 17305535]
[33]
Testino, G.; Leone, S.; Ansaldi, F.; Borro, P. Silymarin and S-adenosyl-L-methionine (SAMe): two promising pharmacological agents in case of chronic alcoholic hepathopathy. A review and a point of view. Minerva Gastroenterol. Dietol., 2013, 59(4), 341-356.
[PMID: 24212353]
[34]
Zholobenko, A.; Modriansky, M. Silymarin and its constituents in cardiac preconditioning. Fitoterapia, 2014, 97, 122-132.
[http://dx.doi.org/10.1016/j.fitote.2014.05.016] [PMID: 24879900]
[35]
Vargas-Mendoza, N.; Madrigal-Santillán, E.; Morales-González, A.; Esquivel-Soto, J.; Esquivel-Chirino, C.; García-Luna Y González-Rubio, M.; Gayosso-de-Lucio, J.A.; Morales-González, J.A. Hepatoprotective effect of silymarin. World J. Hepatol., 2014, 6(3), 144-149.
[http://dx.doi.org/10.4254/wjh.v6.i3.144] [PMID: 24672644]
[36]
Surai, P. Silymarin as a natural antioxidant: An overview of the current evidence and perspectives. Antioxidants, 2015, 4(1), 204-247.
[http://dx.doi.org/10.3390/antiox4010204] [PMID: 26785346]
[37]
Guzel, S.; Sahinogullari, Z.U.; Canacankatan, N.; Antmen, S.E.; Kibar, D.; Coskun Yilmaz, B. Potential renoprotective effects of silymarin against vancomycin-induced nephrotoxicity in rats. Drug Chem. Toxicol., 2020, 43(6), 630-636.
[http://dx.doi.org/10.1080/01480545.2019.1584208] [PMID: 30862206]
[38]
Zhu, Z.; Sun, G. Silymarin mitigates lung impairments in a rat model of acute respiratory distress syndrome. Inflammopharmacology, 2018, 26(3), 747-754.
[http://dx.doi.org/10.1007/s10787-017-0407-3] [PMID: 29098546]
[39]
Taleb, A; Ahmad, KA; Ihsan, AU; Qu, J; Lin, N; Hezam, K; Koju, N; Hui, L; Qilong, D Antioxidant effects and mechanism of silymarin in oxidative stress induced cardiovascular diseases. Biomed. Pharmacother., 2018, 102, 689-698.
[http://dx.doi.org/10.1016/j.biopha.2018.03.140]
[40]
Abd Eldaim, M.A.; Barakat, E.R.; Alkafafy, M.; Elaziz, S.A.A. Antioxidant and anti-apoptotic prophylactic effect of silymarin against lead-induced hepatorenal toxicity in rats. Environ. Sci. Pollut. Res. Int., 2021, 28(41), 57997-58006.
[http://dx.doi.org/10.1007/s11356-021-14722-8] [PMID: 34100211]
[41]
Ferraz, A.C.; Almeida, L.T.; da Silva Caetano, C.C.; da Silva Menegatto, M.B.; Souza Lima, R.L.; de Senna, J.P.N.; de Oliveira Cardoso, J.M.; Perucci, L.O.; Talvani, A.; Geraldo de Lima, W.; de Mello Silva, B.; Barbosa Reis, A.; de Magalhães, J.C.; Lopes de Brito Magalhães, C. Hepatoprotective, antioxidant, anti-inflammatory, and antiviral activities of silymarin against mayaro virus infection. Antiviral Res., 2021, 194, 105168.
[http://dx.doi.org/10.1016/j.antiviral.2021.105168] [PMID: 34437912]
[42]
Post-White, J.; Ladas, E.J.; Kelly, K.M. Advances in the use of milk thistle (Silybum marianum). Integr. Cancer Ther., 2007, 6(2), 104-109.
[http://dx.doi.org/10.1177/1534735407301632] [PMID: 17548789]
[43]
Hosseinabadi, T.; Lorigooini, Z.; Tabarzad, M.; Salehi, B.; Rodrigues, C.F.; Martins, N.; Sharifi-Rad, J. Silymarin antiproliferative and apoptotic effects: Insights into its clinical impact in various types of cancer. Phytother. Res., 2019, 33(11), 2849-2861.
[http://dx.doi.org/10.1002/ptr.6470] [PMID: 31407422]
[44]
Barros, T.M.B.; Lima, A.P.B.; Almeida, T.C.; Silva, G.N. Inhibition of urinary bladder cancer cell proliferation by silibinin. Environ. Mol. Mutagen., 2020, 61(4), 445-455.
[http://dx.doi.org/10.1002/em.22363] [PMID: 32078183]
[45]
Féher, J.; Lengyel, G. Silymarin in the prevention and treatment of liver diseases and primary liver cancer. Curr. Pharm. Biotechnol., 2012, 13(1), 210-217.
[http://dx.doi.org/10.2174/138920112798868818] [PMID: 21466434]
[46]
Kim, S.H.; Choo, G.S.; Yoo, E.S.; Woo, J.S.; Lee, J.H.; Han, S.H.; Jung, S.H.; Kim, H.J.; Jung, J.Y. Silymarin inhibits proliferation of human breast cancer cells via regulation of the MAPK signaling pathway and induction of apoptosis. Oncol. Lett., 2021, 21(6), 492.
[http://dx.doi.org/10.3892/ol.2021.12753] [PMID: 33968208]
[47]
Koltai, T.; Fliegel, L. Role of silymarin in cancer treatment: Facts, hypotheses, and questions. J. Evid.-Based Integr. Med., 2022, 27, 2515690x211068826.
[http://dx.doi.org/10.1177/2515690X211068826]
[48]
Singh, R.P.; Agarwal, R. Flavonoid antioxidant silymarin and skin cancer. Antioxid. Redox Signal., 2002, 4(4), 655-663.
[http://dx.doi.org/10.1089/15230860260220166] [PMID: 12230878]
[49]
Wu, T; Liu, W; Guo, W; Zhu, X Silymarin suppressed lung cancer growth in mice via inhibiting myeloid-derived suppressor cells. Biomed. Pharmacother., 2016, 81, 460-467.
[http://dx.doi.org/10.1016/j.biopha.2016.04.039]
[50]
Yu, H.C.; Chen, L.J.; Cheng, K.C.; Li, Y.X.; Yeh, C.H.; Cheng, J.T. Silymarin inhibits cervical cancer cell through an increase of phosphatase and tensin homolog. Phytother. Res., 2012, 26(5), 709-715.
[http://dx.doi.org/10.1002/ptr.3618] [PMID: 22016029]
[51]
Zhu, W.; Zhang, J.S.; Young, C.Y. Silymarin inhibits function of the androgen receptor by reducing nuclear localization of the receptor in the human prostate cancer cell line LNCaP. Carcinogenesis, 2001, 22(9), 1399-1403.
[http://dx.doi.org/10.1093/carcin/22.9.1399] [PMID: 11532861]
[52]
Delmas, D.; Xiao, J.; Vejux, A.; Aires, V. Silymarin and Cancer: A dual strategy in both in chemoprevention and chemosensitivity. Molecules, 2020, 25(9), 2009.
[http://dx.doi.org/10.3390/molecules25092009] [PMID: 32344919]
[53]
Křen, V.; Walterová, D. Silybin and silymarin - new effects and applications. Biomed. Pap. Med. Fac. Univ. Palacky Olomouc Czech Repub., 2005, 149(1), 29-41.
