人参作为一种医疗食品对化学毒物的保护作用:分子和细胞机制。

Protective effects of Panax ginseng as a medical food against chemical toxic agents: molecular and cellular mechanisms.

机构信息

Department of Pharmacodynamics and Toxicology, School of Pharmacy, Mashhad University of Medical Sciences, Mashhad, Iran.

Student Research Committee, Mashhad University of Medical Science, Mashhad, Iran.

出版信息

Naunyn Schmiedebergs Arch Pharmacol. 2024 Nov;397(11):8395-8419. doi: 10.1007/s00210-024-03186-5. Epub 2024 Jun 11.

Abstract

Humans are exposed to different types of toxic agents, which may directly induce organ malfunction or indirectly alter gene expression, leading to carcinogenic and teratogenic effects, and eventually death. Ginseng (Panax ginseng) is the most valuable of all medicinal herbs. Nevertheless, specific data on the antidotal mechanisms of this golden herb are currently unavailable. Based on the findings of in vitro, in vivo, and clinical studies, this review focused on the probable protective mechanisms of ginseng and its major components, such as protopanaxadiols, protopanaxatriols, and pentacyclic ginsenosides against various chemical toxic agents. Relevant articles from 2000 to 2023 were gathered from PubMed/Medline, Scopus, and Google Scholar. This literature review shows that P. ginseng and its main components have protective and antidotal effects against the deteriorative effects of pesticides, pharmaceutical agents, including acetaminophen, doxorubicin, isoproterenol, cyclosporine A, tacrolimus, and gentamicin, ethanol, and some chemical agents. These improvements occur through multi-functional mechanisms. They exhibit antioxidant activity, induce anti-inflammatory action, and block intrinsic and extrinsic apoptotic pathways. However, relevant clinical trials are necessary to validate the mentioned effects and translate the knowledge from basic science to human benefit, fulfilling the fundamental goal of all toxicologists.

摘要

人类会接触到不同类型的有毒物质,这些物质可能会直接导致器官功能障碍,或者间接改变基因表达,从而引发致癌和致畸效应,最终导致死亡。人参是所有草药中最有价值的一种。然而,目前关于这种金色草药解毒机制的具体数据尚不清楚。基于体外、体内和临床研究的结果,本综述重点关注了人参及其主要成分(如原人参二醇、原人参三醇和五环三萜皂苷)对各种化学毒物的可能保护机制。从 2000 年到 2023 年,相关文献从 PubMed/Medline、Scopus 和 Google Scholar 中收集。本文献综述表明,人参及其主要成分对农药、药物(包括对乙酰氨基酚、阿霉素、异丙肾上腺素、环孢素 A、他克莫司和庆大霉素)、乙醇和一些化学物质的有害影响具有保护和解毒作用。这些改善是通过多种功能机制实现的。它们具有抗氧化活性,诱导抗炎作用,并阻断内在和外在的细胞凋亡途径。然而,有必要进行相关的临床试验来验证上述作用,并将基础科学知识转化为人类的利益,实现所有毒理学家的基本目标。

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