PT - JOURNAL ARTICLE AU - ALESSANDRO FEDERICO AU - VALERIA CONTI AU - GIUSY RUSSOMANNO AU - MARCELLO DALLIO AU - MARIO MASARONE AU - PAOLA STIUSO AU - CONCETTA TUCCILLO AU - MICHELE CARAGLIA AU - VALENTINA MANZO AU - MARCELLO PERSICO AU - AMELIA FILIPPELLI AU - CARMELINA LOGUERCIO TI - A Long-term Treatment with Silybin in Patients with Non-alcoholic Steatohepatitis Stimulates Catalase Activity in Human Endothelial Cells DP - 2017 Jul 01 TA - In Vivo PG - 609--618 VI - 31 IP - 4 4099 - http://iv.iiarjournals.org/content/31/4/609.short 4100 - http://iv.iiarjournals.org/content/31/4/609.full SO - In Vivo2017 Jul 01; 31 AB - Aim: To compare levels of oxidative stress markers in patients' sera with non-alcoholic steatohepatitis (NASH) treated for 12 months (T12) with silybin conjugated with phosphatidylcholine (RealsilĀ®) (R) or placebo (P) and investigate oxidative stress responses in human endothelial cells conditioned with patients' sera. Patients and Methods: We recruited twenty-seven patients with histological NASH. We measured thiobarbituric acid reactive substances (TBARS), superoxide dismutase (SOD) and catalase (CAT) activities in human endothelial cells conditioned with patients' sera exposed or not to H2O2. Results: We found in decreased-TBARS patients' sera, at T12, a decrease of alanine aminotransferase (p=0.038), transforming growth factor-beta (p=0.009) and procollagen I (p=0.001). By dividing patients into two groups, increased (P-I/R-I) and decreased TBARS (P-II/R-II) at T12 compared to T0, we found an increased CAT activity in conditioned endothelial cells at T12 in both groups (p=0.05 and p=0.001, respectively). Conclusion: RealsilĀ® may be effective against endothelial dysfunction by stimulating the cellular antioxidant defense.