[http://dx.doi.org/10.5507/bp.2005.002] [PMID: 16170386]
[54]
Polyak, S.J.; Morishima, C.; Shuhart, M.C.; Wang, C.C.; Liu, Y.; Lee, D.Y.W. Inhibition of T-cell inflammatory cytokines, hepatocyte NF-kappaB signaling, and HCV infection by standardized Silymarin. Gastroenterology, 2007, 132(5), 1925-1936.
[http://dx.doi.org/10.1053/j.gastro.2007.02.038] [PMID: 17484885]
[55]
Saller, R; Brignoli, R; Melzer, J; Meier, R An updated systematic review with meta-analysis for the clinical evidence of silymarin. Forschende Komplementarmedizin (2006), 2008, 15(1), 9-20.
[http://dx.doi.org/10.1159/000113648]
[56]
Zhong, X.; Zhu, Y.; Lu, Q.; Zhang, J.; Ge, Z.; Zheng, S. Silymarin causes caspases activation and apoptosis in K562 leukemia cells through inactivation of Akt pathway. Toxicology, 2006, 227(3), 211-216.
[http://dx.doi.org/10.1016/j.tox.2006.07.021] [PMID: 16949716]
[57]
Moher, D; Liberati, A; Tetzlaff, J; Altman, DG Preferred reporting items for systematic reviews and meta-analyses: the PRISMA statement. Ann. Intern. Med., 2009, 151(4), 264-269.
[58]
Tiwari, P.; Kumar, A.; Ali, M.; Mishra, K.P. Radioprotection of plasmid and cellular DNA and Swiss mice by silibinin. Mutat. Res. Genet. Toxicol. Environ. Mutagen., 2010, 695(1-2), 55-60.
[http://dx.doi.org/10.1016/j.mrgentox.2009.11.007] [PMID: 19945544]
[59]
Son, Y.; Lee, H.J.; Rho, J.K.; Chung, S.Y.; Lee, C.G.; Yang, K.; Kim, S.H.; Lee, M.; Shin, I.S.; Kim, J.S. The ameliorative effect of silibinin against radiation-induced lung injury: protection of normal tissue without decreasing therapeutic efficacy in lung cancer. BMC Pulm. Med., 2015, 15(1), 68.
[http://dx.doi.org/10.1186/s12890-015-0055-6] [PMID: 26143275]
[60]
Adhikari, M.; Arora, R. The flavonolignan-silymarin protects enzymatic, hematological, and immune system against γ-radiation-induced toxicity. Environ. Toxicol., 2016, 31(6), 641-654.
[http://dx.doi.org/10.1002/tox.22076] [PMID: 25411116]
[61]
Ali, S.; Shaikh, F.; Abbas, K.; Iftikhar, A.; Shaikh, B. Silymarin ameliorates radiation sickness and weight loss: An experimental study on rodents. J. Liaquat. Uni. Med. Health Sci., 2013, 16(4), 222-227.
[62]
Read, G.H.; Bailleul, J.; Vlashi, E.; Kesarwala, A.H. Metabolic response to radiation therapy in cancer. Mol. Carcinog., 2022, 61(2), 200-224.
[http://dx.doi.org/10.1002/mc.23379] [PMID: 34961986]
[63]
Langius, J A E.; Bakker, S.; Rietveld, D.H.F.; Kruizenga, H.M.; Langendijk, J.A.; Weijs, P.J.M.; Leemans, C.R. Critical weight loss is a major prognostic indicator for disease-specific survival in patients with head and neck cancer receiving radiotherapy. Br. J. Cancer, 2013, 109(5), 1093-1099.
[http://dx.doi.org/10.1038/bjc.2013.458] [PMID: 23928661]
[64]
Lau, S.K.M.; Iyengar, P. Implications of weight loss for cancer patients receiving radiotherapy. Curr. Opin. Support. Palliat. Care, 2017, 11(4), 261-265.
[http://dx.doi.org/10.1097/SPC.0000000000000298] [PMID: 28914642]
[65]
Nourissat, A; Bairati, I; Fortin, A; Gélinas, M; Nabid, A; Brochet, F; Têtu, B; Meyer, F Factors associated with weight loss during radiotherapy in patients with stage I or II head and neck cancer. Supportive Care Cancer, 2012, 20(3), 591-599.
[http://dx.doi.org/10.1007/s00520-011-1132-x]
[66]
György, I.; Antus, S.; Blázovics, A.; Földiák, G. Substituent effects in the free radical reactions of silybin: radiation-induced oxidation of the flavonoid at neutral pH. Int. J. Radiat. Biol., 1992, 61(5), 603-609.
[http://dx.doi.org/10.1080/09553009214551411] [PMID: 1349624]
[67]
Haková, H.; Mišúrová, E. The effect of silymarin and gamma radiation on nucleic acids in rat organs. J. Pharm. Pharmacol., 2011, 45(10), 910-912.
[http://dx.doi.org/10.1111/j.2042-7158.1993.tb05619.x] [PMID: 7507163]
[68]
El-Shennawy, H.; El Shahat, A.; Ahmed, A.; Abdelaziz, N. Ameliorative effect of silymarin against radiation-induced oxidative stress in the liver of male rats. Pak. J. Zool., 2016, 48(6), 1905-1909.
[69]
Abdelmageed Marzook, E.; Abdel-Aziz, A.F.; Abd El-Moneim, A.E.; Mansour, H.A.; Atia, K.S.; Salah, N.A. MicroRNA-122 expression in hepatotoxic and γ-irradiated rats pre-treated with naringin and silymarin. J. Radiat. Res. Appl. Sci., 2020, 13(1), 38-46.
[http://dx.doi.org/10.1080/16878507.2019.1695392]
[70]
Ramadan, L.A.; Roushdy, H.M.; Abu Senna, G.M.; Amin, N.E.; El-Deshw, O.A. Radioprotective effect of silymarin against radiation induced hepatotoxicity. Pharmacol. Res., 2002, 45(6), 447-454.
[http://dx.doi.org/10.1006/phrs.2002.0990] [PMID: 12162944]
[71]
Kim, J.S.; Han, N.K.; Kim, S.H.; Lee, H.J. Silibinin attenuates radiation-induced intestinal fibrosis and reverses epithelial-to-mesenchymal transition. Oncotarget, 2017, 8(41), 69386-69397.
[http://dx.doi.org/10.18632/oncotarget.20624] [PMID: 29050211]
[72]
Elyasi, S.; Hosseini, S.; Niazi Moghadam, M.R.; Aledavood, S.A.; Karimi, G. Effect of oral silymarin administration on prevention of radiotherapy induced mucositis: a randomized, double-blinded, placebo-controlled clinical trial. Phytother. Res., 2016, 30(11), 1879-1885.
[http://dx.doi.org/10.1002/ptr.5704] [PMID: 27555604]
[73]
Mahmoud, A.Z.; Ibrahim, H.A.; El-Sawi, M.R.; Habza, M.N. Effects of silymarin and mesenchymal stem cells on hematological and some biochemical changes induced by gamma radiation in albino rats. Int. J. Radiat. Biol., 2020, 96(2), 220-227.
[http://dx.doi.org/10.1080/09553002.2020.1689438] [PMID: 31692407]
[74]
Karri, V.; Gowthamarajan, K.; Satish Kumar, M.; Rajkumar, M. Multiple biological actions of curcumin in the management of diabetic foot ulcer complications: a systematic review. Trop. Med. Surg., 2015, 3(179), 2.
[75]
Salah Noori, R.; Abdul-RedhaIsmaiel, M. Relationship between oxidative stress and the blood iron concentration and antioxidant status in major ß-thalassemia in Iraq. Arch. Razi Inst., 2022, 77(1), 187-198.
