Wistar Ratlarında Dietilnitrozamin Uygulanarak Oluşturulan Hepatoselüler Karsinom Modelinde Silimarinin Antikanserojenik Etkileri
Year 2020,
Volume: 2 Issue: 1, 7 - 16, 13.07.2020
Emin Karakurt
,
Serpil Dağ
Abstract
Bu çalışmada Wistar ratlarında Dietilnitrozamin (DEN) uygulaması yapılarak oluşturulan hepatoselüler karsinom (HCC) modelinde, Silimarin’in antikanserojenik etkileri immunohistokimyasal yöntemlerle araştırılması amaçlandı. 50 adet 2 aylık Wistar Albino cinsi erkek rat rastgele olacak şekilde 5 gruba ayrıldı. Kontrol grubundaki ratlara 20 hafta boyunca pelet yem ve içme suyu verildi. Sham grubundaki hayvanlara % 0.9 NaCl içerisinde çözdürülmüş propilen glikol intraperitoneal yolla haftada 3 kez olmak üzere 20 hafta boyunca verildi. DEN grubundaki hayvanlara 50 mg/kg dozunda haftada 1 kez olmak üzere 20 hafta boyunca DEN uygulaması yapıldı. DEN+Silimarin grubundaki ratlara DEN uygulamasından 1 hafta önce başlayacak şekilde 100 mg/kg dozunda haftada 3 kez olmak üzere 21 hafta boyunca intraperitoneal yolla Silimarin uygulandı. Silimarin grubundaki ratlara 100 mg/kg dozunda 20 hafta boyunca intraperitoneal yolla haftada 3 kez olmak üzere Silimarin uygulandı. 21 hafta sonunda DEN ve DEN+Silimarin gruplarında makroskobik olarak multifokal nodüler yapılar tespit edildi. Mikroskobik incelemeler sonucunda DEN ve DEN+Silimarin gruplarında HCC’nin trabeküler ve asiner paternini içeren miks tipi tespit edildi. iNOS, Nitrotirozin, PCNA, GSTPi, MMP-9, HPIP ve TUNEL boyamaları sonucunda DEN ve DEN+Silimarin grupları arasında istatistiki karşılaştırmada anlamlı sonuç bulunamadı (P > 0.05).
Supporting Institution
KAÜ Bilimsel Araştırma Projeleri Koordinatörlüğü
Project Number
2016-TS-08
References
- Referans1 Abdel Salam OM, Sleem AA, Omara EA, Hassan NS (2007) Effect of ribavirin alone or combined with silymarin on carbon tetrachloride induced hepatic damage in rats. Drug Target Insights 2:19-27. https://doi.org/10.1177/117739280700200014
- Referans2 Abdo W, Hirata A, Shukry M, Kamal T, Abdel-Sattar E, Mahrous E, Yanai T (2015) Calligonum comosum extract inhibits diethylnitrosamine-induced hepatocarcinogenesis in rats. Oncol Lett 10:716–722. https://doi.org/10.3892/ol.2015.3313
- Referans3 Abike F, Zengeroğlu S (2010) Epitelyal over karsinomlarında PCNA ekspresyonu. Türk Hijyen ve Deneysel Biyoloji Dergisi 2010; 67:173-178.
- Referans4 Aköz M, Vatansev H, Gürbilek M, Akkuş İ, Vatansev C, Kaptanoğlu B (2000) Glutatyon S-transferaz (GST) izoenzimlerinin çeşitli kanser vakalarında araştırılması. Genel Tıp Derg 10: 1-6.
- Referans5 Ashraf M, Abid F, Riffat S, Bashir S, Iqbal J, Sarfraz M, Afzal A, Zaheer M (2015) Rationalized and complementary findings of silymarin (milk thistle) in Pakistani healthy volunteers. Acta Pol Pharm 72:607-614.
