doi: 10.1152/ajprenal.00240.2014 98 ChenGLiuYGoetzRFuLJayaramanSHuMCet al
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Silibinin improves tumor immunity Silibinin inhibits tumor growth through immunomodulatory activities, such as regulating immune cells (Tregs, macrophages, DCs, NK cell), inhibiting inflammatory cytokines (IFN- , IL-2, IL-6, IL-10, IL-12, TNF- , and TGF- ), and modulating immune check points (PD-L1 and PD-1) [889,890,891,892,893]
Without adequate copper delivery to these enzymes, collagen forms but does not properly crosslink, producing weaker tissue
These trials did not show clear advantages over placebo on standard PD scales, partly because sample sizes were small and placebo groups improved