[PMID: 35891728]
[76]
Marzban, M.; Anjamshoa, M.; Jafari, P.; Masoumi, H.; Ahadi, R.; Fatehi, D. Effects of gamma rays on rat testis tissue according to the morphological parameters and immunohistochemistry: radioprotective role of silymarin. Electron. Physician, 2017, 9(6), 4524-4532.
[http://dx.doi.org/10.19082/4524] [PMID: 28848626]
[77]
Fatehi, D.; Mohammadi, M.; Shekarchi, B.; Shabani, A.; Seify, M.; Rostamzadeh, A. Radioprotective effects of Silymarin on the sperm parameters of NMRI mice irradiated with γ-rays. J. Photochem. Photobiol. B, 2018, 178, 489-495.
[http://dx.doi.org/10.1016/j.jphotobiol.2017.12.004] [PMID: 29232573]
[78]
Adhikari, M.; Dhaker, A.; Adhikari, J.; Ivanov, V.; Singh, V.; Chawla, R.; Kumar, R.; Sharma, R.; Karamalakova, Y.; Gadjeva, V.; Arora, R. In vitro studies on radioprotective efficacy of silymarin against γ-irradiation. Int. J. Radiat. Biol., 2013, 89(3), 200-211.
[http://dx.doi.org/10.3109/09553002.2013.741285] [PMID: 23078259]
[79]
Abdel-Magied, N.; Elkady, A.A. Possible curative role of curcumin and silymarin against nephrotoxicity induced by gamma-rays in rats. Exp. Mol. Pathol., 2019, 111, 104299.
[http://dx.doi.org/10.1016/j.yexmp.2019.104299] [PMID: 31442446]
[80]
Mohamed, M.A.E.H.; Mohammed, H.S.; Mostafa, S.A.; Ibrahim, M.T. Protective effects of Saraca indica L. leaves extract (family Fabaceae) against gamma irradiation induced injury in the kidney of female albino rats. Environ. Toxicol., 2021, 36(4), 506-519.
[http://dx.doi.org/10.1002/tox.23056] [PMID: 33166054]
[81]
Becker-Schiebe, M.; Mengs, U.; Schaefer, M.; Bulitta, M.; Hoffmann, W. Topical use of a silymarin-based preparation to prevent radiodermatitis : Results of a prospective study in breast cancer patients. Strahlenther. Onkol., 2011, 187(8), 485-491.
[http://dx.doi.org/10.1007/s00066-011-2204-z] [PMID: 21786113]
[82]
Karbasforooshan, H.; Hosseini, S.; Elyasi, S.; Fani Pakdel, A.; Karimi, G. Topical silymarin administration for prevention of acute radiodermatitis in breast cancer patients: A randomized, double-blind, placebo-controlled clinical trial. Phytother. Res., 2019, 33(2), 379-386.
[http://dx.doi.org/10.1002/ptr.6231] [PMID: 30479044]
[83]
Paul, R.; Mukkadan, J. Modulation of blood glucose, oxidative stress, and anxiety level by controlled vestibular stimulation in prediabetes. J. Nat. Sci. Biol. Med., 2020, 11, 111-117.
[84]
Xavier, J.; Farias, C.P.; Soares, M.S.P.; Silveira, GdO.; Spanevello, RM.; Yonamine, M.; Gamaro, GD.; Carvalho, HWd.; Cognato, GdP. Ayahuasca prevents oxidative stress in a rat model of depression elicited by unpredictable chronic mild stress. Arch. Clin. Psychiatry (São Paulo), 2021, 48, 90-98.
[85]
Sangeetha, T.; Chen, Y.; Sasidharan, S. Oxidative stress and aging and medicinal plants as antiaging agents. J. Complement. Med. Res., 2020, 11(3), 01.
[http://dx.doi.org/10.5455/jcmr.2020.11.03.01]
[86]
AlAmeri, A.A.; ALMashhedy, LA The Association between Adipolin and Oxidative Stress for Diabetic Female Type II. Ann. Rom. Soc. Cell Biol., 2021, 25(6), 1348-1357.
[87]
Sheikholeslami, S.; Aryafar, T.; Abedi-Firouzjah, R.; Banaei, A.; Dorri-Giv, M.; Zamani, H.; Ataei, G.; Majdaeen, M.; Farhood, B. The role of melatonin on radiation-induced pneumonitis and lung fibrosis: A systematic review. Life Sci., 2021, 281, 119721.
[http://dx.doi.org/10.1016/j.lfs.2021.119721] [PMID: 34146555]
[88]
Barjaktarovic, Z.; Schmaltz, D.; Shyla, A.; Azimzadeh, O.; Schulz, S.; Haagen, J.; Dörr, W.; Sarioglu, H.; Schäfer, A.; Atkinson, M.J.; Zischka, H.; Tapio, S. Radiation-induced signaling results in mitochondrial impairment in mouse heart at 4 weeks after exposure to X-rays. PLoS One, 2011, 6(12), e27811.
[http://dx.doi.org/10.1371/journal.pone.0027811] [PMID: 22174747]
[89]
Kim, G.J.; Fiskum, G.M.; Morgan, W.F. A role for mitochondrial dysfunction in perpetuating radiation-induced genomic instability. Cancer Res., 2006, 66(21), 10377-10383.
[http://dx.doi.org/10.1158/0008-5472.CAN-05-3036] [PMID: 17079457]
[90]
Vaiserman, A.M.; Lushchak, O.V.; Koliada, A.K. Anti-aging pharmacology: Promises and pitfalls. Ageing Res. Rev., 2016, 31, 9-35.
[http://dx.doi.org/10.1016/j.arr.2016.08.004] [PMID: 27524412]
[91]
Wu, X.; Ji, H.; Wang, Y.; Gu, C.; Gu, W.; Hu, L.; Zhu, L. Melatonin alleviates radiation-induced lung injury via regulation of miR-30e/NLRP3 axis. Oxid. Med. Cell. Longev., 2019, 2019, 4087298.
[http://dx.doi.org/10.1155/2019/4087298] [PMID: 30755784]
[92]
Yahyapour, R; Motevaseli, E; Rezaeyan, A; Abdollahi, H; Farhood, B; Cheki, M; Rezapoor, S; Shabeeb, D; Musa, AE; Najafi, M Reduction-oxidation (redox) system in radiation-induced normal tissue injury: molecular mechanisms and implications in radiation therapeutics. Clin. Transl. Oncol., 2018, 20(8), 975-988.
[93]
Hasan Kadhim, A.; Shamkhi Noor, A.; Amer Ali, M. The effectiveness of biotin (vitamin B7) added to the diet in improving the efficiency of productivity, and some physiological traits for broiler chickens (ross-308) exposed to oxidative stress. Arch. Razi Inst., 2022, 77(5), 1805-1811.
[94]
Varadhan, S.; Venkatachalam, R.; Perumal, S.; Ayyamkulamkara, S. Evaluation of oxidative stress parameters and antioxidant status in coronary artery disease patients. Arch. Razi Inst., 2022, 77(2), 853-859.
[95]
Said, R.S.; Mohamed, H.A.; Kassem, D.H. Alpha-lipoic acid effectively attenuates ionizing radiation-mediated testicular dysfunction in rats: Crosstalk of NF-ĸB, TGF-β, and PPAR-ϒ pathways. Toxicology, 2020, 442, 152536.
[http://dx.doi.org/10.1016/j.tox.2020.152536] [PMID: 32649955]
[96]
El-Dein, E.; Anees, L.M.; Aly, S.M.E. Effects of α-lipoic acid on γ-radiation and lindane-induced heart toxicity in rats. Pak. J. Zool., 2016, 48(5), 734.
