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Cognitive function improvement effects of gintonin-enriched fraction in subjective memory impairment: An assessor- and participant-blinded placebo-controlled study 富含gintonin的部分对主观记忆障碍的认知功能改善作用:一项评估者和参与者的盲法安慰剂对照研究
IF 6.3 2区 医学 Q1 Medicine Pub Date : 2023-11-01 DOI: 10.1016/j.jgr.2023.06.005
Rami Lee , Han Sang Lee , Won-Woo Kim , Manho Kim , Seung-Yeol Nah

Background

Gintonin is a new material of ginseng that acts through the ginseng-derived lysophosphatidic acid (LPA) receptor ligand. The gintonin-enriched fraction (GEF) inhibits amyloid plaque accumulation in the cortex and hippocampus, improves cognitive dysfunction by increasing acetylcholine levels, and promoted hippocampal neurogenesis in an animal model of Alzheimer's disease. We evaluated the effect of the GEF on the cognitive performance of subjects with subjective memory impairment (SMI).

Methods

In this eight-week, randomized, assessor- and participant-blinded, placebo-controlled study, participants with SMI were assigned to three groups receiving placebo, GEF 300 mg/day or GEF 600 mg/day. The Korean versions of the Alzheimer's Disease Assessment Scale (K-ADAS), Mini-Mental State Examination (K-MMSE), and Stroop color-word test (K-SCWT) were also evaluated along with the safety profiles.

Results

One hundred thirty-six participants completed the study. After eight weeks, we analyzed intergroup differences in primary or secondary outcome score changes. When we compared the GEF group with the placebo group, we observed significant improvements in the K-ADAS and K-SCWT scores. The GEF group did not show a significant improvement in K-MMSE and BDI scores compared to the placebo group. No adverse events were observed in the gintonin and placebo groups for eight weeks.

Conclusion

The GEF is safe and effective in improving subjective cognitive impairment related to both the K-ADAS and K-SCWT in this study. However, further large-scale and randomized controlled studies are warranted to secure other cognitive function tests besides the K-ADAS and K-SCWT, and to confirm the findings of the current study.

背景银杏素是一种通过人参源溶血磷脂酸(LPA)受体配体起作用的新物质。在阿尔茨海默病动物模型中,富含gintonin的部分(GEF)抑制皮层和海马中的淀粉样斑块积累,通过增加乙酰胆碱水平改善认知功能障碍,并促进海马神经发生。我们评估了GEF对主观记忆障碍(SMI)受试者认知表现的影响。在这项为期8周的随机、评估者和参与者盲法、安慰剂对照研究中,重度精神障碍患者被分为三组,分别接受安慰剂、GEF 300 mg/天或GEF 600 mg/天。韩国版阿尔茨海默病评估量表(K-ADAS)、简易精神状态检查(K-MMSE)和Stroop颜色单词测试(K-SCWT)也与安全性档案一起进行了评估。结果136名参与者完成了这项研究。8周后,我们分析了主要或次要结局评分变化的组间差异。当我们将GEF组与安慰剂组进行比较时,我们观察到K-ADAS和K-SCWT评分有显著改善。与安慰剂组相比,GEF组在K-MMSE和BDI评分方面没有显着改善。在八周的时间里,没有观察到银杏苷组和安慰剂组的不良事件。结论GEF在改善K-ADAS和K-SCWT相关的主观认知功能障碍方面安全有效。然而,除了K-ADAS和K-SCWT之外,还需要进一步的大规模和随机对照研究来确保其他认知功能测试,并证实当前研究的结果。
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引用次数: 1
Letter to Editor: Antiviral activities of ginseng and its potential benefit against monkeypox virus: A mini review 给编辑的信:人参的抗病毒活性及其对猴痘病毒的潜在益处:一个小综述
IF 6.3 2区 医学 Q1 Medicine Pub Date : 2023-11-01 DOI: 10.1016/j.jgr.2023.08.004
Zubair Ahmed Ratan , Rajib Chandra Das , Jae Youl Cho
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引用次数: 0
The purified extract of steamed Panax ginseng protects cardiomyocyte from ischemic injury via caveolin-1 phosphorylation-mediating calcium influx 蒸参纯化提取物通过介导小窝蛋白-1磷酸化的钙内流保护心肌细胞免受缺血性损伤
IF 6.3 2区 医学 Q1 Medicine Pub Date : 2023-11-01 DOI: 10.1016/j.jgr.2023.07.003
Hai-Xia Li , Yan Ma , Yu-Xiao Yan , Xin-Ke Zhai , Meng-Yu Xin , Tian Wang , Dong-Cao Xu , Yu-Tong Song , Chun-Dong Song , Cheng-Xue Pan

