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Silibinin improves tumor immunity Silibinin inhibits tumor growth through immunomodulatory activities, such as regulating immune cells (Tregs, macrophages, DCs, NK cell), inhibiting inflammatory cytokines (IFN- , IL-2, IL-6, IL-10, IL-12, TNF- , and TGF- ), and modulating immune check points (PD-L1 and PD-1) [889,890,891,892,893]

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These trials did not show clear advantages over placebo on standard PD scales, partly because sample sizes were small and placebo groups improved

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