- Referans6 Ben Rahal N, Barba FJ, Barth D, Chevalot I (2015) Supercritical CO₂ extraction of oil, fatty acids and flavonolignans from milk thistle seeds: Evaluation of their antioxidant and cytotoxic activities in Caco-2 cells. Food Chem Toxicol 83:275-282. https://doi.org/10.1016/j.fct.2015.07.006
- Referans7 Beydogan AB, Bolkent S (2016) The effects of silibin administration for different time periods on mouse liver with Ehrlich ascites carcinoma. Pharmacol Rep 68:543-549. https://doi.org/10.1016/j.pharep.2015.12.003
- Referans8 Bharati S, Rishi P, Koul A (2014) Azadirachta indica modulates electrical properties and type of cell death in NDEA-induced hepatic tumors. Cell Biochem Biophys 70:383-390. https://doi.org/10.1007/s12013-014-9923-6
- Referans9 Bingül İ, Başaran-Küçükgergin C, Tekkeşin MS, Olgaç V, Doğru-Abbasoğlu S, Uysal M (2013) Effect of blueberry pretreatment on diethylnitrosamine-induced oxidative stress and liver injury in rats. Environ Toxicol Pharmacol 36:529-538. . https://doi.org/10.1016/j.etap.2013.05.014
- Referans10 Bosch-Barrera J, Menendez JA (2015) Silibinin and STAT3: A natural way of targeting transcription factors for cancer therapy. Cancer Treat Rev 41:540-546. https://doi.org/ 10.1016/j.ctrv.2015.04.008
- Referans11 Bugide S, Gonugunta VK, Penugurti V, Malisetty VL, Vadlamudi RK, Manavathi B (2017) HPIP promotes epithelial-mesenchymal transition and cisplatin resistance in ovarian cancer cells through PI3K/AKT pathway activation. Cell Oncol 40:133-144. https://doi.org/ 10.1007/s13402-016-0308-2
- Referans12 Chen B, Zhao J, Zhang S, Zhang Y, Huang Z (2016) HPIP promotes gastric cancer cell proliferation through activation of cap-dependent translation. Oncol Rep 36:3664-3672. https://doi.org/10.3892/or.2016.5157
- Referans13 Coşkun G, Özgür H (2011) Apoptoz ve Nekrozun Moleküler Mekanizması. Çukurova Üniversitesi Tıp Fakültesi Arşiv Kaynak Tarama Dergisi 20:145-158.
- Referans14 Deep G, Raina K, Singh RP, Oberlies NH, Kroll DJ, Agarwal R (2008) Isosilibinin inhibits advanced human prostate cancer growth in athymic nude mice: comparison with silymarin and silibinin. Int J Can 123:2750-2758. https://doi.org/10.1002/ijc.23879
- Referans15 Dinçel GÇ, Kul O (2016) Patolojik Apoptozis ve Tanı Yöntemleri. Gümüşhane University Journal of Health Sciences 5:86-108.
- Referans16 Elmore S (2007) Apoptosis: a review of programmed cell death. Toxicol Pathol 35:495-516. https://doi.org/10.1080/01926230701320337
- Referans17 Eo HJ, Park GH, Song HM, Lee JW, Kim MK, Lee MH, Lee JR, Koo JS, Jeong JB (2015) Silymarin induces cyclin D1 proteasomal degradation via its phosphorylation of threonine-286 in human colorectal cancer cells. Int Immunopharmacol 24:1-6. https://doi.org/ 10.1016/j.intimp.2014.11.009
- Referans18 Eröz R, Karataş A, Alkoç OA, Baltaci D, Oktay M, Çolakoğlu S (2012) Apoptozis Hakkında Bilinenler (Literatür Taraması). Düzce Tıp Dergisi 14:87-101.
- Referans19 Fan L, Ma Y, Liu Y, Zheng D, Huang G (2014) Silymarin induces cell cycle arrest and apoptosis in ovarian cancer cells. Eur J Pharmacol 743:79-88. https://doi.org/10.1016/j.ejphar.2014.09.019
- Referans20 Fujise Y, Okano J, Nagahara T, Abe R, Imamoto R, Murawaki Y (2012) Preventive effect of caffeine and curcumin on hepato-carcinogenesis in diethylnitrosamine-induced rats. Int J Oncol 40:1779-1788. https://doi.org/10.3892/ijo.2012.1343
- Referans21 Gopalakrishnan R, Sundaram J, Sattu K, Pandi A, Thiruvengadam D (2013) Dietary supplementation of silymarin is associated with decreased cell proliferation, increased apoptosis, and activation of detoxification system in hepatocellular carcinoma. Mol Cell Biochem 377:163-176. https://doi.org/10.1007/s11010-013-1582-1
- Referans22 Gupta P, Bansal MP, Koul A (2013) Evaluating the effect of lycopene from Lycopersicum esculentum on apoptosis during NDEA induced hepatocarcinogenesis. Biochem Biophys Res Commun 434:479-485. https://doi.org/10.1016/j.bbrc.2013.03.099
- Referans23 Imamoto R, Okano JI, Sawada S, Fujise Y, Abe R, Murawaki Y (2014) Null anticarcinogenic effect of silymarin on diethylnitrosamine-induced hepatocarcinogenesis in rats. Exp Ther Med 7:31-38. https://doi.org/10.3892/etm.2013.1391
- Referans24 Jin Z, El-Deiry WS (2005) Overview of cell death signaling pathways. Cancer Biol Ther 4:139-163. https://doi.org/10.4161/cbt.4.2.1508
- Referans25 Kaya C, Çalişkan Y, Yönden Z (2012) Apoptozis. Mustafa Kemal Üniversitesi Tıp Dergisi 3: 26-37.
