Ginkgo Biloba Extract 761 Reduces the Risk of Progression of Age-Related Macular Degeneration

Sergio Ramírez-González, E. Casillas-Casillas, F. Jaramillo-Juárez, A. Rincón-Sánchez
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Abstract

Age-related macular degeneration (AMD) is the leading cause of blindness. Although its development is poorly understood., high concentrations of reactive oxygen species, maybe trigger it. The aim of this study was to analyze whether the antioxidant action of the dietary supplement Ginkgo biloba (EGb-761) can reduce the progression of AMD. A clinical trial was conducted in Mexico, with people over 55 years of age. AMD patients were treated with EGb-761: 50 mg/day (n = 26) or 100 mg/day (n = 22) for 3 months. A control group with 22 healthy people (without treatment) was included. Before and after treatment, functional and structural ocular tests were performed, and systemic oxidative stress (OS) was measured.Changes between baseline and after the treatment with both doses were significant (P < 0.05). Contrast sensitivity increased 16% and 17%, the number of metamorphopsias (central vision integrity) decreased 100% and 95%; central perimetry (scotoma) decreased 93% and 88%, and hyperpigmentation (autofluorescence) decreased 88% and 89%, respectively. For OS, malondialdehyde concentration decreased 7.6% and 8.5%, and reduced glutathione levels increased 5.3% and 7.1%, respectively. We suggest giving low doses of Gb to older adults with early-stage AMD educe or avoid side effects.
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银杏叶提取物761降低老年性黄斑变性进展的风险
年龄相关性黄斑变性(AMD)是导致失明的主要原因。尽管人们对它的发展知之甚少。,高浓度的活性氧物种,可能是triggerit。本研究的目的是分析膳食补充剂银杏叶(EGb-761)的抗氧化作用是否可以减少AMD的进展。在墨西哥进行了一项临床试验,对象是55岁以上的人。AMD患者接受EGb-761:50mg/天(n=26)或100mg/天(n=22)治疗3个月。对照组包括22名健康人(未接受治疗)。治疗前后,进行眼部功能和结构测试,并测量全身氧化应激(OS)。两种剂量治疗前后对比敏感度分别提高了16%和17%,视功能缺损(中央视觉完整性)分别减少了100%和95%;中心视野(暗点)分别减少93%和88%,色素沉着过度(自体荧光)分别减少88%和89%。对于OS,丙二醛浓度分别下降7.6%和8.5%,还原型谷胱甘肽水平分别上升5.3%和7.1%。我们建议早期接受AMD教育的老年人服用低剂量的Gb,以避免副作用。
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审稿时长
16 weeks
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