Department of Infectious Diseases, The First Affiliated Hospital of Chongqing Medical University, Yuzhong District, Chongqing 400016, China.
Evid Based Complement Alternat Med. 2014;2014:538059. doi: 10.1155/2014/538059. Epub 2014 Oct 28.
Acute liver failure (ALF) is a rapidly progressing critical illness with a high mortality rate. Circulating inflammatory cytokines, such as tumor necrosis factor-α (TNF-α), play a significant role in the pathophysiology of ALF through promoting hepatocellular apoptosis. Ginsenoside Rg1, the primary active ingredient in Panax ginseng (also termed Asian or Korean ginseng), has been reported to inhibit TNF-α production and has been shown to significantly attenuate liver fibrosis development. Here, we assessed ginsenoside Rg1's potential as a therapy for ALF by investigating the effect of ginsenoside Rg1 treatment on circulating inflammatory markers, hepatocellular apoptosis, and relevant apoptotic signaling pathways in a well-established murine ALF model. We found that ginsenoside Rg1 significantly reduces liver damage in a murine ALF model through inhibiting TNF-α-induced, caspase-dependent hepatocellular apoptosis. These results support the further investigation of ginsenoside Rg1 as a therapeutic candidate for ALF.
急性肝衰竭(ALF)是一种进展迅速的危重病,死亡率很高。循环炎症细胞因子,如肿瘤坏死因子-α(TNF-α),通过促进肝细胞凋亡在 ALF 的病理生理学中起重要作用。人参中的主要活性成分人参皂苷 Rg1(也称为亚洲或韩国人参)已被报道可抑制 TNF-α的产生,并已被证明可显著减轻肝纤维化的发展。在这里,我们通过研究人参皂苷 Rg1 处理对已建立的小鼠 ALF 模型中循环炎症标志物、肝细胞凋亡和相关凋亡信号通路的影响,评估了人参皂苷 Rg1 作为 ALF 治疗药物的潜力。我们发现,人参皂苷 Rg1 通过抑制 TNF-α诱导的、半胱天冬酶依赖性肝细胞凋亡,显著减轻了小鼠 ALF 模型中的肝损伤。这些结果支持进一步研究人参皂苷 Rg1 作为 ALF 的治疗候选药物。