Evidence map›Paper›PMID 25834802›Full record

ArticleClinical and molecular hepatology2015

Combined treatment with silibinin and either sorafenib or gefitinib enhances their growth-inhibiting effects in hepatocellular carcinoma cells.

Ha Ra Gu, Su Cheol Park, Su Jin Choi, Jae Cheol Lee, You Cheoul Kim, Chul Ju Han, Jin Kim, Ki Young Yang, Yeon Joo Kim, Geum Youb Noh and 2 more

Open access · goldAbstract read
In one paragraph

Article in Clinical and molecular hepatology, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 25 papers.

0numbers the graph read from it
0cells of the map it votes in
25citing papers in PubMed
3.6field-weighted citation impact, top 7% 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

25 citing papers in PubMed, 42 citations in OpenAlex.

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  14. Chronic Liver Disease and Silymarin: A Biochemical and Clinical Review.Journal of clinical and translational hepatology · 2020
    Review
  15. Article
  16. Review
  17. Is the era of sorafenib over? A review of the literature.Therapeutic advances in medical oncology · 2020
    Review
  18. Review
  19. Article
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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

12 authors at 1 institution in 1 country.

Ha Ra GuDepartment of Internal Medicine, Korea Cancer Center Hospital, Seoul, Korea.
Su Cheol ParkDepartment of Internal Medicine, Korea Cancer Center Hospital, Seoul, Korea.
Su Jin ChoiDepartment of Internal Medicine, Korea Cancer Center Hospital, Seoul, Korea.
Jae Cheol LeeDepartment of Internal Medicine, Korea Cancer Center Hospital, Seoul, Korea.
You Cheoul KimDepartment of Internal Medicine, Korea Cancer Center Hospital, Seoul, Korea.
Chul Ju HanDepartment of Internal Medicine, Korea Cancer Center Hospital, Seoul, Korea.
Jin KimDepartment of Internal Medicine, Korea Cancer Center Hospital, Seoul, Korea.
Ki Young YangDepartment of Internal Medicine, Korea Cancer Center Hospital, Seoul, Korea.
Yeon Joo KimDepartment of Internal Medicine, Korea Cancer Center Hospital, Seoul, Korea.
Geum Youb NohDepartment of Internal Medicine, Korea Cancer Center Hospital, Seoul, Korea.
So Hyeon NoResearch Center for Radiotherapy, Korea Institute of Radiological and Medical Sciences, Seoul, Korea. ; Department of Radiological Cancer Medicine, University of Science and Technology, Seoul, Korea.
Jae-Hoon JeongResearch Center for Radiotherapy, Korea Institute of Radiological and Medical Sciences, Seoul, Korea. ; Department of Radiological Cancer Medicine, University of Science and Technology, Seoul, Korea.
Korea Institute of Radiological and Medical Sciences · KR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

BACKGROUND/

aimsSilibinin, the main component of silymarin, is used as a hepatoprotectant and exhibits anticancer effects against various cancer cells. This study evaluated the effects of a combination of silibinin with either gefitinib or sorafenib on hepatocellular carcinoma (HCC) cells.

methodsSeveral different human HCC cell lines were used to test the growth-inhibiting effects and cell toxicity of silibinin both alone and in combination with either gefitinib or sorafenib. The cell viability and growth inhibition were assessed using the 3-(4,5-dimethylthiazol-2-yl)-2,5-diphenyltetrazolium bromide assay, trypan blue staining, and a colony-forming assay. Furthermore, changes in epidermal growth factor receptor (EGFR)-related signals were evaluated by Western blot analysis.

resultsGefitinib, sorafenib, and silibinin individually exhibited dose-dependent antiproliferative effects on HCC cells. Combined treatment with silibinin enhanced the gefitinib-induced growth-inhibiting effects in some HCC cell lines. The combination effect of gefitinib and silibinin was synergistic in the SNU761 cell line, but was only additive in the Huh-BAT cell line. The combination effect may be attributable to inhibition of EGFR-dependent Akt signaling. Enhanced growth-inhibiting effects were also observed in HCC cells treated with a combination of sorafenib and silibinin.

conclusionsCombined treatment with silibinin enhanced the growth-inhibiting effects of both gefitinib and sorafenib. Therefore, the combination of silibinin with either sorafenib or gefitinib could be a useful treatment approach for HCC in the future.

Indexed as

Antineoplastic AgentsCarcinoma, HepatocellularCell Line, TumorCell ProliferationCell SurvivalDown-RegulationDrug Screening Assays, AntitumorDrug SynergismErbB ReceptorsGefitinibHumansLiver NeoplasmsNiacinamidePhenylurea CompoundsProto-Oncogene Proteins c-aktQuinazolinesAntineoplastic AgentsEGFR protein, humanErbB ReceptorsGefitinibNiacinamidePhenylurea CompoundsProto-Oncogene Proteins c-aktQuinazolinesSilybinSilymarinSorafenibGefitinibHepatocellular carcinomaSilibininSorafenib

Identifiers

PMID25834802
PMCPMC4379197
OpenAlexW2025990876

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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.