[97]
Winther, F.Ø. X-ray irradiation of the inner ear of the guinea pig. An electron microscopic study of the degenerating outer hair cells of the organ of Corti. Acta Otolaryngol., 1970, 69(1-6), 61-76.
[http://dx.doi.org/10.3109/00016487009123336] [PMID: 5446609]
[98]
Sekine, S.; Ichijo, H. Mitochondrial proteolysis: Its emerging roles in stress responses. Biochim. Biophys. Acta, Gen. Subj., 2015, 1850(2), 274-280.
[http://dx.doi.org/10.1016/j.bbagen.2014.10.012] [PMID: 25459516]
[99]
Kidd, PM Bioavailability and activity of phytosome complexes from botanical polyphenols: the silymarin, curcumin, green tea, and grape seed extracts. Altern. Med. Rev., 2009, 14(3), 226-246.
[100]
Sheweita, S.A.; Al-Shora, S.; Hassan, M. Effects of benzo[a]pyrene as an environmental pollutant and two natural antioxidants on biomarkers of reproductive dysfunction in male rats. Environ. Sci. Pollut. Res. Int., 2016, 23(17), 17226-17235.
[http://dx.doi.org/10.1007/s11356-016-6934-4] [PMID: 27221463]
[101]
Müzes, G.; Deák, G.; Láng, I.; Nékám, K.; Niederland, V.; Fehér, J. Effect of silimarin (Legalon) therapy on the antioxidant defense mechanism and lipid peroxidation in alcoholic liver disease (double blind protocol). Orv. Hetil., 1990, 131(16), 863-866.
[PMID: 2345633]
[102]
Ligeret, H.; Brault, A.; Vallerand, D.; Haddad, Y.; Haddad, P.S. Antioxidant and mitochondrial protective effects of silibinin in cold preservation–warm reperfusion liver injury. J. Ethnopharmacol., 2008, 115(3), 507-514.
[http://dx.doi.org/10.1016/j.jep.2007.10.024] [PMID: 18061382]
[103]
Yardım, A.; Kucukler, S.; Özdemir, S.; Çomaklı, S.; Caglayan, C.; Kandemir, F.M.; Çelik, H. Silymarin alleviates docetaxel-induced central and peripheral neurotoxicity by reducing oxidative stress, inflammation and apoptosis in rats. Gene, 2021, 769, 145239.
[http://dx.doi.org/10.1016/j.gene.2020.145239] [PMID: 33069805]
[104]
Rolo, AP; Oliveira, PJ; Moreno, AJ; Palmeira, CM Protection against post-ischemic mitochondrial injury in rat liver by silymarin or TUDC. Hepatol. Res., 2003, 26(3), 217-224.
[http://dx.doi.org/10.1016/S1386-6346(03)00108-6]
[105]
Dong, Y.; Tu, J.; Zhou, Y.; Zhou, X.; Xu, B.; Zhu, S.Y. Silybum marianum oil attenuates oxidative stress and ameliorates mitochondrial dysfunction in mice treated with D-galactose. Pharmacogn. Mag., 2014, 10(37), 92.
[http://dx.doi.org/10.4103/0973-1296.127353] [PMID: 24914315]
[106]
Najafi, M.; Mortezaee, K.; Rahimifard, M.; Farhood, B.; Haghi-Aminjan, H. The role of curcumin/curcuminoids during gastric cancer chemotherapy: A systematic review of non-clinical study. Life Sci., 2020, 257, 118051.
[http://dx.doi.org/10.1016/j.lfs.2020.118051] [PMID: 32634426]
[107]
Smaili, S.S.; Hsu, Y.T.; Carvalho, A.C.; Rosenstock, T.R.; Sharpe, J.C.; Youle, R.J. Mitochondria, calcium and pro-apoptotic proteins as mediators in cell death signaling. Brazil. Med. Biol. Res., 2003, 36(2), 183-190.
[108]
Mortezaee, K.; Najafi, M.; Farhood, B.; Ahmadi, A.; Potes, Y.; Shabeeb, D.; Musa, A.E. Modulation of apoptosis by melatonin for improving cancer treatment efficiency: An updated review. Life Sci., 2019, 228, 228-241.
[http://dx.doi.org/10.1016/j.lfs.2019.05.009] [PMID: 31077716]
[109]
Akbari-Kordkheyli, V.; Abbaszadeh-Goudarzi, K.; Nejati-Laskokalayeh, M.; Zarpou, S.; Khonakdar-Tarsi, A. The protective effects of silymarin on ischemia-reperfusion injuries: A mechanistic review. Iran. J. Basic Med. Sci., 2019, 22(9), 968-976.
[PMID: 31807239]
[110]
Fischer, T.W.; Zmijewski, M.A.; Wortsman, J.; Slominski, A. Melatonin maintains mitochondrial membrane potential and attenuates activation of initiator (casp-9) and effector caspases (casp-3/casp-7) and PARP in UVR-exposed HaCaT keratinocytes. J. Pineal Res., 2008, 44(4), 397-407.
[http://dx.doi.org/10.1111/j.1600-079X.2007.00542.x] [PMID: 18086147]
[111]
Chao, C.; Saito, S.; Anderson, C.W.; Appella, E.; Xu, Y. Phosphorylation of murine p53 at Ser-18 regulates the p53 responses to DNA damage. Proc. Natl. Acad. Sci. USA, 2000, 97(22), 11936-11941.
[http://dx.doi.org/10.1073/pnas.220252297] [PMID: 11035798]
[112]
Jänicke, R.U.; Sprengart, M.L.; Wati, M.R.; Porter, A.G. Caspase-3 is required for DNA fragmentation and morphological changes associated with apoptosis. J. Biol. Chem., 1998, 273(16), 9357-9360.
[http://dx.doi.org/10.1074/jbc.273.16.9357] [PMID: 9545256]
[113]
Gondo, H.K. The effect of spirulina on apoptosis through the caspase-3 pathway in a Preeclamptic Wistar rat model. J. Nat. Sci. Biol. Med., 2021, 12(3), 280-284.
[114]
Shi, W.; Hou, X.; Bao, X.; Hou, W.; Jiang, X.; Ma, L.; Jiang, X.; Dong, L. Mechanism and protection of radiotherapy induced sensorineural hearing loss for head and neck cancer. BioMed Res. Int., 2021, 2021, 3548706.
[http://dx.doi.org/10.1155/2021/3548706] [PMID: 34970625]
[115]
McCubrey, J.A.; LaHair, M.M.; Franklin, R.A. Reactive oxygen species-induced activation of the MAP kinase signaling pathways. Antioxid. Redox Signal., 2006, 8(9-10), 1775-1789.
[http://dx.doi.org/10.1089/ars.2006.8.1775] [PMID: 16987031]
[116]
Kholodenko, B.N.; Birtwistle, M.R. Four-dimensional dynamics of MAPK information-processing systems. Wiley Interdiscip. Rev. Syst. Biol. Med., 2009, 1(1), 28-44.
[http://dx.doi.org/10.1002/wsbm.16] [PMID: 20182652]
[117]
Rodríguez-Berriguete, G; Fraile, B; Martínez-Onsurbe, P; Olmedilla, G; Paniagua, R; Royuela, M MAP kinases and prostate cancer. J. Signal. Transduc., 2012, 2012, 169170.
[http://dx.doi.org/10.1155/2012/169170]
[118]
Burotto, M.; Chiou, V.L.; Lee, J.M.; Kohn, E.C. The MAPK pathway across different malignancies: A new perspective. Cancer, 2014, 120(22), 3446-3456.