- Referans26 Man S, Li J, Fan W, Chai H, Liu Z, Gao W (2015) Inhibition of pulmonary adenoma in diethylnitrosamine-induced rats by Rhizoma paridis saponins. J Steroid Biochem Mol Biol 154:62-67. https://doi.org/10.1016/j.jsbmb.2015.07.004
- Referans27 Mansour MA, Aljoufi MA, Al-Hosaini K, Al-Rikabi AC, Nagi MN (2014) Possible role of selective, irreversible, proteasome inhibitor (carfilzomib) in the treatment of rat hepatocellular carcinoma. Chem Biol Interact 215:17-24. https://doi.org/10.1016/j.cbi.2014.03.001
- Referans28 Matsuda M, Nakamoto Y, Suzuki S, Kurata T, Kaneko S (2005) Interferon-γ-mediated hepatocarcinogenesis in mice treated with diethylnitrosamine. Lab Invest 85:655-663. https://doi.org/10.1038/labinvest.3700257
- Referans29 Medhat A, Mansour S, El-Sonbaty S, Kandil E, Mahmoud M (2017) Evaluation of the antitumor activity of platinum nanoparticles in the treatment of hepatocellular carcinoma induced in rats. Tumour Biol 39:1-10. https://doi.org/10.1177/1010428317717259
- Referans30 Merhan O, Özcan A, Atakişi E, Öğün M, Kükürt A (2016) The Effect of β-carotene on Acute Phase Response in Diethylnitrosamine Given Rabbits. Kafkas Univ Vet Fak Derg 22:533-537. https://doi.org/10.9775/kvfd.2016.14995
- Referans31 Patial V, S M, Sharma S, Pratap K, Singh D, Padwad YS (2015) Synergistic effect of curcumin and piperine in suppression of DENA-induced hepatocellular carcinoma in rats. Environ Toxicol Pharmacol 40:445-452. https://doi.org/10.1016/j.etap.2015.07.012
- Referans32 Raghunandhakumar S, Paramasivam A, Senthilraja S, Naveenkumar C, Asokkumar S, Binuclara J, Jagan S, Anandakumar P, Devaki T (2013) Thymoquinone inhibits cell proliferation through regulation of G1/S phase cell cycle transition in N-nitrosodiethylamine-induced experimental rat hepatocellular carcinoma. Toxicol Lett 223:60-72. https://doi.org/10.1016/j.toxlet.2013.08.018
- Referans33 Ramakrishnan G, Jagan S, Kamaraj S, Anandakumar P, Devaki T (2009) Silymarin attenuated mast cell recruitment thereby decreased the expressions of matrix metalloproteinases-2 and 9 in rat liver carcinogenesis. Invest New Drugs 27:233-240. https://doi.org/10.1007/s10637-008-9163-y
- Referans34 Shirakami Y, Gottesman ME, Blaner WS (2012) Diethylnitrosamine-induced hepatocarcinogenesis is suppressed in lecithin:retinol acyltransferase-deficient mice primarily through retinoid actions immediately after carcinogen administration. Carcinogenesis 33:268-274. https://doi.org/10.1093/carcin/bgr275
- Referans35 Shizuma T, Ishiwata K, Nagano M, Mori H, Fukuyama N (2011) Protective effects of fermented rice vinegar sediment (Kurozu moromimatsu) in a diethylnitrosamine-induced hepatocellular carcinoma animal model. J Clin Biochem Nutr 49:31-35. https://doi.org/10.3164/jcbn.10-112.
