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高丽红参胶囊增强免疫作用:一项随机、双盲、安慰剂对照临床试验。

Enhanced immunity effect of Korean Red Ginseng capsule: A randomized, double-blind and placebo-controlled clinical trial.

作者信息

Yang Yi, Li Jing, Zhou Shengyuan, Ni Daoyan, Yang Cailing, Zhang Xu, Tan Jian, Yan Jingrui, Wang Na

机构信息

Scientific Research Center, Conbio Technology Group Co., Ltd., Tianjin, China.

Laboratory Department, Tianjin Third Central Hospital, Tianjin, China.

出版信息

J Ginseng Res. 2024 Sep;48(5):504-510. doi: 10.1016/j.jgr.2024.05.007. Epub 2024 May 31.

DOI:10.1016/j.jgr.2024.05.007
PMID:39263305
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11385404/
Abstract

BACKGROUND

As a physiological function of body, immunity can maintain health by identifying itself and excluding others. With economic development and increasingly fierce social competition, the number of sub-healthy population is gradually increasing, and the most basic problem exposed is human hypoimmunity. Hypoimmunity can be manifested as often feeling tired, catching colds, mental depression, etc. In order to enhance immunity, eating healthy foods with the effect of enhancing immunity may become an effective choice. KRG has pharmacological effects of enhancing immunity. Because the screening and evaluation method of immune population are not unified, there are relatively few KRG immunity tests for sub-health population. It is of great significance to study the effect of KRG on people with hypoimmunity to improve sub-health status.

METHODS

This was a 180-day, randomized, double-blind, placebo-controlled clinical trial. According to the trial scheme design, 119 qualified subjects were included and randomly divided into the test group taking KRG and the placebo control group. Subjects need to check safety indicators (blood pressure and heart rate, blood routine, liver and kidney function, urine routine and stool routine) and efficacy indicators (main and secondary) inspection at baseline, efficacy indicators inspection during the mid-term of the test (90th days of administration), safety and efficacy indicators inspection after the test (180th days of administration).

RESULTS

After the test, the safety indicators of placebo control group and KRG test group were basically within the normal range, and there is no significant difference in fireness score between the two groups. Through follow-up interviews, it was found that the subjects in the test group and the control group had no adverse reactions and allergic reactions such as nausea, flatulence, diarrhea, and abdominal pain during the test period. Self-comparison of the test group, the results of the main efficacy indicators: (1) immune related health scores were significantly improved in the mid-term and after the test ( < 0.01), (2) CD3 and CD4/CD8 increased significantly after the test ( < 0.05), (3) IgG, IgA, IgM and WBC increased significantly in the mid-term and after the test ( < 0.01); the results of the secondary efficacy indicators: (1) TNF-α decreased significantly in the mid-term ( < 0.05), IFN-γ decreased significantly in the mid-term ( < 0.01), (2) NK increased significantly in the mid-term and after the test ( < 0.05), (3) monocyte increased significantly in the mid-term and after the test ( < 0.01). Inter-group comparison of the test group and the control group, the results of the main efficacy indicators: (1) immune related health scores were higher than that of the control group in the mid-term and after the test ( < 0.01), (2) IgA of the test group was higher than that of the control group in the mid-term and after the test ( < 0.05); the results of the secondary efficacy indicators: (1) WBC of the test group was higher than that of the control group in the mid-term ( < 0.05); (2) monocytes of the test group were higher than that of the control group in the mid-term and after the test ( < 0.05), neutrophils of the test group were higher than that of the control group in the mid-term ( < 0.05).

CONCLUSION

Taking KRG has no adverse effects on the health of the subjects. According to the standard of clinical trial scheme, the immune related health scores and IgA in the main efficacy indicators were positive, which shows that KRG is helpful in enhancing human immunity.

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cfa7/11385404/fadb3f63e1c1/ga1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cfa7/11385404/fadb3f63e1c1/ga1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cfa7/11385404/fadb3f63e1c1/ga1.jpg
摘要

背景

免疫作为机体的一种生理功能,可通过识别自身、排除异己来维护健康。随着经济发展和社会竞争日益激烈,亚健康人群数量逐渐增多,所暴露的最基本问题是人体免疫力低下。免疫力低下可表现为经常感到疲惫、易感冒、精神抑郁等。为增强免疫力,食用具有增强免疫力作用的健康食品可能成为一种有效选择。红参具有增强免疫力的药理作用。由于免疫人群的筛选和评价方法不统一,针对亚健康人群的红参免疫试验相对较少。研究红参对免疫力低下人群的作用对于改善亚健康状态具有重要意义。

方法

这是一项为期180天的随机、双盲、安慰剂对照临床试验。根据试验方案设计,纳入119名合格受试者并随机分为服用红参的试验组和安慰剂对照组。受试者需在基线时检查安全指标(血压、心率、血常规、肝肾功能、尿常规和大便常规)和疗效指标(主要和次要),在试验中期(给药第90天)检查疗效指标,在试验结束后(给药第180天)检查安全和疗效指标。

结果

试验结束后,安慰剂对照组和红参试验组的安全指标基本在正常范围内,两组的健康评分无显著差异。通过随访访谈发现,试验组和对照组的受试者在试验期间均未出现恶心、腹胀、腹泻、腹痛等不良反应和过敏反应。试验组自身比较,主要疗效指标结果:(1)免疫相关健康评分在试验中期和结束后显著改善(P<0.01),(2)试验结束后CD3和CD4/CD8显著升高(P<0.05),(3)IgG、IgA、IgM和白细胞在试验中期和结束后显著升高(P<0.01);次要疗效指标结果:(1)试验中期TNF-α显著降低(P<0.05),试验中期IFN-γ显著降低(P<0.01);(2)试验中期和结束后NK显著升高(P<0.05),(3)试验中期和结束后单核细胞显著升高(P<0.01)。试验组与对照组组间比较,主要疗效指标结果:(1)试验中期和结束后免疫相关健康评分高于对照组(P<0.01),(2)试验组的IgA在试验中期和结束后高于对照组(P<0.05);次要疗效指标结果:(1)试验组的白细胞在试验中期高于对照组(P<0.05);(2)试验组的单核细胞在试验中期和结束后高于对照组(P<0.05),试验组的中性粒细胞在试验中期高于对照组(P<0.05)。

结论

服用红参对受试者健康无不良影响。按照临床试验方案标准,主要疗效指标中的免疫相关健康评分和IgA呈阳性,表明红参有助于增强人体免疫力。

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