DOI QR코드

DOI QR Code

The anti-hyperglycemic property of different ginseng partitions

  • Xie, Jing-Tian (Tang Center for Herbal Medicine Research, The Pritzker School of Medicine, The University of Chicago,Department of Anesthesia & Critical Care, The Pritzker School of Medicine, The University of Chicago) ;
  • Wang, Chong-Zhi (Tang Center for Herbal Medicine Research, The Pritzker School of Medicine, The University of Chicago,Department of Anesthesia & Critical Care, The Pritzker School of Medicine, The University of Chicago) ;
  • Kim, Stephen (Tang Center for Herbal Medicine Research, The Pritzker School of Medicine, The University of Chicago,Department of Anesthesia & Critical Care, The Pritzker School of Medicine, The University of Chicago) ;
  • Yuan, Chun-Su (Tang Center for Herbal Medicine Research, The Pritzker School of Medicine, The University of Chicago,Department of Anesthesia & Critical Care, The Pritzker School of Medicine, The University of Chicago,Committee on Clinical Pharmacology and Pharmacogenomics, The Pritzker School of Medicine, The University of Chicago)
  • Published : 2005.03.30

Abstract

Ginseng is a popular medicinal plant highly valued throughout the world. Asian ginseng is one of the most common species of ginseng. It has long occupied a significant position in oriental medicine and has been justified its name as the 'king herb'. As a nutritional supplement, ginseng is an extremely common and popular herbal medicine in the United States and Canada in recent decades. The multiple constituents of ginseng possess equally multifaceted pharmacological actions as demonstrated by numerous studies. Ginseng root and its constituents influenced the central nervous system, endocrine, cardiovascular, gastrointestinal system, sexual, renal organ and immune system, etc. One important action is its anti-hyperglycemic effect. Previous studies on ginseng demonstrate that only the root of ginseng has been used in the treatment of diabetes, while the other parts of ginseng plant were always neglected. Recently, we analyzed the constituents of ginseng berry, leaf and discovered that ginseng berry, leaf extracts and its total ginsenosides have the ability to reduce hyperglycemia and body weight and increase the peripheral glucose utilization in obese or diabetic ob/ob or db/db mice. Our data suggest that all parts of ginseng plant, including root, berry, leaf and stem exhibit potent anti-hyperglycemic and anti-obese effects and may provide an opportunity to develop a novel class of anti-diabetic agents.

Keywords

References

  1. Ackerknecht EH. A short history of medicine. Baltimore/London: Johns Hopkins University Press, 1982.
  2. Attele AS, Wu JA, Yuan CS. (1999) Ginseng pharmacology: multiple constituents and multiple actions. Biochem. Pharmacol. 58, 1685-1693. https://doi.org/10.1016/S0006-2952(99)00212-9
  3. Attele AS, Xie JT. (2002) Evidence based herbal pharmacology: An example using ginseng. In: A textbook of complementary and alternative therapies, edited by Beiber E. pp. 202-218 CRC Press Company, Boca Raton, London, New York, Washington, D.C.
  4. Attele AS, Zhou YP, Xie JT, Wu JA, Zhang L, Dey L, Pugh W, Rue PA, Polonsky KS, Yuan CS. (2002) Antidiabetic effects of Panax ginseng berry extract and the identification of an effective component. Diabetes 51, 1851-1858. https://doi.org/10.2337/diabetes.51.6.1851
  5. Awang DVC. (1998)The anti-stress potential of North American ginseng (Panax Quinquefolius L.). J. Herbs Spices Med. Plants 6, 87-91. https://doi.org/10.1300/J044v06n02_11
  6. Banerjee U, Izquierdo JA. (1982) Antistress and antifatigue properties of Panax ginseng: comparison with piracetam. Acta Physiol. Lat. Am. 32,277-285.
  7. Benishin CG, Lee R, Wang LC, Liu HJ. (1991) Effects of ginsenoside Rb, on central cholinergic metabolism. Phannacology 42, 223-229.
