Evidence map›Paper›PMID 38318412›Full record

ArticleMedical journal of the Islamic Republic of Iran2023

Neurochemical Ameliorating of the Hippocampus in Dyslipidemic Alzheimer Patients Following Silymarin; a Double-Blind Placebo-Controlled Randomized Clinical Trial.

Auob Rustamzadeh, Nader Sadigh, Ronak Shabani, Reza Ahadi, Zahra Vahabi, Arash Shabani, Nafiseh Mohebi, Fatemeh Khamseh, Masume Behruzi, Fatemeh Moradi

Abstract read
In one paragraph

Article in Medical journal of the Islamic Republic of Iran, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact
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

2 citing papers in PubMed.

  1. Review
  2. 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

10 authors.

Auob RustamzadehDepartment of Anatomy, School of Medicine, Iran University of Medical Sciences, Tehran, Iran.
Nader SadighDepartment of Emergency Medicine, School of Medicine, Trauma and Injury Research Center, Iran University of Medical Sciences, Tehran, Iran.
Ronak ShabaniDepartment of Anatomy, School of Medicine, Iran University of Medical Sciences, Tehran, Iran.
Reza AhadiDepartment of Anatomy, School of Medicine, Iran University of Medical Sciences, Tehran, Iran.
Zahra VahabiDepartment of Geriatric Medicine, Ziaeian Hospital, Tehran University of Medical Sciences, Tehran, Iran.
Arash ShabaniSaadatabad Medical Imaging Center, Department of Advanced Imaging and Image Processing, Tehran, Iran.
Nafiseh MohebiDepartment of Neurology, Rasool Akram Hospital, School of Medicine, Iran University of Medical Sciences, Tehran, Iran.
Fatemeh KhamsehDepartment of Neurology, Faculty of Medicine, Islamic Azad University, Tehran, Iran.
Masume BehruziDepartment of Anatomy, School of Medicine, Iran University of Medical Sciences, Tehran, Iran.
Fatemeh MoradiDepartment of Anatomy, School of Medicine, Iran University of Medical Sciences, Tehran, Iran.ORCID https://orcid.org/0000-0001-9231-280X

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Amyloid-beta (Aβ) production is a normal physiological process, and an imbalance in Aβ production/excretion rate is the basis of the plaque load increase in AD. LRP1 is involved in both central clearance of Aβ from the CNS and transport of Aβ toward peripheral organs. In this study, the effect of silymarin combination compared to rosuvastatin and placebo on neuro-metabolites and serum levels of LRP1 and Aβ1-42 proteins and oxidative stress enzymes and lipid and cognitive tests of Iranian AD patients. Methods: In this double-blind placebo-controlled study, thirty-six mild AD patients were divided into groups (n=12) of silymarin 140mg, placebo, and rosuvastatin 10mg. Medications were administered 3 times a day for 6 months. Clinical tests, lipid profile (TG, HDL, TC, and LDL), Aβ1-42, and LRP1 markers were measured at the beginning and end of the intervention. Magnetic resonance spectroscopy (MRS) was used to measure metabolites. Using SPSS software a one-way ANOVA test was used to compare the means of the quantitative variables and Pearson and Spearman's correlations to measure the correlation. GraphPad Prism software was used for drawing graphs. Results: The levels of LRP1 and Aβ1-42 in the silymarin group were significantly increased compared to the other groups ( Conclusion: Donepezil and silymarin improved lipid profile associated with increased NAA/Cr, and decreased mI/Cr, in AD patients. Biomarker NAA/mI can be clinically significant in examining AD pathology. Measurement of the lipid factors and neurometabolites can be a suitable method for monitoring this disease.

Indexed as

Alzheimer's DiseaseAmyloid-BetaMagnetic Resonance SpectroscopyNeuroimaging

Identifiers

PMID38318412
PMCPMC10843210

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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.