1. Silymarin antiproliferative and apoptotic effects: Insights into its clinical impact in various types of cancer.
- Author
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Hosseinabadi, Tahereh, Lorigooini, Zahra, Tabarzad, Maryam, Salehi, Bahare, Rodrigues, Célia F., Martins, Natália, Sharifi‐Rad, Javad, and Sharifi-Rad, Javad
- Subjects
THERAPEUTIC use of antineoplastic agents ,THERAPEUTIC use of antioxidants ,TUMOR classification ,ANTINEOPLASTIC agents ,APOPTOSIS ,CELL cycle ,CELL physiology ,CLINICAL drug trials ,FLAVONOIDS ,TUMORS ,MILK thistle ,PATHOLOGIC neovascularization ,PHARMACODYNAMICS - Abstract
Silymarin is a complex extract isolated from the plant Silybum marianum, widely known for its prominent antioxidant and hepatoprotective effects, although increasing evidences have reported extraordinary antiproliferative and apoptotic abilities. As a result, several signaling pathways involved in cell cycle control, cell proliferation, and cell death have been deconvoluted as critical mechanisms. In this regard, cyclin and cyclin-dependent pathways have been the most studied ones. Following that, apoptotic pathways, such as p53, Akt, STAT-3, Ras, and caspases pathways, have been extensively studied, although other mechanisms involved in inflammation and angiogenesis have also been highlighted as silymarin-likely targets in cancer therapy. Therefore, the main challenge of this review is to discuss the diverse molecular mechanisms for silymarin antiproliferative and apoptotic effects; most of them largely studied in various types of cancers so far. Clinical trials and combination therapies related to silymarin application in cancer prevention and treatment are presented as well. [ABSTRACT FROM AUTHOR]
- Published
- 2019
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