  8. Bensky D, Gamble A. (1993) Chinese Herbal Medicine, Materia Medica. In: Ginseng. pp. 314-317 Eastland Press, Seattle, WA.
  9. Bhattacharya SK, Mitra SK. (1991) Anxiolytic activity of Panax ginseng roots: an experimental study. J. Ethnopharmacol. 34,87-92. https://doi.org/10.1016/0378-8741(91)90193-H
  10. Broadhurst CL, Polansky MM, Anderson RA. (2000) Insulin-like biological activity of culinary and medicinal plant aqueous extracts in vitro. J. Agric. Food. Chem. 48, 849-852. https://doi.org/10.1021/jf9904517
  11. Chen X, Lee TJ. (1995) Ginsenosides-induced nitric oxide-mediated relaxation of the rabbit corpus cavernosum. Br. J. Phannacol. 115, 15-18.
  12. Chen X. (1996) Cardiovascular protection by ginsenosides and their nitric oxide releasing action. Clin. Exp. Pharmacol: Physiol. 23,728-732. https://doi.org/10.1111/j.1440-1681.1996.tb01767.x
  13. Cheung SC, Kwan PS, Kong YC. (1983) An Introduction to Pen-ts'ao Study. In: Ben cao yan jiu ru men, edited by Zhuang ZX, pp. 162, Chinese University Press, Hong Kong.
  14. Cho YK, Sung H, Lee HJ, Joo CH, Cho GJ. (2001) Long-term intake of Korean red ginseng in HIV-1-infected patients: development of resistance mutation to zidovudine is delayed. Int. lmmunopharmacol. 1, 1295-1305. https://doi.org/10.1016/S1567-5769(01)00061-3
  15. Choo MK, Park EK,Han MJ, Kim DH. (2003) Antiallergic activity of ginseng and its ginsenosides. Planta Med. 69, 518-522. https://doi.org/10.1055/s-2003-40653
  16. Chung SH, Choi CG, Park SH. (2001) Comparisons between white ginseng radix and rootlet for antidiabetic activity and mechanism in KKAy mice. Arch. Pharm. Res. 24,214-218. https://doi.org/10.1007/BF02978260
  17. Cui X. (1997) Orally administered ginseng extract stimulates liver regeneration in partially hepatectomized rats. Acta. Med. Biol. 45,161-166.
  18. Davydov VV, Molokovskii DS, Limarenko A. (1990) Efficacy of ginseng drugs in experimental insulindependent diabetes and toxic hepatitis. Patol. Fiziol. Eksp. Ter. 5, 49-52.
  19. DeFronzo RA, Ferrannini E. (1991) Insulin resistance. A multifaceted syndrome responsible for NIDDM, obesity, hypertension, dyslipidemia, and atherosclerotic cardiovascular disease. Diabetes Care 14, 173-194. https://doi.org/10.2337/diacare.14.3.173
  20. Dey L, Xie JT, Wang A, Wu J, Maleckar SA, Yuan CS. (2003) Anti-hyperglycemic effects of ginseng: comparison between root and berry. Phytomedicine 10, 600-605. https://doi.org/10.1078/094471103322331908
  21. Friedman JE,Dohm GL, Leggett-Frazier N, Elton CW, Tapscott EB, Pories WP, Caro JF. (1992) Restoration of insulin responsiveness in skeletal muscle of morbidly obese patients after weight loss. Effect on muscle glucose transport and glucose transporter GLUT4. J. Clin. Invest. 89, 701-705. https://doi.org/10.1172/JCI115638
  22. Gaffney BT,Hugel HM, Rich PA. (2001) Panax ginseng and Eleutherococcus senticosus may exaggerate an already existing biphasic response to stress via inhibition of enzymes which limit the binding of stress hormones to their receptors. Med. Hypotheses 56,567-572. https://doi.org/10.1054/mehy.2000.1163
  23. Genuth SM, Przybylski RJ, Rosenberg DM. (1971) Insulin resistance in genetically obese, hyperglycemic mice. Endocrinology 88, 1230-1238. https://doi.org/10.1210/endo-88-5-1230
  24. Gillis CN. (1997) Panax ginseng pharmacology: a nitric oxide link? Biochem. Pharmacol. 54, 1-8. https://doi.org/10.1016/S0006-2952(97)00193-7
  25. Han KH, Choe SC. Kim HS, Sohn DW, Nam KY, Oh BH, Lee MM, Park YB, Choi YS, Seo JD, Lee YW. (1998) Effect of red ginseng on blood pressure in patients with essential hypertension and white coat hypertension. Am. J. Chin. Med. 26, 199-209. https://doi.org/10.1142/S0192415X98000257
  26. Harkey MR, Henderson GL, Gershwin ME, Stern JS, Hackman RM. (2001) Variability in commercial ginseng products: an analysis of 25 preparations. Am. J. Clin. Nutr. 73,1101-1106. https://doi.org/10.1093/ajcn/73.6.1101
  27. Hasegawa H, Saiki I. (2003) Cancer prevention by ginseng via it intestinal bacterial metabolites. pp. 16-26.Yushima, Bunkyu-ku, Tokyo, Japan: Art Village Inc.
