The DOI matches its Crossref record; 17 of the 17 references it cites were found in a registry or an index.
Milk Thistle (Silybum marianum) for the Therapy of Liver Disease
Abstract
Silymarin, derived from the milk thistle plant, Silybum marianum, has been used for centuries as a natural remedy for diseases of the liver and biliary tract. As interest in alternative therapy has emerged in the United States, gastroenterologists have encountered increasing numbers of patients taking silymarin with little understanding of its purported properties. Silymarin and its active constituent, silybin, have been reported to work as antioxidants scavenging free radicals and inhibiting lipid peroxidation. Studies also suggest that they protect against genomic injury, increase hepatocyte protein synthesis, decrease the activity of tumor promoters, stabilize mast cells, chelate iron, and slow calcium metabolism. In this article we review silymarin's history, pharmacology, and properties, and the clinical trials pertaining to patients with acute and chronic liver disease.
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Cites
Arzneimittelforschung: Erstanwendung am Menschen in der Phase I
Miletzki, B., & Gleiter, C. H. (2005) · Bundesgesundheitsblatt Gesundheitsforsch.Gesundheitsschutz · doi:10.1007/s00103-005-1024-7 · Cited by 9,355
Randomized controlled trial of silymarin treatment in patients with cirrhosis of the liver
Ferenci, P., Dragosics, B., Dittrich, H., Frank, H., Benda, L., Lochs, H., Meryn, S., Base, W., & Schneider, B. (1989) · Journal of Hepatology · doi:10.1016/0168-8278(89)90083-4 · Cited by 496
New Natural Products and Plant Drugs with Pharmacological, Biological or Therapeutical Activity
Wagner, H., & Wolff, P. (1977) · Proceedings in life sciences · doi:10.1007/978-3-642-66682-7 · Cited by 345
Lehrbuch der biologischen Heilmittel
(1938) · Journal of the American Medical Association · doi:10.1001/jama.1938.02790170074033 · Cited by 241
Barzaghi, N., Crema, F., Gatti, G., Pifferi, G., & Perucca, E. (1990) · European Journal of Drug Metabolism and Pharmacokinetics · doi:10.1007/bf03190223 · Cited by 226
Scavenging of reactive oxygen species by silibinin dihemisuccinate
Mira, L., Silva, M., & Manso, C. F. (1994) · Biochemical Pharmacology · doi:10.1016/0006-2952(94)90053-1 · Cited by 192
Salmi, H. A., & Sarna, S. (1982) · Scandinavian Journal of Gastroenterology · doi:10.3109/00365528209182242 · Cited by 190
BOSISIO, E. (1992) · Pharmacological Research · doi:10.1016/1043-6618(92)91383-r · Cited by 158
Milk thistle: Silybum marianum
Pepping, J. (1999) · American Journal of Health-System Pharmacy · doi:10.1093/ajhp/56.12.1195 · Cited by 153
Lipid peroxidation and irreversible damage in the rat hepatocyte model
Carini, R., Comoglio, A., Albano, E., & Poli, G. (1992) · Biochemical Pharmacology · doi:10.1016/0006-2952(92)90168-i · Cited by 115
Cited by
Silymarin as Supportive Treatment in Liver Diseases: A Narrative Review
Gillessen, A., & Schmidt, H. H.-J. (2020) · Advances in Therapy · doi:10.1007/s12325-020-01251-y · Cited by 490
A phase I and pharmacokinetic study of silybin-phytosome in prostate cancer patients
Flaig, T. W., Gustafson, D. L., Su, L.-J., Zirrolli, J. A., Crighton, F., Harrison, G. S., Pierson, A. S., Agarwal, R., & Glodé, L. M. (2007) · Investigational New Drugs · doi:10.1007/s10637-006-9019-2 · Cited by 315
Dietary Antioxidant Compounds and Liver Health
Vitaglione, P., Morisco, F., Caporaso, N., & Fogliano, V. (2004) · Critical Reviews in Food Science and Nutrition · doi:10.1080/10408690490911701 · Cited by 305
A randomized trial of silymarin for the treatment of nonalcoholic steatohepatitis
Wah Kheong, C., Nik Mustapha, N. R., & Mahadeva, S. (2017) · Clinical Gastroenterology and Hepatology · doi:10.1016/j.cgh.2017.04.016 · Cited by 264
Analysis of the active components of silymarin
Kvasnička, F., Bı́ba, B., Ševčı́k, R., Voldřich, M., & Krátká, J. (2003) · Journal of Chromatography A · doi:10.1016/s0021-9673(02)01971-4 · Cited by 262
Metadata
- Authors
- Flora, K.
- Venue
- The American Journal of Gastroenterology
- Published
- 1998-02
- Volume
- 93
- Issue
- 2
- Pages
- 139-143
- ISSN
- 0002-9270 (ISSN-L)
- OpenAlex
- W2003227142
- Cited by
- 746
- References
- 17
- FWCI
- 19.84
- Type
- journal article
- Language
- en
- Open access
- closed
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- Flora, K. (1998). Milk Thistle (Silybum marianum) for the Therapy of Liver Disease. The American Journal of Gastroenterology. https://doi.org/10.1016/s0002-9270(97)00082-8
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Bibliographic data: Semantic Scholar, OpenAlex, Crossref.
Contains information from the Semantic Scholar Academic Graph Datasets, made available under the ODC Attribution License (ODC-BY 1.0).
Semantic Scholar’s data is described in: Kinney, R., et al. (2023). The Semantic Scholar Open Data Platform. arXiv:2301.10140.