Effects of silybum marianum on patients with chronic hepatitis C

作者: Taghi Ghafghazi , Zahra Shahshahan , Hamid Kalantari , Vahid Sebghatolahi , Sayed Mehdi Hejazi

DOI:

关键词: Hepatitis CLiver functionHepatitis C virusHepatic fibrosisGastroenterologyMilk ThistlePathologyFibrosisTiterMedicineInternal medicineSilybum marianum

摘要: BACKGROUND: Silymarin derived from silybum marianum (milk thistle), a flowering member of the daisy family, may benefit liver function in people infected with hepatitis C virus. The aims this pilot study were to assess efficacy and safety silymarin on serum virus (HCV) RNA, aminotransferases (ALT, AST) levels, fibrosis well-being patients chronic (CHC). METHODS: This prospective self-controlled trial was conducted March September 2006 at Department Gastroenterology, Isfahan University Medical Sciences, Isfahan, Iran. 55 HCV (10 female 45 male) mean age 31.8 ± 6.4 years (10-67 years) participated . Patients received 24 weeks (630 mg/day). Baseline virological biochemical, (by markers, including YKL–40 Hyaluronic acid), SF-36 questionnaire performed biochemical tests repeated end treatment period. RESULTS: There statistically difference ALT (108.7 86.6 vs 70.3 57.7) before after (p < 0.001). means AST 99.4 139.7 59.7 64.32 differences = 0.004). After treatment, nine found negative HCV-RNA 0.004) significant improvement results markers only group 0.015). Quality life improved significantly CONCLUSIONS: indicated that CHC performing (650 mg/day) for 6 months, titer, AST), hepatic patient’s quality life. More future studies are warranted. KEYWORDS: Hepatitis Virus (HCV), life, Serum Aminotransferases.

参考文章(17)
G Buzzelli, A Giusti, C Marena, A Duchini, M Lampertico, S Moscarella, A pilot study on the liver protective effect of silybin-phosphatidylcholine complex (IdB1016) in chronic active hepatitis. International journal of clinical pharmacology, therapy, and toxicology. ,vol. 31, pp. 456- 460 ,(1993)
Piva M, Cagnetta G, Martines G, Copponi, Silymarin in pregnancy and during hormonal contraceptive treatment. Blood chemistry and ultrastructural findings in the experimental model Archivio per le scienze mediche. ,vol. 136, pp. 443- 454 ,(1979)
Lurdes Mira, Manuela Silva, C.F. Manso, Scavenging of reactive oxygen species by silibinin dihemisuccinate Biochemical Pharmacology. ,vol. 48, pp. 753- 759 ,(1994) , 10.1016/0006-2952(94)90053-1
Ali Montazeri, Azita Goshtasebi, Mariam Vahdaninia, Barbara Gandek, The Short Form Health Survey (SF-36): translation and validation study of the Iranian version. Quality of Life Research. ,vol. 14, pp. 875- 882 ,(2005) , 10.1007/S11136-004-1014-5
Jessica Wagoner, Amina Negash, Olivia J. Kane, Laura E. Martinez, Yaakov Nahmias, Nigel Bourne, David M. Owen, Joe Grove, Claire Brimacombe, Jane A. McKeating, Eve-Isabelle Pécheur, Tyler N. Graf, Nicholas H. Oberlies, Volker Lohmann, Feng Cao, John E. Tavis, Stephen J. Polyak, Multiple effects of silymarin on the hepatitis C virus lifecycle. Hepatology. ,vol. 51, pp. 1912- 1921 ,(2010) , 10.1002/HEP.23587
MD Tanamly, F Tadros, S Labeeb, H Makld, M Shehata, N Mikhail, M Abdel-Hamid, L Abu-Baki, A Medhat, LS Magder, NH Afdhal, GT Strickland, None, Randomised double-blinded trial evaluating silymarin for chronic hepatitis C in an Egyptian village: study description and 12-month results. Digestive and Liver Disease. ,vol. 36, pp. 752- 759 ,(2004) , 10.1016/J.DLD.2004.06.015
Julia S Johansen, Per Christoffersen, Søren Møller, Paul A Price, Jens H Henriksen, Charly Garbarsch, Flemming Bendtsen, Serum YKL-40 is increased in patients with hepatic fibrosis Journal of Hepatology. ,vol. 32, pp. 911- 920 ,(2000) , 10.1016/S0168-8278(00)80095-1