Zhao Xuan-Yin, Zhang Fang, Pan Wei, Yang Yi-Fang, Jiang Xiao-Ya
First Affiliated Hospital, Guizhou University of Traditional Chinese Medicine, Guiyang 550002, Guizhou Province, China.
Maternal and Child Health Hospital of Guiyang, Guiyang 550002, Guizhou Province, China.
World J Clin Cases. 2021 Jul 6;9(19):4959-4979. doi: 10.12998/wjcc.v9.i19.4959.
Gestational diabetes mellitus (GDM) is the most common glucose metabolism complication or cause of potential impaired glucose tolerance that can occur either before or during pregnancy and lactation. The prevalence of GDM and its related complications in young women is increasing, and this condition may cause serious outcomes and health hazards to the foetus. However, traditional oral hypoglycaemic drugs have potential safety hazards; therefore, it is urgent to develop new, safe, effective, and easily administered agents and remedies. Ginseng polysaccharide (GPS), which is isolated from (P.) C. A. Meyer, exhibits notably promising biological activities and effects; specifically, it has been shown to lower blood glucose with mild, safe, and nontoxic characteristics, and it can also improve human bodily functions. Hence, we hypothesise that GPS might be used as an additional therapy and candidate agent for treating GDM. This review innovatively summarizes the available reports and evidence from basic studies to analyze the potential for and feasibility of using GPS as a new therapeutic agent for treating GDM. Additionally, for the first time, this review provides a rationale for the use of GPS. Our summarized results show that GPS may be developed as a novel antidiabetic drug and a remedy for use in preventing and treating GDM, with great application prospects.
妊娠期糖尿病(GDM)是最常见的葡萄糖代谢并发症,或是在妊娠及哺乳前或期间可能出现的潜在糖耐量受损的原因。年轻女性中GDM及其相关并发症的患病率正在上升,这种情况可能会给胎儿带来严重后果和健康危害。然而,传统口服降糖药存在潜在安全隐患;因此,迫切需要开发新的、安全、有效且易于给药的药物和疗法。从人参(P.)C. A. Meyer中分离出的人参多糖(GPS)具有显著的生物活性和作用;具体而言,它已被证明具有降低血糖的作用,且具有温和、安全、无毒的特性,还能改善人体机能。因此,我们推测GPS可能用作治疗GDM的辅助疗法和候选药物。本综述创新性地总结了现有基础研究报告和证据,以分析将GPS用作治疗GDM新治疗药物的可能性和可行性。此外,本综述首次为GPS的使用提供了理论依据。我们总结的结果表明,GPS有望开发成为一种新型抗糖尿病药物以及用于预防和治疗GDM的药物,具有广阔的应用前景。