Background

Caveolin-1, the scaffolding protein of cholesterol-rich invaginations, plays an important role in store-operated Ca2+ influx and its phosphorylation at Tyr14 (p-caveolin-1) is vital to mobilize protection against myocardial ischemia (MI) injury. SOCE, comprising STIM1, ORAI1 and TRPC1, contributes to intracellular Ca2+ ([Ca2+]i) accumulation in cardiomyocytes. The purified extract of steamed Panax ginseng (EPG) attenuated [Ca2+]i overload against MI injury. Thus, the aim of this study was to investigate the possibility of EPG affecting p-caveolin-1 to further mediate SOCE/[Ca2+]i against MI injury in neonatal rat cardiomyocytes and a rat model.

Methods

PP2, an inhibitor of p-caveolin-1, was used. Cell viability, [Ca2+]i concentration were analyzed in cardiomyocytes. In rats, myocardial infarct size, pathological damages, apoptosis and cardiac fibrosis were evaluated, p-caveolin-1 and STIM1 were detected by immunofluorescence, and the levels of caveolin-1, STIM1, ORAI1 and TRPC1 were determined by RT-PCR and Western blot. And, release of LDH, cTnI and BNP was measured.

Results

EPG, ginsenosides accounting for 57.96%, suppressed release of LDH, cTnI and BNP, and protected cardiomyocytes by inhibiting Ca2+ influx. And, EPG significantly relieved myocardial infarct size, cardiac apoptosis, fibrosis, and ultrastructure abnormality. Moreover, EPG negatively regulated SOCE via increasing p-caveolin-1 protein, decreasing ORAI1 mRNA and protein levels of ORAI1, TRPC1 and STIM1. More importantly, inhibition of the p-caveolin-1 significantly suppressed all of the above cardioprotection of EPG.

Conclusions

Caveolin-1 phosphorylation is involved in the protective effects of EPG against MI injury via increasing p-caveolin-1 to negatively regulate SOCE/[Ca2+]i.

caveolin-1是富含胆固醇内陷的支架蛋白,在储存操作的Ca2+内流中起重要作用,其Tyr14位点磷酸化(p-caveolin-1)对动员保护心肌缺血(MI)损伤至关重要。SOCE包括STIM1、ORAI1和TRPC1,有助于心肌细胞内Ca2+ ([Ca2+]i)的积累。蒸参纯化提取物(EPG)可减轻心肌梗死[Ca2+]i超载。因此,本研究的目的是探讨EPG影响p-caveolin-1进一步介导SOCE/[Ca2+]i对新生大鼠心肌细胞和大鼠模型心肌梗死损伤的可能性。方法采用p-caveolin-1抑制剂spp2。分析心肌细胞活力、[Ca2+]i浓度。采用免疫荧光法检测p-caveolin-1和STIM1, RT-PCR和Western blot法检测caveolin-1、STIM1、ORAI1和TRPC1的表达水平。测定LDH、cTnI、BNP的释放量。结果人参皂苷sepg能抑制LDH、cTnI和BNP的释放,并通过抑制Ca2+内流对心肌细胞起到保护作用,占57.96%。EPG可显著减轻心肌梗死面积、心肌细胞凋亡、纤维化和超微结构异常。EPG通过增加p-caveolin-1蛋白,降低ORAI1 mRNA和ORAI1、TRPC1、STIM1蛋白水平负向调控SOCE。更重要的是,p-caveolin-1的抑制显著抑制了EPG的上述心脏保护作用。结论p-caveolin-1磷酸化可能通过增加p-caveolin-1负性调节SOCE/[Ca2+]i参与EPG对心肌梗死的保护作用。
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引用次数: 0
Comment on antiviral activities of ginseng and putative benefits against monkeypox virus 人参抗病毒活性及对猴痘病毒的疗效评价
IF 6.3 2区 医学 Q1 Medicine Pub Date : 2023-11-01 DOI: 10.1016/j.jgr.2023.07.004
Amnuay Kleebayoon , Viroj Wiwanitkit
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引用次数: 0
Antiviral activities of ginseng and its potential and putative benefits against monkeypox virus: A mini review 人参对猴痘病毒的抗病毒活性及其潜在和可能的益处:综述
IF 6.3 2区 医学 Q1 Medicine Pub Date : 2023-11-01 DOI: 10.1016/j.jgr.2023.03.002
Rajib Chandra Das , Zubair Ahmed Ratan , Md Mustafizur Rahman , Nusrat Jahan Runa , Susmita Mondal , Konstantin Konstantinov , Hassan Hosseinzadeh , Jae Youl Cho