[http://dx.doi.org/10.1002/cncr.28864] [PMID: 24948110]
[119]
Johnson, G.L.; Stuhlmiller, T.J.; Angus, S.P.; Zawistowski, J.S.; Graves, L.M. Molecular pathways: adaptive kinome reprogramming in response to targeted inhibition of the BRAF-MEK-ERK pathway in cancer. Clin. Cancer Res., 2014, 20(10), 2516-2522.
[http://dx.doi.org/10.1158/1078-0432.CCR-13-1081] [PMID: 24664307]
[120]
Brown, L.; Benchimol, S. The involvement of MAPK signaling pathways in determining the cellular response to p53 activation: cell cycle arrest or apoptosis. J. Biol. Chem., 2006, 281(7), 3832-3840.
[http://dx.doi.org/10.1074/jbc.M507951200] [PMID: 16330547]
[121]
Kim, J.H.; Jung, M.H.; Kim, J.P.; Kim, H.J.; Jung, J.H.; Hahm, J.R.; Kang, K.M.; Jeong, B.K.; Woo, S.H. Alpha lipoic acid attenuates radiation-induced oral mucositis in rats. Oncotarget, 2017, 8(42), 72739-72747.
[http://dx.doi.org/10.18632/oncotarget.20286] [PMID: 29069822]
[122]
Kim, J.H.; Kim, K.M.; Jung, M.H.; Jung, J.H.; Kang, K.M.; Jeong, B.K.; Kim, J.P.; Park, J.J.; Woo, S.H. Protective effects of alpha lipoic acid on radiation-induced salivary gland injury in rats. Oncotarget, 2016, 7(20), 29143-29153.
[http://dx.doi.org/10.18632/oncotarget.8661] [PMID: 27072584]
[123]
Qiu, X.; Dong, K.; Guan, J.; He, J. Hydrogen attenuates radiation-induced intestinal damage by reducing oxidative stress and inflammatory response. Int. Immunopharmacol., 2020, 84, 106517.
[http://dx.doi.org/10.1016/j.intimp.2020.106517] [PMID: 32361189]
[124]
Sherif, I.O.; Al-Gayyar, M.M.H. Antioxidant, anti-inflammatory and hepatoprotective effects of silymarin on hepatic dysfunction induced by sodium nitrite. Eur. Cytokine Netw., 2013, 24(3), 114-121.
[http://dx.doi.org/10.1684/ecn.2013.0341] [PMID: 24225033]
[125]
Song, Z.; Song, M.; Lee, D.Y.W.; Liu, Y.; Deaciuc, I.V.; McClain, C.J. Silymarin prevents palmitate-induced lipotoxicity in HepG2 cells: Involvement of maintenance of Akt kinase activation. Basic Clin. Pharmacol. Toxicol., 2007, 101(4), 262-268.
[http://dx.doi.org/10.1111/j.1742-7843.2007.00116.x] [PMID: 17845508]
[126]
Aghazadeh, S; Amini, R; Yazdanparast, R; Ghaffari, SH Anti-apoptotic and anti-inflammatory effects of Silybum marianum in treatment of experimental steatohepatitis. Exper. Toxicol. Pathol., 2011, 63(6), 569-574.
[http://dx.doi.org/10.1016/j.etp.2010.04.009]
[127]
Kandemir, F.M.; Kucukler, S.; Caglayan, C.; Gur, C.; Batil, A.A.; Gülçin, İ. Therapeutic effects of silymarin and naringin on methotrexate-induced nephrotoxicity in rats: Biochemical evaluation of anti-inflammatory, antiapoptotic, and antiautophagic properties. J. Food Biochem., 2017, 41(5), e12398.
[http://dx.doi.org/10.1111/jfbc.12398]
[128]
Katiyar, S.K.; Roy, A.M.; Baliga, M.S. Silymarin induces apoptosis primarily through a p53-dependent pathway involving Bcl-2/Bax, cytochrome c release, and caspase activation. Mol. Cancer Ther., 2005, 4(2), 207-216.
[http://dx.doi.org/10.1158/1535-7163.207.4.2] [PMID: 15713892]
[129]
Patel, N.; Joseph, C.; Corcoran, G.B.; Ray, S.D. Silymarin modulates doxorubicin-induced oxidative stress, Bcl-xL and p53 expression while preventing apoptotic and necrotic cell death in the liver. Toxicol. Appl. Pharmacol., 2010, 245(2), 143-152.
[http://dx.doi.org/10.1016/j.taap.2010.02.002] [PMID: 20144634]
[130]
Manna, SK; Mukhopadhyay, A; Van, NT; Aggarwal, BB Silymarin suppresses TNF-induced activation of NF-kappa B, c-Jun N-terminal kinase, and apoptosis. J. Immunol., 1999, 163(12), 6800-6809.
[131]
Kim, E.J.; Kim, J.; Lee, M.Y.; Sudhanva, M.S.; Devakumar, S.; Jeon, Y.J. Silymarin inhibits cytokine-stimulated pancreatic beta cells by blocking the ERK1/2 pathway. Biomol. Ther. (Seoul), 2014, 22(4), 282-287.
[http://dx.doi.org/10.4062/biomolther.2014.072] [PMID: 25143805]
[132]
Haghi-Aminjan, H.; Farhood, B.; Rahimifard, M.; Didari, T.; Baeeri, M.; Hassani, S.; Hosseini, R.; Abdollahi, M. The protective role of melatonin in chemotherapy-induced nephrotoxicity: A systematic review of non-clinical studies. Expert Opin. Drug Metab. Toxicol., 2018, 14(9), 937-950.
[http://dx.doi.org/10.1080/17425255.2018.1513492] [PMID: 30118646]
[133]
Farhood, B.; Mortezaee, K.; Goradel, N.H.; Khanlarkhani, N.; Salehi, E.; Nashtaei, M.S.; Najafi, M.; Sahebkar, A. Curcumin as an anti-inflammatory agent: Implications to radiotherapy and chemotherapy. J. Cell. Physiol., 2019, 234(5), 5728-5740.
[http://dx.doi.org/10.1002/jcp.27442] [PMID: 30317564]
[134]
Jeong, B.K.; Song, J.H.; Jeong, H.; Choi, H.S.; Jung, J.H.; Hahm, J.R.; Woo, S.H.; Jung, M.H.; Choi, B.H.; Kim, J.H.; Kang, K.M. Effect of alpha-lipoic acid on radiation-induced small intestine injury in mice. Oncotarget, 2016, 7(12), 15105-15117.
[http://dx.doi.org/10.18632/oncotarget.7874] [PMID: 26943777]
[135]
Yahyapour, R.; Amini, P.; Rezapour, S.; Cheki, M.; Rezaeyan, A.; Farhood, B.; Shabeeb, D.; Musa, A.E.; Fallah, H.; Najafi, M. Radiation-induced inflammation and autoimmune diseases. Mil. Med. Res., 2018, 5(1), 9.
[http://dx.doi.org/10.1186/s40779-018-0156-7] [PMID: 29554942]
[136]
Multhoff, G.; Molls, M.; Radons, J. Chronic inflammation in cancer development. Front. Immunol., 2012, 2, 98.
[http://dx.doi.org/10.3389/fimmu.2011.00098] [PMID: 22566887]
[137]
Waetzig, V.; Czeloth, K.; Hidding, U.; Mielke, K.; Kanzow, M.; Brecht, S.; Goetz, M.; Lucius, R.; Herdegen, T.; Hanisch, U.K. c-Jun N-terminal kinases (JNKs) mediate pro-inflammatory actions of microglia. Glia, 2005, 50(3), 235-246.
