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Published on: December 26, 2016
Multitargeted therapy of cancer by silymarin
Kumaraguruparan Ramasamy1, Rajesh Agarwal
1Department of Pharmaceutical Sciences, School of Pharmacy, University of Colorado Denver, 4200 East Ninth Street, Box C238, Denver, CO 80262, USA.
Abstract:
Silymarin, a flavonolignan from milk thistle (Silybum marianum) plant, is used for the protection against various liver conditions in both clinical settings and experimental models. In this review, we summarize the recent investigations and mechanistic studies regarding possible molecular targets of silymarin for cancer prevention. Number of studies has established the cancer chemopreventive role of silymarin in both in vivo and in vitro models. Silymarin modulates imbalance between cell survival and apoptosis through interference with the expressions of cell cycle regulators and proteins involved in apoptosis. In addition, silymarin also showed anti-inflammatory as well as anti-metastatic activity. Further, the protective effects of silymarin and its major active constituent, silibinin, studied in various tissues, suggest a clinical application in cancer patients as an adjunct to established therapies, to prevent or reduce chemotherapy as well as radiotherapy-induced toxicity. This review focuses on the chemistry and analogues of silymarin, multiple possible molecular mechanisms, in vitro as well as in vivo anti-cancer activities, and studies on human clinical trials.
Insights
Silymarin, derived from milk thistle, shows promise in cancer prevention by regulating cell survival and apoptosis. Its anti-inflammatory and anti-metastatic properties suggest potential as an adjunct therapy for cancer patients.
Area of Science:
- Pharmacology
- Natural Products Chemistry
- Oncology
Background:
- Silymarin, a flavonolignan from Silybum marianum (milk thistle), is recognized for its hepatoprotective effects.
- Emerging research highlights silymarin's potential role in cancer chemoprevention.
Purpose of the Study:
- To review recent investigations and mechanistic studies on silymarin's molecular targets for cancer prevention.
- To explore the anti-cancer activities and clinical applications of silymarin and its constituent, silibinin.
Main Methods:
- Literature review of in vitro and in vivo studies on silymarin's anti-cancer effects.
- Analysis of mechanistic studies focusing on molecular targets, cell cycle regulation, and apoptosis.
- Examination of clinical trial data regarding silymarin's efficacy and toxicity reduction.
Main Results:
- Silymarin demonstrates cancer chemopreventive effects in various models.
- It modulates the balance between cell survival and apoptosis by influencing cell cycle regulators and apoptosis-related proteins.
- Silymarin exhibits anti-inflammatory and anti-metastatic activities.
Conclusions:
- Silymarin and silibinin show potential as adjunct therapies for cancer patients.
- They may help prevent or reduce toxicity associated with chemotherapy and radiotherapy.
- Further clinical studies are warranted to fully establish their therapeutic role.
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