Due to the Covid-19 pandemic more than 6 million people have died, and it has bought unprecedented challenges to our lives. The recent outbreak of monkeypox virus (MPXV) has brought out new tensions among the scientific community. Currently, there is no specific treatment protocol for MPXV. Several antivirals, vaccinia immune globulin (VIG) and smallpox vaccines have been used to treat MPXV. Ginseng, one of the more famous among traditional medicines, has been used for infectious disease for thousands of years. It has shown promising antiviral effects. Ginseng could be used as a potential adaptogenic agent to help prevent infection by MPXV along with other drugs and vaccines. In this mini review, we explore the possible use of ginseng in MPXV prevention based on its antiviral activity.

由于新冠肺炎大流行,已有600多万人死亡,给我们的生活带来了前所未有的挑战。最近猴痘病毒(MPXV)的爆发在科学界引起了新的紧张局势。目前,MPXV没有特定的治疗方案。一些抗病毒药物、牛痘免疫球蛋白(VIG)和天花疫苗已被用于治疗MPXV。人参是传统药物中比较有名的一种,几千年来一直被用于治疗传染病。它已经显示出很有希望的抗病毒效果。人参可以作为一种潜在的适应原剂,与其他药物和疫苗一起帮助预防MPXV感染。在这篇综述中,我们基于人参的抗病毒活性探讨了人参在MPXV预防中的可能应用。
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引用次数: 3
Ginsenoside Rg5 promotes wound healing in diabetes by reducing the negative regulation of SLC7A11 on the efferocytosis of dendritic cells 人参皂苷Rg5通过降低SLC7A11对树突状细胞efferocytosis的负调控,促进糖尿病伤口愈合
IF 6.3 2区 医学 Q1 Medicine Pub Date : 2023-11-01 DOI: 10.1016/j.jgr.2023.06.006
Wei Xia , Zongdong Zhu , Song Xiang , Yi Yang

Background: ginsenoside Rg5 is a rare ginsenoside with known hypoglycemic effects in diabetic mice. This study aimed to explore the effects of ginsenoside Rg5 on skin wound-healing in the Leprdb/db mutant (db/db) mice (C57BL/KsJ background) model and the underlying mechanisms.

Methods

Seven-week-old male C57BL/6J, SLC7A11-knockout (KO), the littermate wild-type (WT), and db/db mice were used for in vivo and ex vivo studies.

Results

Ginsenoside Rg5 provided through oral gavage in db/db mice significantly alleviated the abundance of apoptotic cells in the wound areas and facilitated skin wound healing. 50 μM ginsenoside Rg5 treatment nearly doubled the efferocytotic capability of bone marrow-derived dendritic cells (BMDCs) from db/db mice. It also reduced NF-κB p65 and SLC7A11 expression in the wounded areas of db/db mice dose-dependently. Ginsenoside Rg5 physically interacted with SLC7A11 and suppressed the cystine uptake and glutamate secretion of BMDCs from db/db and SLC7A11-WT mice but not in BMDCs from SLC7A11-KO mice. In BMDCs and conventional type 1 dendritic cells (cDC1s), ginsenoside Rg5 reduced their glycose storage and enhanced anaerobic glycolysis. Glycogen phosphorylase inhibitor CP-91149 almost abolished the effect of ginsenoside Rg5 on promoting efferocytosis. Conclusion: ginsenoside Rg5 can suppress the expression of SLC7A11 and inhibit its activity via physical binding. These effects collectively alleviate the negative regulations of SLC7A11 on anaerobic glycolysis, which fuels the efferocytosis of dendritic cells. Therefore, ginsenoside Rg5 has a potential adjuvant therapeutic reagent to support patients with wound-healing problems, such as diabetic foot ulcers.