  28. Hu SY. (1977) A contribution to our knowledge of ginseng. Am. J. Chin. Med. 5, 1-23. https://doi.org/10.1142/S0192415X77000026
  29. Huang K. (1999) The Pharmacology of Chinese Herbs. Edited by Huang KC, pp. 17-44, Boca Raton, FL.: CRC Press.
  30. Inoue M, Wu CZ, Dou DQ, Chen YJ, Ogihara Y. (1999) Lipoprotein lipase activation by red ginseng saponins in hyperlipidemia model animals. Phytomedicine 6, 257-265. https://doi.org/10.1016/S0944-7113(99)80018-X
  31. Jeon BH, Kim CS, Park KS, Lee JW, Park JB, Kim K-J, Kim SH, Chang SJ, Nam KY. (2000) Effects of Korea red ginseng on the blood pressure in conscious hypertensive rats. Gen. Pharmacol. 35, 135-141. https://doi.org/10.1016/S0306-3623(01)00096-9
  32. Kaku T, Miyata T, Sako I, Kinoshita A. (1975) Chemicopharmacological studies on saponins of Panax ginseng. Arzneim. Forsch. 25, 539-547.
  33. Kang SY, Kim SH, Schini VB, Kim NO. (1995) Dietary ginsenosides improve endothelium-dependent relaxation in the thoracic aorta of hypercholesterolemic rabbit. Gen. Pharmacol. 26, 483-487. https://doi.org/10.1016/0306-3623(95)94002-X
  34. Kang SY, Kim SH, Schini VB, Kim NO. (1995) Dietary ginsenosidesimprove endothelium-dependent relaxation in the thoracic aorta of hypercholesterolemic rabbit. Gen. Pharmacol. 26, 483-487. https://doi.org/10.1016/0306-3623(95)94002-X
  35. Kase Y, Saitoh K, Makino B, Hashimoto K, Ishige A, Komatsu Y. (1999) Relationship between the antidiarrhoeal effects of Hange-Shashin-To and its active components. Phytother. Res. 13, 468-473. https://doi.org/10.1002/(SICI)1099-1573(199909)13:6<468::AID-PTR504>3.0.CO;2-V
  36. Kim DH, Moon YS, Jung JS, Min SK, Son BK, Suh HW, Song DK. (2003) Effects of ginseng saponin administered intraperitoneally on the hypothalamopituitary-adrenal axis in mice. Neurosci. Lett. Suppl. 343,62-66. https://doi.org/10.1016/S0304-3940(03)00300-8
  37. Kim H, Chen X, Gillis CN. (1992) Ginsenosides protect pulmonary vascular endothelium against freeradicalinduced injury. Biochem. Biophys. Res. Commun. 189, 670-676. https://doi.org/10.1016/0006-291X(92)92253-T
  38. Kim JY, Germolec DR, Luster MI. (1990) Panax ginseng as a poential immunomodulator: studies in mice. Immunopharmacol. Immunotoxicol. 12, 2578.
