Silymarin in Clinical Medicine: A Decade of Therapeutic Advances and Future Disease Targets

Highlights

  • The last decade’s research underscores silymarin’s multifaceted pharmacological properties, notably antioxidant, anti-inflammatory, hepatoprotective, neuroprotective, and metabolic regulatory effects.
  • Robust evidence supports silymarin’s clinical efficacy in nonalcoholic fatty liver disease (NAFLD), type 2 diabetes mellitus (T2DM), and related complications including diabetic nephropathy and neuropathy.
  • Emerging data reveal silymarin’s potential adjunctive benefits in neurodegenerative disorders, such as Alzheimer’s disease, and its role in rheumatologic conditions like rheumatoid arthritis and osteoarthritis.
  • Preclinical and limited clinical studies suggest radiosensitizing effects enhancing radiotherapy efficacy in cancer; topical formulations demonstrate promise for dermatologic indications including acne and radiodermatitis.

Background

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