[http://dx.doi.org/10.1002/glia.20173] [PMID: 15739188]
[138]
Lee, Y.B.; Schrader, J.W.; Kim, S.U. p38 map kinase regulates tnf-α production in human astrocytes and microglia by multiple mechanisms. Cytokine, 2000, 12(7), 874-880.
[http://dx.doi.org/10.1006/cyto.2000.0688] [PMID: 10880231]
[139]
Min, A.K.; Kim, M.K.; Seo, H.Y.; Kim, H.S.; Jang, B.K.; Hwang, J.S.; Choi, H.S.; Lee, K.U.; Park, K.G.; Lee, I.K. Alpha-lipoic acid inhibits hepatic PAI-1 expression and fibrosis by inhibiting the TGF-β signaling pathway. Biochem. Biophys. Res. Commun., 2010, 393(3), 536-541.
[http://dx.doi.org/10.1016/j.bbrc.2010.02.050] [PMID: 20153726]
[140]
Shih, R.H.; Wang, C.Y.; Yang, C.M. NF-kappaB Signaling Pathways in Neurological Inflammation: A Mini Review. Front. Mol. Neurosci., 2015, 8, 77.
[http://dx.doi.org/10.3389/fnmol.2015.00077] [PMID: 26733801]
[141]
Saliou, C.; Rihn, B.; Cillard, J.; Okamoto, T.; Packer, L. Selective inhibition of NF-kappaB activation by the flavonoid hepatoprotector silymarin in HepG2. Evidence for different activating pathways. FEBS Lett., 1998, 440(1-2), 8-12.
[http://dx.doi.org/10.1016/S0014-5793(98)01409-4] [PMID: 9862414]
[142]
Lawrence, T. The nuclear factor NF-kappaB pathway in inflammation. Cold Spring Harb. Perspect. Biol., 2009, 1(6), a001651.
[http://dx.doi.org/10.1101/cshperspect.a001651] [PMID: 20457564]
[143]
Ramasamy, K.; Agarwal, R. Multitargeted therapy of cancer by silymarin. Cancer Lett., 2008, 269(2), 352-362.
[http://dx.doi.org/10.1016/j.canlet.2008.03.053] [PMID: 18472213]
[144]
Abdel-Raheem, I.T.; Khedr, N.F. Renoprotective effects of montelukast, a cysteinyl leukotriene receptor antagonist, against methotrexate-induced kidney damage in rats. Naunyn Schmiedebergs Arch. Pharmacol., 2014, 387(4), 341-353.
[http://dx.doi.org/10.1007/s00210-013-0949-x] [PMID: 24363042]
[145]
Trivedi, PP; Tripathi, DN; Jena, GB Hesperetin protects testicular toxicity of doxorubicin in rat: role of NFκB, p38 and caspase-3. Food Chem. Toxicol., 2011, 49(4), 838-847.
[http://dx.doi.org/10.1016/j.fct.2010.12.005]
[146]
Moutabian, H.; Majdaeen, M.; Ghahramani-Asl, R.; Yadollahi, M.; Gharepapagh, E.; Ataei, G.; Falahatpour, Z.; Bagheri, H.; Farhood, B. A systematic review of the therapeutic effects of resveratrol in combination with 5-fluorouracil during colorectal cancer treatment: With a special focus on the oxidant, apoptotic, and anti-inflammatory activities. Cancer Cell Int., 2022, 22(1), 142.
[http://dx.doi.org/10.1186/s12935-022-02561-7] [PMID: 35366874]
[147]
Raj, V.; Bhadauria, A.S.; Singh, A.K.; Kumar, U.; Rai, A.; Keshari, A.K.; Kumar, P.; Kumar, D.; Maity, B.; Nath, S.; Prakash, A.; Ansari, K.M.; Jat, J.L.; Saha, S. Novel 1,3,4-thiadiazoles inhibit colorectal cancer via blockade of IL-6/COX-2 mediated JAK2/STAT3 signals as evidenced through data-based mathematical modeling. Cytokine, 2019, 118, 144-159.
[http://dx.doi.org/10.1016/j.cyto.2018.03.026] [PMID: 29580751]
[148]
Banerjee, P.; Kumar, T.; Sarangi, S.C.; Meetei, U.D.; Devi, A.S.; Kumar, R. Anti-inflammatory potential of aqueous extract of Elsoltzia stachyodes on experimental models of inflammation in rats. J. Nat. Sci. Biol. Med., 2021, 12(1), 104.
[149]
Kim, D.; Choi, Y.; Ki, Y.; Cho, K.; Choi, Y.; Kim, W. Topically applied melatonin ameliorates radiation-induced skin fibrosis in mice. Int. J. Radiat. Res., 2019, 17(4), 617-624.
[150]
Hussain, S.A.; Jassim, N.A.; Numan, I.T.; Al-Khalifa, I.I.; Abdullah, T.A. Anti-inflammatory activity of silymarin in patients with knee osteoarthritis. A comparative study with piroxicam and meloxicam. Saudi Med. J., 2009, 30(1), 98-103.
[PMID: 19139781]
[151]
Hussain, S.A.; Mortada, A.H.; Jasim, N.A.; Gorial, F.I. Silibinin improves the effects of methotrexate in patients with active rheumatoid arthritis: Pilot clinical study. Oman Med. J., 2016, 31(4), 263-269.
[http://dx.doi.org/10.5001/omj.2016.52] [PMID: 27403238]
[152]
Zhao, F.; Shi, D.; Li, T.; Li, L.; Zhao, M. Silymarin attenuates paraquat-induced lung injury via Nrf2-mediated pathway in vivo and in vitro. Clin. Exp. Pharmacol. Physiol., 2015, 42(9), 988-998.
[http://dx.doi.org/10.1111/1440-1681.12448] [PMID: 26173462]
[153]
Morishima, C; Shuhart, MC; Wang, CC; Paschal, DM; Apodaca, MC; Liu, Y; Sloan, DD; Graf, TN; Oberlies, NH; Lee, DY Silymarin inhibits in vitro T-cell proliferation and cytokine production in hepatitis C virus infection. Gastroenterology, 2010, 138(2), 671-681-e671-672.
[http://dx.doi.org/10.1053/j.gastro.2009.09.021]
[154]
De La Puerta, R.; Martinez, E.; Bravo, L.; Ahumada, M.C. Effect of silymarin on different acute inflammation models and on leukocyte migration. J. Pharm. Pharmacol., 2011, 48(9), 968-970.
[http://dx.doi.org/10.1111/j.2042-7158.1996.tb06014.x] [PMID: 8910865]
[155]
Jin, Y.; Zhao, X.; Zhang, H.; Li, Q.; Lu, G.; Zhao, X. Modulatory effect of silymarin on pulmonary vascular dysfunction through HIF-1α-iNOS following rat lung ischemia-reperfusion injury. Exp. Ther. Med., 2016, 12(2), 1135-1140.
[http://dx.doi.org/10.3892/etm.2016.3370] [PMID: 27446333]
[156]
Li, CC; Hsiang, CY; Wu, SL; Ho, TY Identification of novel mechanisms of silymarin on the carbon tetrachloride-induced liver fibrosis in mice by nuclear factor-κB bioluminescent imaging-guided transcriptomic analysis. Food Chem. Toxicol., 2012, 50(5), 1568-1575.
[http://dx.doi.org/10.1016/j.fct.2012.02.025]
[157]
Gharagozloo, M.; Velardi, E.; Bruscoli, S.; Agostini, M.; Di Sante, M.; Donato, V.; Amirghofran, Z.; Riccardi, C. Silymarin suppress CD4+ T cell activation and proliferation: Effects on NF-κB activity and IL-2 production. Pharmacol. Res., 2010, 61(5), 405-409.
