Abstract |
Oxidative stress leads to chronic liver damage. Silybin has been conjugated with vitamin E and phospholipids to improve its antioxidant activity. Eighty-five patients were divided into 2 groups: those affected by nonalcoholic fatty liver disease (group A) and those with HCV-related chronic hepatitis associated with nonalcoholic fatty liver disease (group B), nonresponders to treatment. The treatment consisted of silybin/ vitamin E/ phospholipids. After treatment, group A showed a significant reduction in ultrasonographic scores for liver steatosis. Liver enzyme levels, hyperinsulinemia, and indexes of liver fibrosis showed an improvement in treated individuals. A significant correlation among indexes of fibrosis, body mass index, insulinemia, plasma levels of transforming growth factor-beta, tumor necrosis factor-alpha, degree of steatosis, and gamma-glutamyl transpeptidase was observed. Our data suggest that silybin conjugated with vitamin E and phospholipids could be used as a complementary approach to the treatment of patients with chronic liver damage.
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Authors | Carmela Loguercio, Alessandro Federico, Marco Trappoliere, Concetta Tuccillo, Ilario de Sio, Agnese Di Leva, Marco Niosi, Mauro Valeriano D'Auria, Rita Capasso, Camillo Del Vecchio Blanco, Real Sud Group |
Journal | Digestive diseases and sciences
(Dig Dis Sci)
Vol. 52
Issue 9
Pg. 2387-95
(Sep 2007)
ISSN: 0163-2116 [Print] United States |
PMID | 17410454
(Publication Type: Journal Article)
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Chemical References |
- Antioxidants
- Cytokines
- Phospholipids
- Silymarin
- Vitamin E
- Silybin
- Transaminases
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Topics |
- Adult
- Aged
- Antioxidants
(therapeutic use)
- Cytokines
(blood)
- Disease Progression
- Drug Therapy, Combination
- Fatty Liver
(blood, diagnostic imaging, drug therapy)
- Female
- Follow-Up Studies
- Humans
- Male
- Middle Aged
- Milk Thistle
- Phospholipids
(therapeutic use)
- Pilot Projects
- Silybin
- Silymarin
(therapeutic use)
- Time Factors
- Transaminases
(blood)
- Treatment Outcome
- Ultrasonography
- Vitamin E
(therapeutic use)
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