Evidence map›Paper›PMID 29342206›Full record

ArticlePloS one2018

Silymarin prevents acetaminophen-induced hepatotoxicity in mice.

Zuzana Papackova, Marie Heczkova, Helena Dankova, Eva Sticova, Alena Lodererova, Lenka Bartonova, Martin Poruba, Monika Cahova

Open access · goldAbstract read
In one paragraph

Article in PloS one, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 56 papers.

0numbers the graph read from it
0cells of the map it votes in
56citing papers in PubMed
10.3field-weighted citation impact, top 1% 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

56 citing papers in PubMed, 132 citations in OpenAlex.

  1. International journal of molecular sciences · 2026
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  7. Review
  8. Article
  9. Hepatoprotective Effects of Gac (Journal of experimental pharmacology · 2025
    Article
  10. Article
  11. Article
  12. Article
  13. Article
  14. Article
  15. Article
  16. Silymarin and Inflammation: Food for Thoughts.Antioxidants (Basel, Switzerland) · 2024
    Review
  17. Article
  18. Article
  19. Article
  20. Review
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

8 authors at 3 institutions in 1 country.

Zuzana PapackovaDepartment of Metabolism and Diabetes, Institute for Clinical and Experimental Medicine, Prague, Czech Republic.ORCID 0000-0002-0286-8001
Marie HeczkovaDepartment of Metabolism and Diabetes, Institute for Clinical and Experimental Medicine, Prague, Czech Republic.
Helena DankovaDepartment of Metabolism and Diabetes, Institute for Clinical and Experimental Medicine, Prague, Czech Republic.
Eva SticovaClinical and Transplant Pathology Department, Institute for Clinical and Experimental Medicine, Prague, Czech Republic.
Alena LodererovaClinical and Transplant Pathology Department, Institute for Clinical and Experimental Medicine, Prague, Czech Republic.
Lenka BartonovaClinical and Transplant Pathology Department, Institute for Clinical and Experimental Medicine, Prague, Czech Republic.
Martin PorubaDepartment of Pharmacology, Faculty of Medicine and Dentistry, Palacky University Olomouc, Olomouc, Czech Republic.
Monika CahovaDepartment of Metabolism and Diabetes, Institute for Clinical and Experimental Medicine, Prague, Czech Republic.
Institute of Clinical and Experimental Medicine · CZCzech University of Life Sciences Prague · CZPalacký University Olomouc · CZ

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Acetaminophen or paracetamol (APAP) overdose is a common cause of liver injury. Silymarin (SLM) is a hepatoprotective agent widely used for treating liver injury of different origin. In order to evaluate the possible beneficial effects of SLM, Balb/c mice were pretreated with SLM (100 mg/kg b.wt. per os) once daily for three days. Two hours after the last SLM dose, the mice were administered APAP (300 mg/kg b.wt. i.p.) and killed 6 (T6), 12 (T12) and 24 (T24) hours later. SLM-treated mice exhibited a significant reduction in APAP-induced liver injury, assessed according to AST and ALT release and histological examination. SLM treatment significantly reduced superoxide production, as indicated by lower GSSG content, lower HO-1 induction, alleviated nitrosative stress, decreased p-JNK activation and direct measurement of mitochondrial superoxide production in vitro. SLM did not affect the APAP-induced decrease in CYP2E1 activity and expression during the first 12 hrs. Neutrophil infiltration and enhanced expression of inflammatory markers were first detected at T12 in both groups. Inflammation progressed in the APAP group at T24 but became attenuated in SLM-treated animals. Histological examination suggests that necrosis the dominant cell death pathway in APAP intoxication, which is partially preventable by SLM pretreatment. We demonstrate that SLM significantly protects against APAP-induced liver damage through the scavenger activity of SLM and the reduction of superoxide and peroxynitrite content. Neutrophil-induced damage is probably secondary to necrosis development.

Indexed as

AcetaminophenAnimalsChemical and Drug Induced Liver InjuryDrug OverdoseLiverMaleMiceMice, Inbred BALB CNecrosisProtective AgentsSilymarinAcetaminophenProtective AgentsSilymarin

Identifiers

PMID29342206
PMCPMC5771617
OpenAlexW2783038028

What OpenQuestion holds

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LicenceCC BY
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.