  39. Kim YR, Lee SY, Shin BA, Kim KM. (1999) Panax ginseng blocks morphine-induced thymic apoptosis by induction plasma corticosterone level. Gen. Pharmacol. 32,647-652. https://doi.org/10.1016/S0306-3623(98)00240-7
  40. Kim YS.(1990) Protective effect of ginseng polysao:harude fraction on $CCl_4$-induced hepatotoxicity in vitro and in vivo. Korean J. Ginseng Sci. 19,108-113.
  41. Kimura I, Nakashima N, Sugihara Y, Fu-jun e, Kimura M. (1999) The antihyperglycaemic blend effect of traditional Chinese medicine byakko-ka-ninjin-to on alloxan and diabetic KK-CA(y) mice. Phytother. Res. 13,484-488. https://doi.org/10.1002/(SICI)1099-1573(199909)13:6<484::AID-PTR485>3.0.CO;2-X
  42. Kimura M, Suzuki J, Koizumi T. (1981a) Glucose tolerance curves in genetically diabetic KK-CAy mice: the pharmacokinetic analysis for humping effect. J. Pharmacobio-Dyn. 4, 149-161. https://doi.org/10.1248/bpb1978.4.149
  43. Kimura M, Suzuki J. (1981) The pattern of action of blended Chinese medicine to glucose tolerance curves in genetically diabetic KK-CAy mice. J. Pharm. Dyn. 4, 907-915. saponin https://doi.org/10.1248/bpb1978.4.907
  44. Kimura M, Waki I, Chujo T, Kikuchi T, Hiyama C, Yamazaki K,Tanaka O. (1981b) Effects of hypoglycemic components in ginseng radix on blood insulin level in alloxan diabetic mice and on insulin release from perfused rat pancreas. J. Pharmarobio-Dyn. 4, 410-417. https://doi.org/10.1248/bpb1978.4.410
  45. Kimura M. Hypoglycemic component in ginseng radix and its insulin release. In: Proceedings of the3rd International Ginseng Symposium. Korean Ginseng Research Institute, Seoul, Korea, 1980.
  46. Kitts DD, Wijewickreme AN, Hu C. (2000) Antioxidant properties of a North American ginseng extract. Mol. Cell. Biochem. 203, 1-10. https://doi.org/10.1023/A:1007078414639
  47. Konno C, Murakami M, Oshima Y, Hikino H. (1985) Isolation and hypoglycemic activity of panaxans Q, R, S, T and U, glycans of Panax ginseng roots. J. Ethnopharmacol. 14, 69-74. https://doi.org/10.1016/0378-8741(85)90030-3
  48. Konno C, Sugiyama K, Kano M, Takahashi M, Hikino H. (1984) Isolation and hypoglycaemic activity of panaxans A, B, C, D and E, glycans of Panax ginseng roots. Planta Med. 50, 434-436. https://doi.org/10.1055/s-2007-969757
  49. Kruszynska YT, Olefsky JM. (1996) Cellular and molecular mechanisms of non-insulin dependent diabetes mellitus. J. Invest. Med. 44, 413-428.
  50. Lee DC, Lee MO, Kim CY, Clifford DH. (1981) Effect of ether, ethanol and aqueous extracts of ginseng on cardiovascular function in dogs. Canadian Journal of Comparative Medicine 45, 182-187.
  51. Lee FC. (1992) Facts about Ginseng, the Elixir of Life. Edited by Lee Fe, pp. 13-23, Elizabeth, NJ: Hollyn International Corp.