背景:人参皂苷Rg5是一种罕见的人参皂苷,已知对糖尿病小鼠有降糖作用。本研究旨在探讨人参皂苷Rg5对Leprdb/db突变体(db/db)小鼠(C57BL/KsJ背景)模型皮肤创面愈合的影响及其机制。方法采用7周龄雄性C57BL/6J、slc7a11敲除小鼠(KO)、同窝野生型小鼠(WT)和db/db小鼠进行体内和离体实验。结果灌胃给药人参皂苷Rg5可显著减轻db/db小鼠创面凋亡细胞丰度,促进皮肤创面愈合。50 μM人参皂苷Rg5处理后,db/db小鼠骨髓源性树突状细胞(bmdc)的efferocytic能力几乎增加了一倍。它还能呈剂量依赖性地降低db/db小鼠损伤区NF-κB p65和SLC7A11的表达。人参皂苷Rg5与SLC7A11物理相互作用,抑制db/db和SLC7A11- wt小鼠BMDCs的胱氨酸摄取和谷氨酸分泌,但对SLC7A11- ko小鼠BMDCs无抑制作用。在BMDCs和传统的1型树突状细胞(cDC1s)中,人参皂苷Rg5减少了它们的糖储存并增强了厌氧糖酵解。糖原磷酸化酶抑制剂CP-91149几乎消除了人参皂苷Rg5的促红细胞增生作用。结论:人参皂苷Rg5可通过物理结合抑制SLC7A11的表达并抑制其活性。这些作用共同减轻了SLC7A11对厌氧糖酵解的负面调节,而厌氧糖酵解促进了树突状细胞的efferocytosis。因此,人参皂苷Rg5具有潜在的辅助治疗试剂,可支持糖尿病足溃疡等创面愈合问题患者。
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引用次数: 0
Ginsenoside Rg5 promotes muscle regeneration via p38MAPK and Akt/mTOR signaling 人参皂苷Rg5通过p38MAPK和Akt/mTOR信号通路促进肌肉再生
IF 6.3 2区 医学 Q1 Medicine Pub Date : 2023-11-01 DOI: 10.1016/j.jgr.2023.06.004
Ryuni Kim , Jee Won Kim , Hyerim Choi , Ji-Eun Oh , Tae Hyun Kim , Ga-Yeon Go , Sang-Jin Lee , Gyu-Un Bae

Background

Skeletal muscles play a key role in physical activity and energy metabolism. The loss of skeletal muscle mass can cause problems related to metabolism and physical activity. Studies are being conducted to prevent such diseases by increasing the mass and regeneration capacity of muscles. Ginsenoside Rg5 has been reported to exhibit a broad range of pharmacological activities. However, studies on the effects of Rg5 on muscle differentiation and growth are scarce.

Methods

To investigate the effects of Rg5 on myogenesis, C2C12 myoblasts were induced to differentiate with Rg5, followed by immunoblotting, immunostaining, and qRT-PCR for myogenic markers and promyogenic signaling (p38MAPK). Immunoprecipitation confirmed that Rg5 increased the interaction between MyoD and E2A via p38MAPK. To investigate the effects of Rg5 on prevention of muscle mass loss, C2C12 myotubes were treated with dexamethasone to induce muscle atrophy. Immunoblotting, immunostaining, and qRT-PCR were performed for myogenic markers, Akt/mTOR signaling for protein synthesis, and atrophy-related genes (Atrogin-1 and MuRF1).

Results

Rg5 promoted C2C12 myoblast differentiation through phosphorylation of p38MAPK and MyoD/E2A heterodimerization. Furthermore, Rg5 stimulated C2C12 myotube hypertrophy via phosphorylation of Akt/mTOR. Phosphorylation of Akt induces FoxO3a phosphorylation, which reduces the expression of Atrogin-1 and MuRF1.

Conclusion

This study provides an understanding of how Rg5 promotes myogenesis and hypertrophy and prevents dexamethasone-induced muscle atrophy. The study is the first, to the best of our knowledge, to show that Rg5 promotes muscle regeneration and to suggest that Rg5 can be used for therapeutic intervention of muscle weakness and atrophy, including cancer cachexia.

