Liver cancer, particularly hepatocellular carcinoma (HCC), is a rising global health concern, driven by risk factors such as HBV, HCV, and NASH. Key biomarkers like malondialdehyde (MDA), lactate dehydrogenase (LDH), NF-kB, and cytokines are indicative of oxidative stress and inflammation associated with HCC progression. Phytochemicals from Nigerian medicinal plants, especially silymarin a potent antioxidant and anti-inflammatory compound derived from milk thistle have shown promising therapeutic potential in mitigating liver damage. These bioactive compound target oxidative damage and immune modulation pathways, offering hope for innovative treatments against HCC. This study investigates the hepatoprotective effects of silymarin on biochemical markers in Nnitrosodiethylamine (NDEA)-induced hepatocellular carcinoma (HCC) in rats, focusing on lactate dehydrogenase (LDH), malondialdehyde (MDA), nuclear factor-kappa B (NF-kB), and cytokine levels. Results indicate that NDEA exposure significantly elevated LDH, MDA, and NF-kB levels in serum and liver tissues, correlating with tissue damage and oxidative stress. Silymarin treatment markedly reduced LDH levels (p < 0.001), suggesting their role in mitigating HCC progression. Elevated MDA levels indicated enhanced lipid peroxidation, with silymarin reducing MDA significantly (p < 0.001), implicating their antioxidative properties. NF-kB levels, an early marker of neoplastic changes, were notably decreased following silymarin administration, particularly with 75 mg of silymarin, which showed a stronger effect than sorafenib a reference drug. NDEA also increased pro-inflammatory cytokine IL-6, which was dose dependently downregulated by silymarin, whereas IL-10 levels, an anti-inflammatory cytokine, were upregulated in treated groups, aiding in inflammation modulation. This study underscores the therapeutic potential of silymarin, supporting its efficacy in HCC management by reducing oxidative damage, inflammation, and cell proliferation markers
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