- Referans36 Sivaramakrishnan V, Niranjali Devaraj S (2009) Morin regulates the expression of NF-kappaB-p65, COX-2 and matrix metalloproteinases in diethylnitrosamine induced rat hepatocellular carcinoma. Chem Biol Interact 180:353-359. https://doi.org/10.1016/j.cbi.2009.02.004
- Referans37 Song Y, Jin SJ, Cui LH, Ji XJ, Yang FG (2013) Immunomodulatory effect of Stichopus japonicus acid mucopolysaccharide on experimental hepatocellular carcinoma in rats. Molecules 18:7179-7193. https://doi.org/10.3390/molecules18067179
- Referans38 Srigopalram S, Jayraaj IA, Kaleeswaran B, Balamurugan K, Ranjithkumar M, Kumar TS, Park JI, Nou IS (2014) Ellagic acid normalizes mitochondrial outer membrane permeabilization and attenuates inflammation-mediated cell proliferation in experimental liver cancer. Appl Biochem Biotechnol 173:2254-2266. https://doi.org/10.1007/s12010-014-1031-y
- Referans39 Subramaniyan J, Krishnan G, Balan R, Mgj D, Ramasamy E, Ramalingam S, Veerabathiran R, Thandavamoorthy P, Mani GK, Thiruvengadam D (2014) Carvacrol modulates instability of xenobiotic metabolizing enzymes and downregulates the expressions of PCNA, MMP-2, and MMP-9 during diethylnitrosamine-induced hepatocarcinogenesis in rats. Mol Cell Biochem 395:65-76. https://doi.org/10.1007/s11010-014-2112-5
- Referans40 Taha MM, Abdul AB, Abdullah R, Ibrahim TA, Abdelwahab SI, Mohan S (2010) Potential chemoprevention of diethylnitrosamine-initiated and 2-acetylaminofluorene-promoted hepatocarcinogenesis by zerumbone from the rhizomes of the subtropical ginger (Zingiber zerumbet). Chem Biol Interact 186:295-305. https://doi.org/10.1016/j.cbi.2010.04.029
- Referans41 Thumvijit T, Taya S, Punvittayagul C, Peerapornpisal Y, Wongpoomchai R (2014) Cancer chemopreventive effect of Spirogyra neglecta (Hassall) Kützing on diethylnitrosamine-induced hepatocarcinogenesis in rats. Asian Pac J Cancer Prev 15:1611-1616. https://doi.org/10.7314/APJCP.2014.15.4.1611
- Referans42 Vásquez-Garzón VR, Macias-Pérez JR, Jiménez-Garcia MN, Villegas V, Fattel-Fazenta S, Villa-Treviño S (2013) The chemopreventive capacity of quercetin to induce programmed cell death in hepatocarcinogenesis. Toxicol Pathol 41:857-865. https://doi.org/10.1177/0192623312467522
- Referans43 Wu T, Liu W, Guo W, Zhu X (2016) Silymarin suppressed lung cancer growth in mice via inhibiting myeloid-derived suppressor cells. Biomed Pharmacother 81:460-467. https://doi.org/10.1016/j.biopha.2016.04.039
- Referans44 Wu WY, Kim H, Zhang CL, Meng XL, Wu ZS (2014) Loss of suppressors of cytokine signaling 3 promotes aggressiveness in hepatocellular carcinoma. J Invest Surg 27:197-204. https://doi.org/10.3109/08941939.2013.873098
- Referans45 Xu X, Fan Z, Kang L, Han J, Jiang C, Zheng X, Zhu Z, Jiao H, Lin J, Jiang K, Ding L, Zhang H, Cheng L, Fu H, Song Y, Jiang Y, Liu J, Wang R, Du N, Ye Q (2013a) Hepatitis B virus X protein represses miRNA-148a to enhance tumorigenesis. J Clin Invest 123:630-645. https://doi.org/10.1172/JCI64265
- Referans46 Xu X, Jiang C, Wang S, Tai Y, Wang T, Kang L, Fan Z, Li S, Li L, Fu J, Liu J, Ji Q, Wang X, Wei L, Ye Q (2013b) HPIP is upregulated in liver cancer and promotes hepatoma cell proliferation via activation of G2/M transition. IUBMB Life 65:873-882. https://doi.org/ 10.1002/iub.1202