  52. Lillioja S, Mott DM, Spraul M, Ferraro R, Foley JE, Ravussin E, Knowler WC, Bennett PH, Bogardus C. (1993) Insulin resistance and insulin secretory dysfunction as precursors of non-insulin-dependent diabetes mellitus. Prospective studies of Pima Indians. N. Engl. J. Med. 329, 1988-1992. https://doi.org/10.1056/NEJM199312303292703
  53. Liu D, Li B, Liu Y, Attele AS, Kyle JW, Yuan CS. (2001) Voltage-dependent inhibition of brain $Na^{+}$ Channels by American ginseng. Eur. J. Pharmcol. 413,47-54. https://doi.org/10.1016/S0014-2999(01)00735-X
  54. Maffei Facino R, Carini M, Aldini G, Berti F, Rossoni G. (1999) Panax ginseng administration in the rat prevents myocardial ischemia-reperfusion damage induced by hyperbaric oxygen: evidence for an antioxidant intervention. Planta Med. 65,614-619. https://doi.org/10.1055/s-1999-14034
  55. McCune LM, Johns T. (2002) Antioxidant activity in medicinal plants associated with the symptoms of diabetes mellitus used by the indigenous peoples of the North American boreal forest. J. Ethnopharmacol. 82,197-205. https://doi.org/10.1016/S0378-8741(02)00180-0
  56. Miller LG. (1998) Herbal medicinals: selected clinical considerations focusing on known or potential drug-herb interactions. Arch. Intern. Med. 158, 2200-2211. https://doi.org/10.1001/archinte.158.20.2200
  57. Mochizuki M, Yoo YC, Matsuzawa K, Sato K, Saiki I, Tono-oka S, Samukawa K, Azuma I. (1995) Inhibitory effect of tumor metastasis in mice by saponins, ginsenoside-Rb2, 20(R)-and 20(S)-ginsenoside-Rg3, of red ginseng. BioI. Pharm. Bull. 18,1197-1202. https://doi.org/10.1248/bpb.18.1197
  58. Molokovskii DS, Davydov VV, Tiulenev VV. (1989) Deistvie adaptogennykh fitopreparatov pri eksperimental' nom alloksanovom diabete. Problemy. Endokrinologii. 35, 82-87.
  59. Murphy L, Lee T. (2002) Ginseng, sex behavior, and nitric oxide. Ann. NY. Acad. Sci. 962, 372-377. https://doi.org/10.1111/j.1749-6632.2002.tb04081.x
  60. Murphy LL, Cadena RS, Chavez D, Ferraro JS. (1998) Effect of American ginseng (Panax quinquefolium) on male copulatory behavior in the rat. Physiol. Behav. 64,445-450. https://doi.org/10.1016/S0031-9384(98)00054-7
  61. Ng TB, Yeung HW. (1985) Hypoglycemic constituents of Panax ginseng. Gen. Pharmacol. 16, 549-552. https://doi.org/10.1016/0306-3623(85)90140-5
  62. Ohnishi Y, Takagi S, Miura T, Usami M, Kako M, Ishihara E, Yano H, Tanigawa K, Seino Y. (1996) Effect of ginseng radix on $GLUT_2$ protein content in mouse liver in normal and epinephrine-induced hyperglycemic mice. Biol. Pharmaceutic. Bull. 19, 1238-1240. https://doi.org/10.1248/bpb.19.1238
  63. Oshima Y, Konno C, Hikino R. (1985) Isolation and hypoglycemic activity of panaxans I, J, K and L, glycans of Panax ginseng roots. J. Ethnopharmacol. 14,255-259. https://doi.org/10.1016/0378-8741(85)90091-1
  64. Oshima Y, Sato K, Hikino H. (1987) Isolation and hypoglycemic activity of quinquefolans A, B, and C, glycans of Panax quinquefoliurn roots. J. Nat. Prod. 50, 188-190. https://doi.org/10.1021/np50050a010
  65. Park EK, Choo MK, Han MJ, Kim DH. (2004a) Ginsenoside Rh1 possesses antiallergic and antiInflammatory activities. Int. Arch. Allergy. Immunol. 133, 113-120. https://doi.org/10.1159/000076383
  66. Park EK, Choo MK, Oh JK, Ryu JH, Kim DR. (2004b) Ginsenoside $Rh_2$ reduces ischemic brain injury in rats. BioI. Pharm. Bull. 27, 433-436. https://doi.org/10.1248/bpb.27.433
  67. Petkov VD, Mosharrof AH. (1987) Effects of standardized ginseng extract on learning, memory and physical capabilities. Am. J. Chin. Med. 15,19-29. https://doi.org/10.1142/S0192415X87000047
