Song Liang, Xu Meng-Bei, Zhou Xiao-Li, Zhang Dao-Pei, Zhang Shu-Ling, Zheng Guo-Qing
Department of Neurology, The Second Affiliated Hospital and Yuying Children's Hospital of Wenzhou Medical University, Wenzhou, China; Department of Neurology, Zhengzhou People's Hospital, Zhengzhou 450003, China.
Department of Neurology, The Second Affiliated Hospital and Yuying Children's Hospital of Wenzhou Medical University, Wenzhou, China.
Oxid Med Cell Longev. 2017;2017:2163053. doi: 10.1155/2017/2163053. Epub 2017 Mar 13.
To date, no drug has been proven to be neuroprotective or disease-modifying for Parkinson's disease (PD) in clinical trials. Here, we aimed to assess preclinical evidence of Ginsenosides-Rg1 (G-Rg1), a potential neuroprotectant, for experimental PD and its possible mechanisms. Eligible studies were identified by searching six electronic databases from their inception to August 2016. Twenty-five eligible studies involving 516 animals were identified. The quality score of these studies ranged from 3 to 7. Compared with the control group, two out of the 12 studies of MPTP-induced PD showed significant effects of G-Rg1 for improving the rotarod test ( < 0.01), two studies for improving the swim-score values ( < 0.01), six studies for improving the level of TH protein expression ( < 0.01), and two studies for increasing the expression of TH mRNA in the substantia nigra of mice ( < 0.01). The studies reported that G-Rg1 exerted potential neuroprotective effects on PD model through different mechanisms as antineuroinflammatory activities ( = 10), antioxidant stress ( = 3), and antiapoptosis ( = 11). In conclusion, G-Rg1 exerted potential neuroprotective functions against PD largely by antineuroinflammatory, antioxidative, and antiapoptotic effects. G-Rg1 as a promising neuroprotectant for PD needs further confirmation by clinical trials.
迄今为止,在临床试验中尚未有药物被证明对帕金森病(PD)具有神经保护作用或疾病修饰作用。在此,我们旨在评估人参皂苷-Rg1(G-Rg1)作为一种潜在神经保护剂对实验性帕金森病的临床前证据及其可能机制。通过检索六个电子数据库从建库至2016年8月来确定符合条件的研究。共确定了25项符合条件的研究,涉及516只动物。这些研究的质量评分范围为3至7分。与对照组相比,在12项MPTP诱导的帕金森病研究中,有两项研究显示G-Rg1对改善转棒试验有显著效果(<0.01),两项研究对改善游泳评分值有显著效果(<0.01),六项研究对提高TH蛋白表达水平有显著效果(<0.01),两项研究对增加小鼠黑质中TH mRNA的表达有显著效果(<0.01)。这些研究报告称,G-Rg1通过不同机制如抗神经炎症活性(n = 10)、抗氧化应激(n = 3)和抗凋亡(n = 11)对帕金森病模型发挥潜在神经保护作用。总之,G-Rg1主要通过抗神经炎症、抗氧化和抗凋亡作用对帕金森病发挥潜在神经保护功能。G-Rg1作为一种有前景的帕金森病神经保护剂需要通过临床试验进一步证实。