骨骼肌在身体活动和能量代谢中起着关键作用。骨骼肌质量的减少会导致新陈代谢和身体活动方面的问题。目前正在进行研究,通过增加肌肉的质量和再生能力来预防这些疾病。据报道,人参皂苷Rg5具有广泛的药理活性。然而,关于Rg5对肌肉分化和生长影响的研究很少。方法采用诱导C2C12成肌细胞向Rg5分化,免疫印迹、免疫染色和qRT-PCR检测成肌标志物和前肌生成信号(p38MAPK),研究Rg5对成肌的影响。免疫沉淀证实Rg5通过p38MAPK增加了MyoD和E2A之间的相互作用。采用地塞米松诱导C2C12肌管肌萎缩的方法,探讨Rg5对肌质量损失的预防作用。对肌源性标志物、Akt/mTOR蛋白合成信号通路和萎缩相关基因(atrogin1和MuRF1)进行免疫印迹、免疫染色和qRT-PCR检测。结果rg5通过磷酸化p38MAPK和MyoD/E2A异源二聚化促进C2C12成肌细胞分化。此外,Rg5通过磷酸化Akt/mTOR刺激C2C12肌管肥大。Akt磷酸化诱导FoxO3a磷酸化,从而降低Atrogin-1和MuRF1的表达。结论Rg5促进肌肉发生和肥厚,预防地塞米松诱导的肌肉萎缩。据我们所知,这项研究首次表明Rg5促进肌肉再生,并表明Rg5可用于肌肉无力和萎缩的治疗干预,包括癌症恶病质。
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引用次数: 0
Methods on improvements of the poor oral bioavailability of ginsenosides: Pre-processing, structural modification, drug combination, and micro- or nano- delivery system 改善人参皂苷口服生物利用度差的方法:预处理、结构修饰、药物联合、微纳米给药等
IF 6.3 2区 医学 Q1 Medicine Pub Date : 2023-11-01 DOI: 10.1016/j.jgr.2023.07.005
Qi-rui Hu , Huan Hong , Zhi-hong Zhang , Hua Feng , Ting Luo , Jing Li , Ze-yuan Deng , Fang Chen

Panax ginseng Meyer is a traditional Chinese medicine that is widely used as tonic in Asia. The main pharmacologically active components of ginseng are the dammarane-type ginsenosides, which have been shown to have anti-cancer, anti-inflammatory, immunoregulatory, neuroprotective, and metabolic regulatory activities. Moreover, some of ginsenosides (eg, Rh2 and Rg3) have been developed into nutraceuticals. However, the utilization of ginsenosides in clinic is restrictive due to poor permeability in cells and low bioavailability in human body. Obviously, the dammarane skeleton and glycosyls of ginsenosides are responsible for these limitations. Therefore, improving the oral bioavailability of ginsenosides has become a pressing issue. Here, based on the structures of ginsenosides, we summarized the understanding of the factors affecting the oral bioavailability of ginsenosides, introduced the methods to enhance the oral bioavailability and proposed the future perspectives on improving the oral bioavailability of ginsenosides.

人参是一种传统的中药,在亚洲被广泛用作滋补品。人参的主要药理活性成分是达玛烷型人参皂苷,已被证明具有抗癌、抗炎、免疫调节、神经保护和代谢调节活性。此外,一些人参皂苷(如Rh2和Rg3)已被开发成营养保健品。然而,由于人参皂苷在细胞中的渗透性差,在人体中的生物利用度低,限制了人参皂苷在临床中的应用。显然,人参皂苷的达玛烷骨架和糖基是造成这些限制的原因。因此,提高人参皂苷的口服生物利用度已成为亟待解决的问题。本文从人参皂苷的结构出发,综述了影响人参皂苷口服生物利用度的因素,介绍了提高人参皂苷口服生物利用度的方法,并对今后提高人参皂苷口服生物利用度的研究方向进行了展望。
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引用次数: 0
Phenolic acids in Panax ginseng inhibit melanin production through bidirectional regulation of melanin synthase transcription via different signaling pathways 人参酚酸通过不同信号通路双向调节黑色素合成酶转录抑制黑色素生成
IF 6.3 2区 医学 Q1 Medicine Pub Date : 2023-11-01 DOI: 10.1016/j.jgr.2023.05.002
Jianzeng Liu , Xiaohao Xu , Jingyuan Zhou , Guang Sun , Zhenzhuo Li , Lu Zhai , Jing Wang , Rui Ma , Daqing Zhao , Rui Jiang , Liwei Sun