- Referans47 Xu XM, Deng JJ, Yuan GJ, Yang F, Guo HT, Xiang M, Ge W, Wu YG (2011) 5-Lipoxygenase contributes to the progression of hepatocellular carcinoma. Mol Med Rep 4:1195-1200. https://doi.org/10.3892/mmr.2011.547
- Referans48 Zhang XL, Yu H, Xiong YY, Ma ST, Zhao L, She SF (2013) Resveratrol Down-Regulates Myosin Light Chain Kinase, Induces Apoptosis and Inhibits Diethylnitrosamine-Induced Liver Tumorigenesis in Rats. Int J Mol Sci 14:1940–1951. https://doi.org/10.3390/ijms14011940
- Referans49 Zhao JA, Peng L, Geng CZ, Liu YP, Wang X, Yang HC, Wang SJ (2014) Preventive effect of hydrazinocurcumin on carcinogenesis of diethylnitrosamine-induced hepatocarcinoma in male SD rats. Asian Pac J Cancer Prev 15:2115-2221. https://doi.org/10.7314/apjcp.2014.15.5.2115
Anticancerogenic Effects of Silymarin on Diethylnitrosamine-Induced Hepatocellular Carcinoma in Wistar Rats
Year 2020,
Volume: 2 Issue: 1, 7 - 16, 13.07.2020
Emin Karakurt
,
Serpil Dağ
Abstract
The aim of this study was to evaluate the anticancerogenic effect of Silimarin by immunohistochemical methods on Diethylnitrosamine (DEN) induced Hepatocellular carcinoma (HCC) model in Wistar rats. Fifty male Wistar-Albino rats aging 2 months were randomly divided into 5 equal groups. The Control group rats were given pellet feed and drinking water for 20 weeks. The Sham group rats were injected intraperitoneally Propylene glycol dissolved in %0.9 NaCl three times a week. The Silymarin group rats were injected intraperitoneally 100 mg/kg Silymarin three times a week for 20 weeks. The DEN group rats were injected intraperitoneally 50 mg/kg DEN once a week for 20 weeks. The DEN+Silymarin group rats were injected 50 mg/kg DEN once a week for 20 weeks. Silymarin at a dose of 100 mg/kg was injected intraperitoneally for 21 weeks, three times a week, starting 1 week before DEN administration. At the end of 21 weeks, macroscopically multifocal nodular structures were detected in the DEN and DEN+Silymarin group. A mix pattern of trabecular and acinar structures of HCC was observed in DEN and DEN+Silymarin groups. Besides; No statistically significant results were found between DEN and DEN + Silymarin groups in terms of iNOS, Nitrotyrosine, PCNA, GSTPi, MMP-9, HPIP and TUNEL staining (P > 0.05).
Project Number
2016-TS-08
References
- Referans1 Abdel Salam OM, Sleem AA, Omara EA, Hassan NS (2007) Effect of ribavirin alone or combined with silymarin on carbon tetrachloride induced hepatic damage in rats. Drug Target Insights 2:19-27. https://doi.org/10.1177/117739280700200014
- Referans2 Abdo W, Hirata A, Shukry M, Kamal T, Abdel-Sattar E, Mahrous E, Yanai T (2015) Calligonum comosum extract inhibits diethylnitrosamine-induced hepatocarcinogenesis in rats. Oncol Lett 10:716–722. https://doi.org/10.3892/ol.2015.3313
- Referans3 Abike F, Zengeroğlu S (2010) Epitelyal over karsinomlarında PCNA ekspresyonu. Türk Hijyen ve Deneysel Biyoloji Dergisi 2010; 67:173-178.
- Referans4 Aköz M, Vatansev H, Gürbilek M, Akkuş İ, Vatansev C, Kaptanoğlu B (2000) Glutatyon S-transferaz (GST) izoenzimlerinin çeşitli kanser vakalarında araştırılması. Genel Tıp Derg 10: 1-6.
- Referans5 Ashraf M, Abid F, Riffat S, Bashir S, Iqbal J, Sarfraz M, Afzal A, Zaheer M (2015) Rationalized and complementary findings of silymarin (milk thistle) in Pakistani healthy volunteers. Acta Pol Pharm 72:607-614.
