Evidence map›Paper›PMID 30178232›Full record

ArticleInflammation2019

Immunoregulatory Effects of Silymarin on Proliferation and Activation of Th1 Cells Isolated from Newly Diagnosed and IFN-ß

Fereshteh Navabi, Vahid Shaygannejad, Faezeh Abbasirad, Elaheh Vaez, Fahimeh Hosseininasab, Mohammad Kazemi, Omid Mirmosayyeb, Fereshteh Alsahebfosoul, Nafiseh Esmaeil

Abstract read
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In one paragraph

Article in Inflammation, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed, 1 pooled it
0.5field-weighted citation impact, top 29% 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

10 citing papers in PubMed, 1 synthesis or guideline pooled it, 11 citations in OpenAlex.

  1. Pooled it
  2. The role of DAP12 in immune-related inflammatory diseases.Inflammation research : official journal of the European Histamine Research Society ... [et al.] · 2026
    Review
  3. Rethinking MS Therapeutics: From Disease Pathogenesis Mechanisms to AI-Driven Drug Discovery.Journal of neuroimmune pharmacology : the official journal of the Society on NeuroImmune Pharmacology · 2026
    Review
  4. Review
  5. Article
  6. Silymarin and Inflammation: Food for Thoughts.Antioxidants (Basel, Switzerland) · 2024
    Review
  7. Review
  8. Article
  9. Article
  10. 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

9 authors at 1 institution in 1 country.

Fereshteh NavabiDepartment of Immunology, School of Medicine, Isfahan University of Medical Sciences, Isfahan, 81744-176, Iran.
Vahid ShaygannejadIsfahan Neurosciences Research Center, Alzahra Hospital, Department of Neurology, Isfahan University of Medical Sciences, Isfahan, Iran.
Faezeh AbbasiradDepartment of Immunology, School of Medicine, Isfahan University of Medical Sciences, Isfahan, 81744-176, Iran.
Elaheh VaezDepartment of Immunology, School of Medicine, Isfahan University of Medical Sciences, Isfahan, 81744-176, Iran.
Fahimeh HosseininasabDepartment of Immunology, School of Medicine, Isfahan University of Medical Sciences, Isfahan, 81744-176, Iran.
Mohammad KazemiIsfahan Neurosciences Research Center, Alzahra Hospital, Department of Neurology, Isfahan University of Medical Sciences, Isfahan, Iran.
Omid MirmosayyebIsfahan Neurosciences Research Center, Alzahra Hospital, Department of Neurology, Isfahan University of Medical Sciences, Isfahan, Iran.
Fereshteh AlsahebfosoulDepartment of Immunology, School of Medicine, Isfahan University of Medical Sciences, Isfahan, 81744-176, Iran.
Nafiseh EsmaeilDepartment of Immunology, School of Medicine, Isfahan University of Medical Sciences, Isfahan, 81744-176, Iran. nafesm5@gmail.com.
Isfahan University of Medical Sciences · IR

Funding

Iran National Science Foundation 394622Isfahan University of Medical Sciences 194136
6 · The paper itself

Abstract

Multiple sclerosis (MS) is a central nervous system autoimmune disease characterized by demyelination. Autoreactive T cells mainly interferon gamma (IFN-γ) producing T helper cells (Th1) have an important role in MS pathogenesis. Silymarin is a unique blend produced from milk thistle (Silybum marianum) plant which its imunomodulatory role has been indicated in studies. In the present study, the effects of silymarin on isolated Th1 cells were investigated in newly diagnosed MS patients and those who received betaferon. PBMCs were separated from newly diagnosed and IFN-β-treated MS patients. The Th1 cell isolation from PBMCs was performed using a human Th1 cell isolation kit. Th1 cells were cultured in the presence of silymarin (50, 100, and 150 μM for 48, 72, and 120 h). Th1 cell proliferation and CD69 expression were assessed by flow cytometry. Also, IFN-γ production and T-bet gene expression were measured by ELISA and real-time PCR respectively. In vitro cultured Th1 cells showed that silymarin suppresses Th1 cell proliferation dose and time dependently in newly diagnosed and IFN-β-treated MS patients in comparison to DMSO control. Also, CD69 expression as an early activation marker was changed after Th1 cell treatment with different doses of silymarin at different times. T-bet gene expression was significantly decreased in Th1 cells isolated from newly diagnosed and IFN-β-treated RRMS patients after treatment with silymarin compared to DMSO control. Additionally, IFN-γ production by Th1 cells was decreased after treatment silymarin in newly diagnosed patients; however, in IFN-β treated after 48-h treatment with silymarin, IFN-γ concentration was decreased at concentrations of 100 and 150 μM, and after 120 h, a significant increase was observed in the IFN-γ level at a concentration of 100 μM in comparison with DMSO. Our findings here clearly show that silymarin is an effective regulator for Th1 response in vitro condition. It not only suppresses Th1 proliferating activity but also inhibits T-bet gene expression and IFN-γ production by these cells.

Indexed as

Antigens, CDAntigens, Differentiation, T-LymphocyteCD69 AntigensCell ProliferationCells, CulturedDose-Response Relationship, DrugHumansInterferon-betaInterferon-gammaLectins, C-TypeMultiple SclerosisPeptide FragmentsSilymarinT-bet Transcription FactorT-Box Domain ProteinsTh1 CellsAntigens, CDAntigens, Differentiation, T-LymphocyteCD69 AntigensInterferon-betaInterferon-gammainterferon gamma (1-39)Lectins, C-TypePeptide FragmentsSilymarinT-bet Transcription FactorT-Box Domain Proteinsimmunoregulatoryinterferon-β therapymultiple sclerosissilymarinTh1 cells

Identifiers

PMID30178232
OpenAlexW2891137448

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

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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.