Background

Our previous investigation indicated that the preparation of Panax ginseng Meyer (P. ginseng) inhibited melanogenesis. It comprised salicylic acid (SA), protocatechuic acid (PA), p-coumaric acid (p-CA), vanillic acid (VA), and caffeic acid (CA). In this investigation, the regulatory effects of P. ginseng phenolic acid monomers on melanin production were assessed.

Methods

In vitro and in vivo impact of phenolic acid monomers were assessed.

Results

SA, PA, p-CA and VA inhibited tyrosinase (TYR) to reduce melanin production, whereas CA had the opposite effects. SA, PA, p-CA and VA significantly downregulated the melanocortin 1 receptor (MC1R), cycle AMP (cAMP), protein kinase A (PKA), cycle AMP-response element-binding protein (CREB), microphthalmia-associated transcription factor (MITF) pathway, reducing mRNA and protein levels of TYR, tyrosinase-related protein 1 (TYRP1), and TYRP2. Moreover, CA treatment enhanced the cAMP, PKA, and CREB pathways to promote MITF mRNA level and phosphorylation. It also alleviated MITF protein level in α-MSH-stimulated B16F10 cells, comparable to untreated B16F10, increasing the expression of phosphorylation glycogen synthase kinase 3β (p-GSK3β), β-catenin, p-ERK/ERK, and p-p38/p38. Furthermore, the GSK3β inhibitor promoted p-GSK3β and p-MITF expression, as observed in CA-treated cells. Moreover, p38 and ERK inhibitors inhibited CA-stimulated p-p38/p38, p-ERK/ERK, and p-MITF increase, which had negative binding energies with MC1R, as depicted by molecular docking.

Conclusion

P. ginseng roots' phenolic acid monomers can safely inhibit melanin production by bidirectionally regulating melanin synthase transcription. Furthermore, they reduced MITF expression via MC1R/cAMP/PKA signaling pathway and enhanced MITF post-translational modification via Wnt/mitogen-activated protein kinase signaling pathway.

研究背景:我们的前期研究表明人参提取物具有抑制黑色素生成的作用。它由水杨酸(SA)、原儿茶酸(PA)、对香豆酸(p-CA)、香草酸(VA)和咖啡酸(CA)组成。本研究评估了人参酚酸单体对黑色素生成的调节作用。方法评价酚酸单体在体外和体内的影响。结果sa、PA、p-CA和VA抑制酪氨酸酶(TYR)减少黑色素生成,而CA具有相反的作用。SA、PA、p-CA和VA显著下调黑素皮质素1受体(MC1R)、循环AMP (cAMP)、蛋白激酶A (PKA)、循环AMP反应元件结合蛋白(CREB)、小眼相关转录因子(MITF)通路,降低TYR、酪氨酸酶相关蛋白1 (TYRP1)和TYRP2的mRNA和蛋白水平。此外,CA处理可增强cAMP、PKA和CREB通路,促进MITF mRNA水平和磷酸化。在α- msh刺激的B16F10细胞中,MITF蛋白水平与未处理的B16F10相当,磷酸化糖原合成酶激酶3β (p-GSK3β)、β-catenin、p-ERK/ERK和p-p38/p38的表达增加。此外,在ca处理的细胞中观察到,GSK3β抑制剂促进了p-GSK3β和p-MITF的表达。此外,p38和ERK抑制剂抑制ca刺激的p-p38/p38、p-ERK/ERK和p-MITF的增加,这些蛋白与MC1R呈负结合能,如分子对接所示。人参根酚酸单体可以通过双向调节黑色素合成酶转录来安全抑制黑色素的产生。此外,它们通过MC1R/cAMP/PKA信号通路降低MITF的表达,并通过Wnt/丝裂原活化蛋白激酶信号通路增强MITF的翻译后修饰。
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引用次数: 1
20(S)-ginsenoside Rg3 exerts anti-fibrotic effect after myocardial infarction by alleviation of fibroblasts proliferation and collagen deposition through TGFBR1 signaling pathways 20(S)-人参皂苷Rg3通过TGFBR1信号通路抑制成纤维细胞增殖和胶原沉积,发挥心肌梗死后抗纤维化作用
IF 6.3 2区 医学 Q1 Medicine Pub Date : 2023-11-01 DOI: 10.1016/j.jgr.2023.06.007
Honglin Xu , Haifeng Miao , Guanghong Chen , Guoyong Zhang , Yue Hua , Yuting Wu , Tong Xu , Xin Han , Changlei Hu , Mingjie Pang , Leyi Tan , Bin Liu , Yingchun Zhou

