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The Effect of Oral Administration of Silymarin on Serum Levels of Tumor Necrosis Factor-α and Interleukin-1ß in Patients with Rheumatoid Arthritis | ||
Iranian Journal of Immunology | ||
دوره 19، شماره 4، اسفند 2022، صفحه 427-435 اصل مقاله (540.82 K) | ||
نوع مقاله: Original Article | ||
شناسه دیجیتال (DOI): 10.22034/iji.2022.90456.2007 | ||
نویسندگان | ||
Mehrdad Shavandi1، 2؛ Yasaman Yazdani3؛ Shirin Asar4؛ Arash Mohammadi5؛ Ehsan Mohammadi-noori6؛ Amir Kiani* 7 | ||
1Students’ Research Committee, Kermanshah University of Medical Sciences, Kermanshah, Iran | ||
2Department of Clinical Pharmacy, Faculty of Pharmacy, Tehran University of Medical Sciences, Tehran, Iran | ||
3Department of Epidemiology and Biostatistics, Schulich School of Medicine & Dentistry, Western University, London, Ontario, Canada | ||
4Department of Internal Medicine, Imam Reza Hospital, Kermanshah University of Medical Sciences, Kermanshah, Iran | ||
5School of Dentistry, Kermanshah University of Medical Sciences, Kermanshah, Iran | ||
6Pharmaceutical Sciences Research Center, Health Institute, Kermanshah University of Medical Sciences, Kermanshah, Iran | ||
7Regenerative Medicine Research Center (RMRC), Kermanshah University of Medical Sciences, Kermanshah, Iran | ||
چکیده | ||
Background: Rheumatoid Arthritis (RA) is a systemic chronic autoimmune disease. Several inflammatory agents play key roles in RA pathogenesis, among which tumor necrosis factor-alpha (TNF-α) and interleukin 1 beta (IL-1β) are of great importance. Silymarin is a potent anti-oxidant extracted from Silybummarianum L. seeds. Objective: To study the effect of silymarin on serum levels of TNF-α and IL-1β in patients with RA. Methods: Patients with stable RA received 140 mg of silymarin, 3 times a day, for 3 months. Serum samples were collected before and after the treatment. Both TNF-α and IL-1β serum levels were measured by ELISA. Results: 42 patients (14.3% male, and 85.7% female, with a mean age of 47.59±12.8 years old) completed the treatment course. There was no significant difference in the overall mean concentration of either TNF-α (p=0.14) or IL-1β (p=0.27) in all 42 patients after the treatment with silymarin. Conclusion: The addition of silymarin to the treatment regimen of patients with stable RA has no significant effect on the serum levels of TNF-α and IL-1β, however, this study needs further evaluation with a larger sample size. | ||
کلیدواژهها | ||
IL-1β؛ Rheumatoid Arthritis؛ Silymarin؛ TNF-α | ||
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