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The effect of a silybin-vitamin e-phospholipid complex on nonalcoholic fatty liver disease: a pilot study.

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.
AuthorsCarmela 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
JournalDigestive diseases and sciences (Dig Dis Sci) Vol. 52 Issue 9 Pg. 2387-95 (Sep 2007) ISSN: 0163-2116 [Print] United States
PMID17410454 (Publication Type: Journal Article)
Chemical References
  • Antioxidants
  • Cytokines
  • Phospholipids
  • Silymarin
  • Vitamin E
  • Silybin
  • Transaminases
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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