Background

Myocardial fibrosis post-myocardial infarction (MI) can induce maladaptive cardiac remodeling as well as heart failure. Although 20(S)-ginsenoside Rg3 (Rg3) has been applied to cardiovascular diseases, its efficacy and specific molecular mechanism in myocardial fibrosis are largely unknown. Herein, we aimed to explore whether TGFBR1 signaling was involved in Rg3's anti-fibrotic effect post-MI.

Methods

Left anterior descending (LAD) coronary artery ligation-induced MI mice and TGF-β1-stimulated primary cardiac fibroblasts (CFs) were adopted. Echocardiography, hematoxlin-eosin and Masson staining, Western-blot and immunohistochemistry, CCK8 and Edu were used to study the effects of Rg3 on myocardial fibrosis and TGFBR1 signaling. The combination mechanism of Rg3 and TGFBR1 was explored by surface plasmon resonance imaging (SPRi). Moreover, myocardial Tgfbr1-deficient mice and TGFBR1 adenovirus were adopted to confirm the pharmacological mechanism of Rg3.

Results

In vivo experiments, Rg3 ameliorated myocardial fibrosis and hypertrophy and enhanced cardiac function. Rg3-TGFBR1 had the 1.78 × 10−7 M equilibrium dissociation constant based on SPRi analysis, and Rg3 inhibited the activation of TGFBR1/Smads signaling dose-dependently. Cardiac-specific Tgfbr1 knockdown abolished Rg3's protection against myocardial fibrosis post-MI. In addition, Rg3 down-regulated the TGF-β1-mediated CFs growth together with collagen production in vitro through TGFBR1 signaling. Moreover, TGFBR1 adenovirus partially blocked the inhibitory effect of Rg3.

Conclusion

Rg3 improves myocardial fibrosis and cardiac function through suppressing CFs proliferation along with collagen deposition by inactivation of TGFBR1 pathway.

心肌梗死后心肌纤维化可引起心脏重构不良和心力衰竭。虽然20(S)-人参皂苷Rg3 (Rg3)已被应用于心血管疾病,但其在心肌纤维化中的疗效和具体分子机制尚不清楚。在此,我们旨在探讨TGFBR1信号是否参与Rg3在心肌梗死后的抗纤维化作用。方法采用左前降支冠脉结扎诱导心肌梗死小鼠和TGF-β1刺激的原代心肌成纤维细胞(CFs)。采用超声心动图、苏木精-伊红和Masson染色、Western-blot和免疫组织化学、CCK8和Edu研究Rg3对心肌纤维化和TGFBR1信号通路的影响。采用表面等离子体共振成像(SPRi)技术探讨Rg3与TGFBR1的结合机制。此外,采用心肌TGFBR1缺陷小鼠和TGFBR1腺病毒验证Rg3的药理机制。结果在体内实验中,Rg3能改善心肌纤维化和肥厚,增强心功能。根据SPRi分析,Rg3-TGFBR1的平衡解离常数为1.78 × 10−7 M, Rg3抑制TGFBR1/Smads信号通路的激活呈剂量依赖性。心脏特异性Tgfbr1敲低可消除Rg3对心肌梗死后心肌纤维化的保护作用。此外,Rg3通过TGFBR1信号通路下调TGF-β1介导的体外CFs生长及胶原生成。此外,TGFBR1腺病毒部分阻断了Rg3的抑制作用。结论rg3通过灭活TGFBR1通路,抑制CFs增殖和胶原沉积,改善心肌纤维化和心功能。
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Journal of Ginseng Research
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