[http://dx.doi.org/10.1016/j.phrs.2009.12.017] [PMID: 20056147]
[158]
Trappoliere, M.; Caligiuri, A.; Schmid, M.; Bertolani, C.; Failli, P.; Vizzutti, F.; Novo, E.; Manzano, C.; Marra, F.; Loguercio, C.; Pinzani, M. Silybin, a component of sylimarin, exerts anti-inflammatory and anti-fibrogenic effects on human hepatic stellate cells. J. Hepatol., 2009, 50(6), 1102-1111.
[http://dx.doi.org/10.1016/j.jhep.2009.02.023] [PMID: 19398228]
[159]
Arafa Keshk, W.; Zahran, S.M.; Katary, M.A.; Abd-Elaziz Ali, D. Modulatory effect of silymarin on nuclear factor-erythroid-2-related factor 2 regulated redox status, nuclear factor-κB mediated inflammation and apoptosis in experimental gastric ulcer. Chem. Biol. Interact., 2017, 273, 266-272.
[http://dx.doi.org/10.1016/j.cbi.2017.06.022] [PMID: 28648817]
[160]
Younis, N.N.; Shaheen, M.A.; Mahmoud, M.F. Silymarin preconditioning protected insulin resistant rats from liver ischemia-reperfusion injury: role of endogenous H2S. J. Surg. Res., 2016, 204(2), 398-409.
[http://dx.doi.org/10.1016/j.jss.2016.04.069] [PMID: 27565076]
[161]
Gillessen, A.; Schmidt, H.H.J. Silymarin as supportive treatment in liver diseases: A Narrative Review. Adv. Ther., 2020, 37(4), 1279-1301.
[http://dx.doi.org/10.1007/s12325-020-01251-y] [PMID: 32065376]
[162]
Khazaei, R.; Seidavi, A.; Bouyeh, M. A review on the mechanisms of the effect of silymarin in milk thistle ( Silybum marianum ) on some laboratory animals. Vet. Med. Sci., 2022, 8(1), 289-301.
[http://dx.doi.org/10.1002/vms3.641] [PMID: 34599793]
[163]
Nambiar, D.K.; Rajamani, P.; Singh, R.P. Silibinin attenuates ionizing radiation-induced pro-angiogenic response and EMT in prostate cancer cells. Biochem. Biophys. Res. Commun., 2015, 456(1), 262-268.
[http://dx.doi.org/10.1016/j.bbrc.2014.11.069] [PMID: 25446081]
[164]
Prack Mc Cormick, B.; Langle, Y.; Belgorosky, D.; Vanzulli, S.; Balarino, N.; Sandes, E.; Eiján, A.M. Flavonoid silybin improves the response to radiotherapy in invasive bladder cancer. J. Cell. Biochem., 2018, 119(7), 5402-5412.
[http://dx.doi.org/10.1002/jcb.26693] [PMID: 29363820]
[165]
Nambiar, D.K.; Rajamani, P.; Deep, G.; Jain, A.K.; Agarwal, R.; Singh, R.P. Silibinin preferentially radiosensitizes prostate cancer by inhibiting DNA repair signaling. Mol. Cancer Ther., 2015, 14(12), 2722-2734.
[http://dx.doi.org/10.1158/1535-7163.MCT-15-0348] [PMID: 26516160]
[166]
Dheeraj, A.; Tailor, D.; Singh, S.P.; Singh, R.P. Anticancer attributes of silibinin: Chemo-and radiosensitization of cancer. In: Role of Nutraceuticals in Cancer Chemosensitization; Elsevier Amsterdam, 2018; pp. 199-220.
[http://dx.doi.org/10.1016/B978-0-12-812373-7.00010-3]
[167]
Soleimani, V.; Delghandi, P.S.; Moallem, S.A.; Karimi, G. Safety and toxicity of silymarin, the major constituent of milk thistle extract: An updated review. Phytother. Res., 2019, 33(6), 1627-1638.
[http://dx.doi.org/10.1002/ptr.6361] [PMID: 31069872]
[168]
Bijak, M. Silybin, a major bioactive component of milk thistle (Silybum marianum L. Gaernt.)—chemistry, bioavailability, and metabolism. Molecules, 2017, 22(11), 1942.
[http://dx.doi.org/10.3390/molecules22111942] [PMID: 29125572]
[169]
Amawi, H.; Hussein, N.A.; Karthikeyan, C.; Manivannan, E.; Wisner, A.; Williams, F.E.; Samuel, T.; Trivedi, P.; Ashby, C.R., Jr; Tiwari, A.K. HM015k, a novel silybin derivative, multi-targets metastatic ovarian cancer cells and is safe in zebrafish toxicity studies. Front. Pharmacol., 2017, 8, 498.
[http://dx.doi.org/10.3389/fphar.2017.00498] [PMID: 28824426]
[170]
Kosina, P.; Kren, V.; Gebhardt, R.; Grambal, F.; Ulrichová, J.; Walterová, D. Antioxidant properties of silybin glycosides. Phytother. Res., 2002, 16(Suppl. 1), S33-S39.
[http://dx.doi.org/10.1002/ptr.796] [PMID: 11933137]
[171]
Dobiasová, S.; Řehořová, K.; Kučerová, D.; Biedermann, D.; Káňová, K.; Petrásková, L.; Koucká, K.; Václavíková, R.; Valentová, K.; Ruml, T. Multidrug resistance modulation activity of silybin derivatives and their anti-inflammatory potential. Antioxidants, 2020, 9(5), 455.
[http://dx.doi.org/10.3390/antiox9050455]
[172]
Simánek, V.; Kubisch, J.; Sedmera, P.; Halada, P.; Gazák, R.; Skottová, N.; Kren, V. Chemoenzymatic preparation of oligoglycosides of silybin, the flavonolignan from Silybum marianum. Heterocycles, 2001, 54(2), 901-915.
[http://dx.doi.org/10.3987/COM-00-S(I)89]
[173]
Škottová, N.; ŠVagera, Z.; Večeřa, R.; Urbánek, K.; Jegorov, A.; Šimánek, V. Pharmacokinetic study of iodine-labeled silibinins in rat. Pharmacol. Res., 2001, 44(3), 247-253.
[http://dx.doi.org/10.1006/phrs.2001.0854] [PMID: 11529693]
[174]
Plíšková, M.; Vondráček, J.; Křen, V.; Gažák, R.; Sedmera, P.; Walterová, D.; Psotová, J.; Šimánek, V.; Machala, M. Effects of silymarin flavonolignans and synthetic silybin derivatives on estrogen and aryl hydrocarbon receptor activation. Toxicology, 2005, 215(1-2), 80-89.
[http://dx.doi.org/10.1016/j.tox.2005.06.020] [PMID: 16076518]
[175]
Roubalová, L.; Dinkova-Kostova, A.T.; Biedermann, D.; Křen, V.; Ulrichová, J.; Vrba, J. Flavonolignan 2,3-dehydrosilydianin activates Nrf2 and upregulates NAD(P)H:quinone oxidoreductase 1 in Hepa1c1c7 cells. Fitoterapia, 2017, 119, 115-120.
[http://dx.doi.org/10.1016/j.fitote.2017.04.012] [PMID: 28450126]
[176]
Pyszková, M.; Biler, M.; Biedermann, D.; Valentová, K.; Kuzma, M.; Vrba, J.; Ulrichová, J.; Sokolová, R.; Mojović, M.; Popović-Bijelić, A.; Kubala, M.; Trouillas, P.; Křen, V.; Vacek, J. Flavonolignan 2,3-dehydroderivatives: Preparation, antiradical and cytoprotective activity. Free Radic. Biol. Med., 2016, 90, 114-125.