- Referans6 Ben Rahal N, Barba FJ, Barth D, Chevalot I (2015) Supercritical CO₂ extraction of oil, fatty acids and flavonolignans from milk thistle seeds: Evaluation of their antioxidant and cytotoxic activities in Caco-2 cells. Food Chem Toxicol 83:275-282. https://doi.org/10.1016/j.fct.2015.07.006
- Referans7 Beydogan AB, Bolkent S (2016) The effects of silibin administration for different time periods on mouse liver with Ehrlich ascites carcinoma. Pharmacol Rep 68:543-549. https://doi.org/10.1016/j.pharep.2015.12.003
- Referans8 Bharati S, Rishi P, Koul A (2014) Azadirachta indica modulates electrical properties and type of cell death in NDEA-induced hepatic tumors. Cell Biochem Biophys 70:383-390. https://doi.org/10.1007/s12013-014-9923-6
- Referans9 Bingül İ, Başaran-Küçükgergin C, Tekkeşin MS, Olgaç V, Doğru-Abbasoğlu S, Uysal M (2013) Effect of blueberry pretreatment on diethylnitrosamine-induced oxidative stress and liver injury in rats. Environ Toxicol Pharmacol 36:529-538. . https://doi.org/10.1016/j.etap.2013.05.014
- Referans10 Bosch-Barrera J, Menendez JA (2015) Silibinin and STAT3: A natural way of targeting transcription factors for cancer therapy. Cancer Treat Rev 41:540-546. https://doi.org/ 10.1016/j.ctrv.2015.04.008
- Referans11 Bugide S, Gonugunta VK, Penugurti V, Malisetty VL, Vadlamudi RK, Manavathi B (2017) HPIP promotes epithelial-mesenchymal transition and cisplatin resistance in ovarian cancer cells through PI3K/AKT pathway activation. Cell Oncol 40:133-144. https://doi.org/ 10.1007/s13402-016-0308-2
- Referans12 Chen B, Zhao J, Zhang S, Zhang Y, Huang Z (2016) HPIP promotes gastric cancer cell proliferation through activation of cap-dependent translation. Oncol Rep 36:3664-3672. https://doi.org/10.3892/or.2016.5157
- Referans13 Coşkun G, Özgür H (2011) Apoptoz ve Nekrozun Moleküler Mekanizması. Çukurova Üniversitesi Tıp Fakültesi Arşiv Kaynak Tarama Dergisi 20:145-158.
- Referans14 Deep G, Raina K, Singh RP, Oberlies NH, Kroll DJ, Agarwal R (2008) Isosilibinin inhibits advanced human prostate cancer growth in athymic nude mice: comparison with silymarin and silibinin. Int J Can 123:2750-2758. https://doi.org/10.1002/ijc.23879
- Referans15 Dinçel GÇ, Kul O (2016) Patolojik Apoptozis ve Tanı Yöntemleri. Gümüşhane University Journal of Health Sciences 5:86-108.
- Referans16 Elmore S (2007) Apoptosis: a review of programmed cell death. Toxicol Pathol 35:495-516. https://doi.org/10.1080/01926230701320337
- Referans17 Eo HJ, Park GH, Song HM, Lee JW, Kim MK, Lee MH, Lee JR, Koo JS, Jeong JB (2015) Silymarin induces cyclin D1 proteasomal degradation via its phosphorylation of threonine-286 in human colorectal cancer cells. Int Immunopharmacol 24:1-6. https://doi.org/ 10.1016/j.intimp.2014.11.009
- Referans18 Eröz R, Karataş A, Alkoç OA, Baltaci D, Oktay M, Çolakoğlu S (2012) Apoptozis Hakkında Bilinenler (Literatür Taraması). Düzce Tıp Dergisi 14:87-101.
- Referans19 Fan L, Ma Y, Liu Y, Zheng D, Huang G (2014) Silymarin induces cell cycle arrest and apoptosis in ovarian cancer cells. Eur J Pharmacol 743:79-88. https://doi.org/10.1016/j.ejphar.2014.09.019
- Referans20 Fujise Y, Okano J, Nagahara T, Abe R, Imamoto R, Murawaki Y (2012) Preventive effect of caffeine and curcumin on hepato-carcinogenesis in diethylnitrosamine-induced rats. Int J Oncol 40:1779-1788. https://doi.org/10.3892/ijo.2012.1343
- Referans21 Gopalakrishnan R, Sundaram J, Sattu K, Pandi A, Thiruvengadam D (2013) Dietary supplementation of silymarin is associated with decreased cell proliferation, increased apoptosis, and activation of detoxification system in hepatocellular carcinoma. Mol Cell Biochem 377:163-176. https://doi.org/10.1007/s11010-013-1582-1
- Referans22 Gupta P, Bansal MP, Koul A (2013) Evaluating the effect of lycopene from Lycopersicum esculentum on apoptosis during NDEA induced hepatocarcinogenesis. Biochem Biophys Res Commun 434:479-485. https://doi.org/10.1016/j.bbrc.2013.03.099
- Referans23 Imamoto R, Okano JI, Sawada S, Fujise Y, Abe R, Murawaki Y (2014) Null anticarcinogenic effect of silymarin on diethylnitrosamine-induced hepatocarcinogenesis in rats. Exp Ther Med 7:31-38. https://doi.org/10.3892/etm.2013.1391
- Referans24 Jin Z, El-Deiry WS (2005) Overview of cell death signaling pathways. Cancer Biol Ther 4:139-163. https://doi.org/10.4161/cbt.4.2.1508
- Referans25 Kaya C, Çalişkan Y, Yönden Z (2012) Apoptozis. Mustafa Kemal Üniversitesi Tıp Dergisi 3: 26-37.