  68. Rang HP, Dale MM. (1991) The endocrine system pharmacology, Second ed. pp.504-508, UK. Longman Group Ltd.
  69. Rimar S, Lee-Mengel M, Gillis CN. (1996) Pulmonary protective and vasodilator effects of a standardized Panax ginseng preparation following artificial gastric digestion. Pulm. Pharmacol. 9, 205-209. https://doi.org/10.1006/pulp.1996.0025
  70. Roy D, Perreault M, Marette A. (1998) Insulin stimulation of glucose uptake in skeletal muscles and adipose tissues in vivo is NO dependent. Am. J. Physiol. 274, E692-699.
  71. Saito H, Tsuchiya M, Naka S, Takagi K. (1977)Effects of Panax Ginseng root on conditioned avoidance response in rats. Jpn. J. Pharmacol. 27, 509-516. https://doi.org/10.1254/jjp.27.509
  72. Seely B, Olefsky J. (1993) Potential cellular and genetic mechanisms for insulin resistance in common disorders of obesity and diabetes. In: Insulin resistance and its clinical disorders, edited by Moller D. pp. 187-252 Chichester, John Wiley & Sons.
  73. Shafrir E. (1992) Animal models of non-insulindependent diabetes. Diabetes Metab. Rev. 8,179-208. https://doi.org/10.1002/dmr.5610080302
  74. Shao ZH, Xie JT, Vanden Hoek TL, Mehendale S, Aung H, Li CQ, Qin Y, Schumacker PT, Becker LB, Yuan CS. (2004) Antioxidant effects of American ginseng berry extract in cardiomyocytes exposed to acute oxidant stress. Biochim. Biophys. Acta 1670, 165-171. https://doi.org/10.1016/j.bbagen.2003.12.001
  75. Siegel RK. (1979) Ginseng abuse syndrome. Problems with the panacea. JAMA. 241,1614-1615. https://doi.org/10.1001/jama.241.15.1614
  76. Skyler JS. (2004) Diabetes mellitus: Pathogenesis and treatment strategies. J. Med. Chem. 47, 4113-4117. https://doi.org/10.1021/jm0306273
  77. Sohn HO, Lim RB, Lee YG, Lee DW, Kim YT. (1993) Effect of subchronic administration of antioxidants against cigarette smoke exposure in rats. Arch. Toxicol. 67,667-673. https://doi.org/10.1007/BF01973689
  78. Sotaniemi EA, Haapakoski E, Rautio A. (1995) Ginseng therapy in non-insulin-dependent diabetic patients. Diabetes Care 18, 1373-1375. https://doi.org/10.2337/diacare.18.10.1373
  79. Spinas GA, Laffranchi R, Francoys I, David I, Richter C, Reinecke M. (1998) The early phase of glucosestimulated insulin secretion requires nitric oxide. Diabetologia 41, 292-299. https://doi.org/10.1007/s001250050906
  80. Sun XB, Matsumoto T, Kiyohara H, Hirano M, Yamada H. (1991) Cytoprotective activity of pectic polysaccharides from the root of panax ginseng. J. Ethnopharmacol. 31,101-107. https://doi.org/10.1016/0378-8741(91)90148-7
  81. Suzuki Y, Ito Y, Konno C, Furuya T. (1991) Effects of tissue cultured of ginseng on gastric secretion and pepsin activity. Yakugaku Zasshi. 111, 770-774. https://doi.org/10.1248/yakushi1947.111.12_770
