HYBRID EVENT: You can participate in person at Madrid, Spain or Virtually from your home or work.
Madrid, Spain
September 05-07, 2024
ICTM 2019

Chen Che Yi

Chen Che Yi, Speaker at Traditional Medicine Conferences
Taipei Medical University, Taiwan
Title : Inhibition of intestinal bacterial b-Glucuronidase by Silymarin to alleviate Irinotecan induced diarrhea and myelotoxicity and to improve anti cancer therapeutic efficacy


I rinotecan (CPT-11), a chemotherapeutic agent for colon cancer, commonly induces adverse effects, such as diarrhea and myelotoxicity. After the non-toxic metabolite (SN-38-glucuronide) of irinotecan was excreted to intestine, bacterial β-glucuronidase (βG) converts it into the toxic aglycone (SN-38), causing severe Intestinal damage. Here, we discovered that silymarin, an extract of the milk thistle (Silybum marianum), is species-specific inhibitor blocking bacterial βG for alleviating the adverse effects of irinotecan. Silymarin showed specific inhibitory activity against E. coli, but not human, βG (purified enzyme and living cells) in an in vitro colorimetric assay. After the mice were orally gavaged with silymarin for 4 days, the enzyme activity of intestinal bacterial βG was reduced in a dose-dependent manner revealed by the in vivo optical imaging of a fluorescent βG probe (FDGlcU). Mice administered with silymarin prior to irinotecan showed less severe irinotecan-induced diarrhea, weight loss, histological intestinal lesions, anemia and leukopenia. Moreover, the co-treatment of silymarin and irinotecan significantly inhibited the tumor growth of human colorectal adenocarcinoma in mice when compared to either agent alone. Our data showed that silymarin alleviated irinotecan-induced adverse effects and enhanced the anti-cancer efficacy, indicating a prophylactic potential of silymarin for irinotecan-treated cancer patients


Jack, Che-Yi, studied Pharmacy in Taipei Medical University (TMU), Taiwan and graduated as BS and got pharmacist license in 2016. He joined the research group of Prof, Kuo-Hsiang Chuang at the Institute of Pharmacognosy, TMU since 2013. He received his MS degree in 2018 at the same institution. He is currently studying in the second year of PhD Program in Clinical Drug Development of Herbal Medicine. He is also a co-founder of Pharmixperience, a flatform for pharmacy. His research interests included antibody drug discovery, autoimmune disease, and traditional Chinese medicine.