- Referans26 Man S, Li J, Fan W, Chai H, Liu Z, Gao W (2015) Inhibition of pulmonary adenoma in diethylnitrosamine-induced rats by Rhizoma paridis saponins. J Steroid Biochem Mol Biol 154:62-67. https://doi.org/10.1016/j.jsbmb.2015.07.004
- Referans27 Mansour MA, Aljoufi MA, Al-Hosaini K, Al-Rikabi AC, Nagi MN (2014) Possible role of selective, irreversible, proteasome inhibitor (carfilzomib) in the treatment of rat hepatocellular carcinoma. Chem Biol Interact 215:17-24. https://doi.org/10.1016/j.cbi.2014.03.001
- Referans28 Matsuda M, Nakamoto Y, Suzuki S, Kurata T, Kaneko S (2005) Interferon-γ-mediated hepatocarcinogenesis in mice treated with diethylnitrosamine. Lab Invest 85:655-663. https://doi.org/10.1038/labinvest.3700257
- Referans29 Medhat A, Mansour S, El-Sonbaty S, Kandil E, Mahmoud M (2017) Evaluation of the antitumor activity of platinum nanoparticles in the treatment of hepatocellular carcinoma induced in rats. Tumour Biol 39:1-10. https://doi.org/10.1177/1010428317717259
- Referans30 Merhan O, Özcan A, Atakişi E, Öğün M, Kükürt A (2016) The Effect of β-carotene on Acute Phase Response in Diethylnitrosamine Given Rabbits. Kafkas Univ Vet Fak Derg 22:533-537. https://doi.org/10.9775/kvfd.2016.14995
- Referans31 Patial V, S M, Sharma S, Pratap K, Singh D, Padwad YS (2015) Synergistic effect of curcumin and piperine in suppression of DENA-induced hepatocellular carcinoma in rats. Environ Toxicol Pharmacol 40:445-452. https://doi.org/10.1016/j.etap.2015.07.012
- Referans32 Raghunandhakumar S, Paramasivam A, Senthilraja S, Naveenkumar C, Asokkumar S, Binuclara J, Jagan S, Anandakumar P, Devaki T (2013) Thymoquinone inhibits cell proliferation through regulation of G1/S phase cell cycle transition in N-nitrosodiethylamine-induced experimental rat hepatocellular carcinoma. Toxicol Lett 223:60-72. https://doi.org/10.1016/j.toxlet.2013.08.018
- Referans33 Ramakrishnan G, Jagan S, Kamaraj S, Anandakumar P, Devaki T (2009) Silymarin attenuated mast cell recruitment thereby decreased the expressions of matrix metalloproteinases-2 and 9 in rat liver carcinogenesis. Invest New Drugs 27:233-240. https://doi.org/10.1007/s10637-008-9163-y
- Referans34 Shirakami Y, Gottesman ME, Blaner WS (2012) Diethylnitrosamine-induced hepatocarcinogenesis is suppressed in lecithin:retinol acyltransferase-deficient mice primarily through retinoid actions immediately after carcinogen administration. Carcinogenesis 33:268-274. https://doi.org/10.1093/carcin/bgr275
- Referans35 Shizuma T, Ishiwata K, Nagano M, Mori H, Fukuyama N (2011) Protective effects of fermented rice vinegar sediment (Kurozu moromimatsu) in a diethylnitrosamine-induced hepatocellular carcinoma animal model. J Clin Biochem Nutr 49:31-35. https://doi.org/10.3164/jcbn.10-112.