  82. Takemoto Y, Ueyama T, Saito H, Horio S, Sanada S, Shoji J, Yahara S, Tanaka O, Shibata S. (1984) Potentiation of nerve growth factor-mediated nerve fiber production in organ cultures of chicken embryonic ganglia by ginseng saponins: structureactivity relationship. Chern. Pharm. Bull. 32, 3128-3133. https://doi.org/10.1248/cpb.32.3128
  83. Taylor SI, Accili D, lmai Y. (1994) Insulin resistance or insulin deficiency. Which is the primary cause of NIDDM? Diabetes 43, 735-740. https://doi.org/10.2337/diab.43.6.735
  84. Toh H. (1994) Improved isolated heart contractility and mitochondrial oxidantion afterchronic treatment with Panax ginseng in rats. Am. J. Chin. Med. 22, 275-284. https://doi.org/10.1142/S0192415X94000334
  85. Tomoda M, Shimada K, Konno C, Sugiyama K, Hikino H. (1984) Partial structure of panaxan A, a hypoglycaemic glycan of Panax ginseng roots. Planta Med. 50, 436-438. https://doi.org/10.1055/s-2007-969758
  86. Verspohl EJ. (2002)Recommended testing in diabetes research. Planta Med. 68, 581-590. https://doi.org/10.1055/s-2002-32894
  87. Vuksan V, Sievenpiper JL, Koo VY,Francis T, BeljanZdravkovic U, Xu Z, Vidgen E. (2000-a) American ginseng (panax quinquefolius L) reduces postprandial glycemia in nondiabetic subjects and subjects with type 2 diabetes mellitus. Arch. Intern. Med. 160, 1009-1013. https://doi.org/10.1001/archinte.160.7.1009
  88. Vuksan V, Stavro MP, Sievenpiper JL, BeljanZdravkovic U, Leiter LA, Josse RG, Xu Z. (2000-b) Similar postprandial glycemic reductions with escalation of dose and administration time of American ginseng in type 2 diabetes. Diabetes Care 23, 1221-1226. https://doi.org/10.2337/diacare.23.9.1221
  89. Wakabayashi C, Murakami K, Hasegawa H, Murata J, Saiki I. (1998)An intestinal bacterial metabolite of ginseng protopanaxadiol saponins has the ability to induce apoptosis in tumor cells. Biochem. Biophys. Res. Commun. 246, 725-730. https://doi.org/10.1006/bbrc.1998.8690
  90. Waki I, Kyo H, Yasuda M, Kimura M. (1982) Effects of a hypoglycemic component of ginseng radix on insulin biosynthesis in normal and diabetic animals. J. Pharmacooiodvn. 5, 547-554.
  91. Wang B. (1965) Advances in study of pharmacology of ginseng. Acta Phannaceut. Sin. 12,477-586.
  92. Wang B. (1980) Recent advances in study of pharmacology of ginseng. Acta Pharmaceui. Sin. 15, 312-320.
  93. Wang B. (1984)The ginseng research, Tianjin, China: Tianjin Scientific Publisher, p 135.
  94. Wang BX, Zhou QL, Yang M, Wang Y, Cui ZY, Liu YQ, Ikejima T. (2003a) Hypoglycemic activity of ginseng glycopeptide. Acta Phannacol. Sin. 24,50-54.
  95. Wang BX, Zhou QL, Yang M, Wang Y, Cui ZY, Liu YQ Ikejima 1. (2003b) Hypoglycemic mechanism of ginseng glycopeptide. ActaPharmacal. Sin. 24, 61-66.
  96. World Health Organization. (1999)Radix Ginseng. In: WHO monographs onselected medicinal plants (Volume 1). pp. 168-182, Malta, Geneva.
