Evidence map›Paper›PMID 39883250›Full record

ArticleMolecular biology reports2025

The synergistic effects of citicoline and silymarin on liver injury and thyroid hormone disturbances in γ-irradiated rats.

Nahed Abdel-Aziz, Azza El-Bahkery, Ehab A Ibrahim

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Article in Molecular biology reports, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

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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

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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

1 citing paper in PubMed.

  1. Review
4 · The record

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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

3 authors.

Nahed Abdel-AzizRadiation Biology Research Department, National Center for Radiation Research & Technology, Egyptian Atomic Energy Authority, Cairo, Egypt.ORCID http://orcid.org/0000-0002-8929-2278
Azza El-BahkeryRadiation Biology Research Department, National Center for Radiation Research & Technology, Egyptian Atomic Energy Authority, Cairo, Egypt.ORCID http://orcid.org/0009-0001-9270-3613
Ehab A IbrahimBiochemistry Department, Faculty of Science, Ain Shams University, Cairo, Egypt. ehab_abdellatif@sci.asu.edu.eg.ORCID http://orcid.org/0000-0003-0520-7169

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundExposure to ionizing radiation is inevitable due to its extensive use in industrial and medical applications. The search for effective and safe natural therapeutic agents as alternatives to chemical drugs is crucial to mitigate their side effects. This study aimed to evaluate the effects of citicoline as a standalone treatment or in combination with the anti-hepatotoxic drug silymarin in protecting against liver injury caused by γ-radiation in rats. METHODS AND

resultsThe rats were exposed to γ-radiation (7 Gy) and treated with citicoline (300 mg/kg/day) and/or silymarin (50 mg/kg/day). The results showed that citicoline alleviated liver damage in irradiated rats by reducing hepatic malondialdehyde levels, serum aspartate aminotransferase activity, and inflammatory mediators such as tumor necrosis factor-alpha (TNF-α), interleukin-1 beta (IL-1β), and nuclear factor-kappa B (NF-κB). It also increased acetylcholine (ACh) levels and the gene expression of the anti-inflammatory protein α7 nicotinic acetylcholine receptor (α7nAChR). Additionally, citicoline improved serum triiodothyronine (T3) levels, thyroid hormone receptor beta (TRβ) gene expression, and iodothyronine deiodinase type 1 activity in hepatic tissues of irradiated rats. Furthermore, citicoline enhanced the effects of silymarin on thyroxine (T4), TRβ, ACh, and α7nAChR when co-administered in irradiated rats. Histopathological analysis confirmed these findings, demonstrating improved liver tissue structure.

conclusionsCiticoline mitigates γ-radiation-induced liver damage by reducing oxidative stress, activating the cholinergic anti-inflammatory pathway, and modulating thyroid hormone metabolism. These findings support the use of citicoline as a safe standalone treatment or as an adjuvant with silymarin for managing liver damage and thyroid hormone disturbances caused by γ-irradiation.

Indexed as

Cytidine Diphosphate CholineSilymarinThyroid Hormonesalpha7 Nicotinic Acetylcholine ReceptorAnimalsDrug SynergismGamma RaysLiverMaleMalondialdehydeNF-kappa BOxidative StressRadiation Injuries, ExperimentalRadiation-Protective AgentsRatsRats, Wistaralpha7 Nicotinic Acetylcholine ReceptorCytidine Diphosphate CholineMalondialdehydeNF-kappa BRadiation-Protective AgentsSilymarinThyroid HormonesTumor Necrosis Factor-alphaCiticolineGamma radiationHepatoprotectiveLiver damageThyroid hormone

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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 Socratic graph.