School of Pharmacy, Shandong University of Traditional Chinese Medicine, Jinan, 250355, PR China.
Experimental Center, Shandong University of Traditional Chinese Medicine, Jinan, 250355, PR China.
J Ethnopharmacol. 2021 Mar 25;268:113581. doi: 10.1016/j.jep.2020.113581. Epub 2020 Nov 12.
and ethnopharmacological relevance: As the major side effect of radiotherapy or chemotherapy, myelosuppression usually leads to anemia, hemorrhage, immunosuppression, and even fatal infections, which may discontinue the process of cancer treatment. As a result, more and more attention is paid to the treatment of myelosuppression. Ginseng, root of Panax ginseng Meyer (Panax ginseng C. A. Mey), is considered as the king of herbs in the Orient, particularly in China, Korea and Japan. Ginsenosides, the most important active ingredients of ginseng, have been shown to have a variety of therapeutic effects, such as neuroprotective, anti-cancer and anti-diabetic properties. Considering that ginsenosides are closely associated with the pathogenesis of myelosuppression, researchers have carried out a few experiments on ginsenosides to attenuate myelosuppression induced by chemotherapy or radiotherapy in recent years.
To summarize previous studies about the effects of ginsenosides on alleviating myelosuppression and the mechanisms of action.
Literatures in this review were searched in PubMed, China National Knowledge Infrastructure (CNKI), Web of Science, and ScienceDirect.
Ginsenosides play an important role in relieving myelosuppression predominantly by restoring hematopoiesis and immunity.
Ginsenosides might be potential candidates for the treatment of myelosuppression induced by chemotherapy or radiotherapy.
及民族药理学相关性: 作为放疗或化疗的主要副作用,骨髓抑制通常会导致贫血、出血、免疫抑制,甚至致命感染,从而可能中断癌症治疗过程。因此,人们越来越关注骨髓抑制的治疗。人参,是五加科人参属植物(Panax ginseng C. A. Mey)的根,在东方被视为百草之王,尤其在中国、韩国和日本。人参皂苷是人参的最重要活性成分,已显示出多种治疗作用,如神经保护、抗癌和抗糖尿病作用。鉴于人参皂苷与人骨髓抑制的发病机制密切相关,近年来,研究人员已经进行了一些关于人参皂苷减轻化疗或放疗引起的骨髓抑制的实验。
总结人参皂苷缓解骨髓抑制作用及其作用机制的研究进展。
在 PubMed、中国知网(CNKI)、Web of Science 和 ScienceDirect 中检索本综述中的文献。
人参皂苷主要通过恢复造血和免疫功能来发挥缓解骨髓抑制的作用。
人参皂苷可能是治疗化疗或放疗引起的骨髓抑制的潜在候选药物。