- Referans36 Sivaramakrishnan V, Niranjali Devaraj S (2009) Morin regulates the expression of NF-kappaB-p65, COX-2 and matrix metalloproteinases in diethylnitrosamine induced rat hepatocellular carcinoma. Chem Biol Interact 180:353-359. https://doi.org/10.1016/j.cbi.2009.02.004
- Referans37 Song Y, Jin SJ, Cui LH, Ji XJ, Yang FG (2013) Immunomodulatory effect of Stichopus japonicus acid mucopolysaccharide on experimental hepatocellular carcinoma in rats. Molecules 18:7179-7193. https://doi.org/10.3390/molecules18067179
- Referans38 Srigopalram S, Jayraaj IA, Kaleeswaran B, Balamurugan K, Ranjithkumar M, Kumar TS, Park JI, Nou IS (2014) Ellagic acid normalizes mitochondrial outer membrane permeabilization and attenuates inflammation-mediated cell proliferation in experimental liver cancer. Appl Biochem Biotechnol 173:2254-2266. https://doi.org/10.1007/s12010-014-1031-y
- Referans39 Subramaniyan J, Krishnan G, Balan R, Mgj D, Ramasamy E, Ramalingam S, Veerabathiran R, Thandavamoorthy P, Mani GK, Thiruvengadam D (2014) Carvacrol modulates instability of xenobiotic metabolizing enzymes and downregulates the expressions of PCNA, MMP-2, and MMP-9 during diethylnitrosamine-induced hepatocarcinogenesis in rats. Mol Cell Biochem 395:65-76. https://doi.org/10.1007/s11010-014-2112-5
- Referans40 Taha MM, Abdul AB, Abdullah R, Ibrahim TA, Abdelwahab SI, Mohan S (2010) Potential chemoprevention of diethylnitrosamine-initiated and 2-acetylaminofluorene-promoted hepatocarcinogenesis by zerumbone from the rhizomes of the subtropical ginger (Zingiber zerumbet). Chem Biol Interact 186:295-305. https://doi.org/10.1016/j.cbi.2010.04.029
- Referans41 Thumvijit T, Taya S, Punvittayagul C, Peerapornpisal Y, Wongpoomchai R (2014) Cancer chemopreventive effect of Spirogyra neglecta (Hassall) Kützing on diethylnitrosamine-induced hepatocarcinogenesis in rats. Asian Pac J Cancer Prev 15:1611-1616. https://doi.org/10.7314/APJCP.2014.15.4.1611
- Referans42 Vásquez-Garzón VR, Macias-Pérez JR, Jiménez-Garcia MN, Villegas V, Fattel-Fazenta S, Villa-Treviño S (2013) The chemopreventive capacity of quercetin to induce programmed cell death in hepatocarcinogenesis. Toxicol Pathol 41:857-865. https://doi.org/10.1177/0192623312467522
- Referans43 Wu T, Liu W, Guo W, Zhu X (2016) Silymarin suppressed lung cancer growth in mice via inhibiting myeloid-derived suppressor cells. Biomed Pharmacother 81:460-467. https://doi.org/10.1016/j.biopha.2016.04.039
- Referans44 Wu WY, Kim H, Zhang CL, Meng XL, Wu ZS (2014) Loss of suppressors of cytokine signaling 3 promotes aggressiveness in hepatocellular carcinoma. J Invest Surg 27:197-204. https://doi.org/10.3109/08941939.2013.873098
- Referans45 Xu X, Fan Z, Kang L, Han J, Jiang C, Zheng X, Zhu Z, Jiao H, Lin J, Jiang K, Ding L, Zhang H, Cheng L, Fu H, Song Y, Jiang Y, Liu J, Wang R, Du N, Ye Q (2013a) Hepatitis B virus X protein represses miRNA-148a to enhance tumorigenesis. J Clin Invest 123:630-645. https://doi.org/10.1172/JCI64265
- Referans46 Xu X, Jiang C, Wang S, Tai Y, Wang T, Kang L, Fan Z, Li S, Li L, Fu J, Liu J, Ji Q, Wang X, Wei L, Ye Q (2013b) HPIP is upregulated in liver cancer and promotes hepatoma cell proliferation via activation of G2/M transition. IUBMB Life 65:873-882. https://doi.org/ 10.1002/iub.1202
- Referans47 Xu XM, Deng JJ, Yuan GJ, Yang F, Guo HT, Xiang M, Ge W, Wu YG (2011) 5-Lipoxygenase contributes to the progression of hepatocellular carcinoma. Mol Med Rep 4:1195-1200. https://doi.org/10.3892/mmr.2011.547
- Referans48 Zhang XL, Yu H, Xiong YY, Ma ST, Zhao L, She SF (2013) Resveratrol Down-Regulates Myosin Light Chain Kinase, Induces Apoptosis and Inhibits Diethylnitrosamine-Induced Liver Tumorigenesis in Rats. Int J Mol Sci 14:1940–1951. https://doi.org/10.3390/ijms14011940
- Referans49 Zhao JA, Peng L, Geng CZ, Liu YP, Wang X, Yang HC, Wang SJ (2014) Preventive effect of hydrazinocurcumin on carcinogenesis of diethylnitrosamine-induced hepatocarcinoma in male SD rats. Asian Pac J Cancer Prev 15:2115-2221. https://doi.org/10.7314/apjcp.2014.15.5.2115