Evidence map›Paper›PMID 25396404›Full record

ReviewThe review of diabetic studies : RDS2014

The therapeutic potential of milk thistle in diabetes.

Christos E Kazazis, Angelos A Evangelopoulos, Aris Kollas, Natalia G Vallianou

Open access · bronzeAbstract readReview
In one paragraph

Review in The review of diabetic studies : RDS, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 24 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
24citing papers in PubMed, 2 pooled it
3.1field-weighted citation impact, top 8% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

24 citing papers in PubMed, 2 syntheses or guidelines pooled it, 69 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Article
  4. Article
  5. Antidiabetic Potential ofPlants (Basel, Switzerland) · 2025
    Review
  6. Inclusion of Milk Thistle Seed andLife (Basel, Switzerland) · 2025
    Article
  7. Review
  8. Review
  9. Article
  10. Preventive and Therapeutic Effects ofACS pharmacology & translational science · 2023
    Article
  11. Article
  12. Article
  13. Impact of Milk Thistle (Animals : an open access journal from MDPI · 2021
    Article
  14. Article
  15. Article
  16. A case of allergy to Silybum marianum (Allergy, asthma, and clinical immunology : official journal of the Canadian Society of Allergy and Clinical Immunology · 2020
    Article
  17. Article
  18. Review
  19. Article
  20. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors at 1 institution in 1 country.

Christos E KazazisSchool of Medicine, University of Leicester, University Rd, Leicester, LE1 9HN, UK.
Angelos A EvangelopoulosRoche Diagnostics Hellas, 15125 Maroussi, Athens, Greece.
Aris KollasFirst Department of Internal Medicine, Evangelismos General Hospital, 10676 Athens, Greece.
Natalia G VallianouFirst Department of Internal Medicine, Evangelismos General Hospital, 10676 Athens, Greece.
Evangelismos Hospital · GR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Milk thistle has been known for more than 2.000 years as a herbal remedy for a variety of disorders. It has mainly been used to treat liver and gallbladder diseases. Silibum marianum, the Latin term for the plant, and its seeds contain a whole family of natural compounds, called flavonolignans. Silimarin is a dry mixture of these compounds; it is extracted after processing with ethanol, methanol, and acetone. Silimarin contains mainly silibin A, silibin B, taxifolin, isosilibin A, isosilibin B, silichristin A, silidianin, and other compounds in smaller concentrations. Apart from its use in liver and gallbladder disorders, milk thistle has recently gained attention due to its hypoglycemic and hypolipidemic properties. Recently, a substance from milk thistle has been shown to possess peroxisome proliferator-activated receptor γ (PPARγ) agonist properties. PPARγ is the molecular target of thiazolidinediones, which are used clinically as insulin sensitizers to lower blood glucose levels in diabetes type 2 patients. The thiazolidinedione type of PPARγ ligands is an agonist with a very high binding affinity. However, this ligand type demonstrates a range of undesirable side effects, thus necessitating the search for new effective PPARγ agonists. Interestingly, studies indicate that partial agonism of PPARγ induces promising activity patterns by retaining the positive effects attributed to the full agonists, with reduced side effects. In this review, the therapeutic potential of milk thistle in the management of diabetes and its complications are discussed.

Indexed as

Silybum marianumAnimalsAnti-Obesity AgentsDiabetes MellitusDiabetes Mellitus, Type 2FlavonolignansHumansHypoglycemic AgentsPhytotherapyPlant ExtractsPPAR gammaRatsSeedsSilybinSilymarinAnti-Obesity AgentsFlavonolignansHypoglycemic AgentsPlant ExtractsPPAR gammaSilybinSilymarin

Identifiers

PMID25396404
PMCPMC4310066
OpenAlexW2351555316

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.