[http://dx.doi.org/10.1016/j.freeradbiomed.2015.11.014] [PMID: 26582372]
[177]
Yang, L.X.; Huang, K.X.; Li, H.B.; Gong, J.X.; Wang, F.; Feng, Y.B.; Tao, Q.F.; Wu, Y.H.; Li, X.K.; Wu, X.M.; Zeng, S.; Spencer, S.; Zhao, Y.; Qu, J. Design, synthesis, and examination of neuron protective properties of alkenylated and amidated dehydro-silybin derivatives. J. Med. Chem., 2009, 52(23), 7732-7752.
[http://dx.doi.org/10.1021/jm900735p] [PMID: 19673490]
[178]
Rajnochová Svobodová, A.; Gabrielová, E.; Ulrichová, J.; Zálešák, B.; Biedermann, D.; Vostálová, J. A pilot study of the UVA-photoprotective potential of dehydrosilybin, isosilybin, silychristin, and silydianin on human dermal fibroblasts. Arch. Dermatol. Res., 2019, 311(6), 477-490.
[http://dx.doi.org/10.1007/s00403-019-01928-7] [PMID: 31079190]
[179]
Drouet, S.; Doussot, J.; Garros, L.; Mathiron, D.; Bassard, S.; Favre-Réguillon, A.; Molinié, R.; Lainé, É.; Hano, C. Selective Synthesis of 3-O-Palmitoyl-Silybin, a New-to-nature flavonolignan with increased protective action against oxidative damages in lipophilic media. Molecules, 2018, 23(10), 2594.
[http://dx.doi.org/10.3390/molecules23102594] [PMID: 30309022]
[180]
Di Costanzo, A.; Angelico, R. Formulation strategies for enhancing the bioavailability of silymarin: The state of the art. Molecules, 2019, 24(11), 2155.
[http://dx.doi.org/10.3390/molecules24112155] [PMID: 31181687]
[181]
He, J.; Hou, S.; Lu, W.; Zhu, L.; Feng, J. Preparation, pharmacokinetics and body distribution of silymarin-loaded solid lipid nanoparticles after oral administration. J. Biomed. Nanotechnol., 2007, 3(2), 195-202.
[http://dx.doi.org/10.1166/jbn.2007.024]
[182]
Yousaf, A.M.; Malik, U.R.; Shahzad, Y.; Mahmood, T.; Hussain, T. Silymarin-laden PVP-PEG polymeric composite for enhanced aqueous solubility and dissolution rate: Preparation and in vitro characterization. J. Pharm. Anal., 2019, 9(1), 34-39.
[http://dx.doi.org/10.1016/j.jpha.2018.09.003] [PMID: 30740255]
[183]
Ibrahim, A.H.; Rosqvist, E.; Smått, J.H.; Ibrahim, H.M.; Ismael, H.R.; Afouna, M.I.; Samy, A.M.; Rosenholm, J.M. Formulation and optimization of lyophilized nanosuspension tablets to improve the physicochemical properties and provide immediate release of silymarin. Int. J. Pharm., 2019, 563, 217-227.
[http://dx.doi.org/10.1016/j.ijpharm.2019.03.064] [PMID: 30946894]
[184]
Liang, J.; Liu, Y.; Liu, J.; Li, Z.; Fan, Q.; Jiang, Z.; Yan, F.; Wang, Z.; Huang, P.; Feng, N. Chitosan-functionalized lipid-polymer hybrid nanoparticles for oral delivery of silymarin and enhanced lipid-lowering effect in NAFLD. J. Nanobiotechnol., 2018, 16(1), 64.
[http://dx.doi.org/10.1186/s12951-018-0391-9] [PMID: 30176941]
[185]
Yang, G.; Zhao, Y.; Feng, N.; Zhang, Y.; Liu, Y.; Dang, B. Improved dissolution and bioavailability of silymarin delivered by a solid dispersion prepared using supercritical fluids. Asian J. Pharmaceut. Sci., 2015, 10(3), 194-202.
[http://dx.doi.org/10.1016/j.ajps.2014.12.001]
[186]
Nasr, S.S.; Nasra, M.M.A.; Hazzah, H.A.; Abdallah, O.Y. Mesoporous silica nanoparticles, a safe option for silymarin delivery: Preparation, characterization, and in vivo evaluation. Drug Deliv. Transl. Res., 2019, 9(5), 968-979.
[http://dx.doi.org/10.1007/s13346-019-00640-3] [PMID: 31001719]
[187]
Nagi, A.; Iqbal, B.; Kumar, S.; Sharma, S.; Ali, J.; Baboota, S. Quality by design based silymarin nanoemulsion for enhancement of oral bioavailability. J. Drug Deliv. Sci. Technol., 2017, 40, 35-44.
[http://dx.doi.org/10.1016/j.jddst.2017.05.019]
[188]
Piazzini, V.; Rosseti, C.; Bigagli, E.; Luceri, C.; Bilia, A.; Bergonzi, M. Prediction of permeation and cellular transport of Silybum marianum extract formulated in a nanoemulsion by using PAMPA and Caco-2 cell models. Planta Med., 2017, 83(14/15), 1184-1193.
[http://dx.doi.org/10.1055/s-0043-110052] [PMID: 28472840]
[189]
Woo, J.S.; Kim, T.S.; Park, J.H.; Chi, S.C. Formulation and biopharmaceutical evaluation of silymarin using SMEDDS. Arch. Pharm. Res., 2007, 30(1), 82-89.
[http://dx.doi.org/10.1007/BF02977782] [PMID: 17328246]
[190]
El-Far, M.; Salah, N.; Essam, A.; Abd El-Azim, A.O.; El-Sherbiny, I.M. Silymarin nanoformulation as potential anticancer agent in experimental Ehrlich ascites carcinoma-bearing animals. Nanomedicine (Lond.), 2018, 13(15), 1865-1858.
[http://dx.doi.org/10.2217/nnm-2017-0394] [PMID: 30136915]
[191]
Adhikari, M.; Arora, R. Nano-silymarin provides protection against γ-radiation-induced oxidative stress in cultured human embryonic kidney cells. Mutat. Res. Genet. Toxicol. Environ. Mutagen., 2015, 792, 1-11.
[http://dx.doi.org/10.1016/j.mrgentox.2015.08.006] [PMID: 26433256]
[192]
Azadpour, M.; Farajollahi, M.M.; Dariushnejad, H.; Varzi, A.M.; Varezardi, A.; Barati, M. Effects of synthetic silymarin-PLGA nanoparticles on M2 polarization and inflammatory cytokines in LPS-treated murine peritoneal macrophages. Iran. J. Basic Med. Sci., 2021, 24(10), 1446-1454.
[PMID: 35096304]
[193]
Mombeini, M.; Saki, G.; Khorsandi, L.; Bavarsad, N. Effects of silymarin-loaded nanoparticles on HT-29 human colon cancer cells. Medicina (Kaunas), 2018, 54(1), 1.
[http://dx.doi.org/10.3390/medicina54010001] [PMID: 30344232]
[194]
Hosseini, S.; Rezaei, S.; Moghaddam, M.R.N.; Elyasi, S.; Karimi, G. Evaluation of oral nano-silymarin formulation efficacy on prevention of radiotherapy induced mucositis: A randomized, double-blinded, placebo-controlled clinical trial. PharmaNutrition, 2021, 15, 100253.
[http://dx.doi.org/10.1016/j.phanu.2021.100253]

Rights & Permissions Print Cite
© 2024 Bentham Science Publishers | Privacy Policy