  97. Xie JT, Aung HH, Wu JA, Attele AS, Yuan CS. (2002a) Effects of American ginseng berry extract on blood glucose levels in ob/ob mice. Am. J. Chin. Med. 30, 187-194. https://doi.org/10.1142/S0192415X02000442
  98. Xie JT, Dey L,Wu J, Yuan C. (2004a) Anti-hyperglycemic effect of polysaccharides fraction from American ginseng beery extract in ob/ob mice. Phytomedicine 11,182-187. https://doi.org/10.1078/0944-7113-00325
  99. Xie JT, Mehendale A, Wang A, Aung H, Wu J, Osinski J, Yuan CS. (2004b) American ginseng leaf: Ginsenoside analysis and hypoglycemic activity. Pharmacol. Res. 49, 113-117. https://doi.org/10.1016/j.phrs.2003.07.015
  100. Xie JT, Zhou YP, Dey L, Attele A, Wu J, Gu M, Polonnsky K, Yuan C. (2002b) Ginseng berry reduces blood glucose and body weight in db/db mice. Phytomedicine 9, 254-258. https://doi.org/10.1078/0944-7113-00106
  101. Yokozawa T, Kobayashi T, Oura H, Kawashima Y. (1985) Studies on the mechanism of the hypoglycemic activity of ginsenoside-Rb2 in streptozotocindiabetic rats. Chern. Pharm. Bull. (Tokyo) 33,869-872. https://doi.org/10.1248/cpb.33.869
  102. Yokozawa T, Zhou J, Hattori M, Inaba S, Okada T, Oura H. (1994) Effects of ginseng in nephrectomized rats. BioI. Pharm. Bull. 17,1485-1489. https://doi.org/10.1248/bpb.17.1485
  103. Yoshizato H, Fujikawa T, Shibata M, Tanaka M, Nakashima K. (1999) Stimulation of growth hormone gene expression in the pituitary and brain by Panax ginseng C. A. MEYER. Endocr. J. 46 (Suppl), 585588. https://doi.org/10.1507/endocrj.46.Suppl_S85
  104. You J, Hau D, Chen K, Huang H. (1995) Combined effects of ginseng and radiotherapy on experiernntal liver cance, Phytother. Res. 9, 331-335. https://doi.org/10.1002/ptr.2650090505
  105. Yuan CS, Wu JA, Lowell T, Gu M. (1998) Gut and brain effects of American ginseng root on brainstem neuronal activities in rats. Am. J. Chin. Med. 26,47-55.
  106. Yuan CS. (2002) Anti-diabetic and anti-obese effects of ginseng: From root to berry. In: Advances in ginseng research, edited by Baek IN. pp. 129-144 The Korean Society of Ginseng, Seoul, Korea.
  107. Yun T, Choi S. (1995) Preventive effect of ginseng intake against various human cancers: a case study on 1987 pairs. Cancer Epidem Biomarker Prevo 4,401-408.
  108. Yun Y,Lee Y,Jo S, IS. J. (1993) Inhibitionof autochthonous tumor by ethanol insoluble fraction from Panax ginseng as an immunomodulator. Planta Med. 59, 521-524. https://doi.org/10.1055/s-2006-959752
  109. Zhan Y,Xu XH,Jiang YP. (1994) Effects of ginsenosides on myocardial ischemia/reperfusion damage in open-heart surgery patients. Med. J. China. 74,626-628.
  110. Zhang Y, Liu T. (1994) Protective effects of total saponins of P ginseng on ischemia-reperfusion injury in rat brains. Chin. J. Pharmacol. Toxicol. 8,7-12.
  111. Zhao R, McDaniel W. (1998) Ginseng improves strategic learning by normal and brain-damaged rat. Neuro. Rep. 9,1619-1624.
  112. Zhonghua Bencao Editor. Zhonghua Bencao (Chinese Herbal Medicine). P. 1269-1298. Shanghai Science and Technology House. 1996.

Cited by

  1. Protective Effect of Sun Ginseng against Diabetic Renal Damage vol.29, pp.8, 2006, https://doi.org/10.1248/bpb.29.1678
  2. Effects of Extract of Green Tea and Ginseng on Pancreatic Beta Cells and Levels of Serum Glucose, Insulin, Cholesterol and Triglycerides in Rats with Experimentally Streptozotocin-Induced Diabetes: A Histochemical and Immunohistochemical Study vol.9, pp.1, 2010, https://doi.org/10.3923/javaa.2010.102.107
  3. Paradigm shift in natural product research: traditional medicine inspired approaches vol.16, pp.5, 2017, https://doi.org/10.1007/s11101-016-9489-6