4.7 Review

Ginsenoside Rh2: A shining and potential natural product in the treatment of human nonmalignant and malignant diseases in the near future

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Ginsenoside Rh2 inhibits CBP/p300-mediated FOXO3a acetylation and epilepsy-induced oxidative damage via the FOXO3a-KEAP1-NRF2 pathway

Jingheng Wu et al.

Summary: Epilepsy is a chronic disease that affects a wide range of people, and one-third of patients do not respond to antiepileptic drugs. Oxidative stress has been recognized as playing a role in acquired epilepsy, and targeting oxidative stress with adjuvant antiepileptic drugs may be a new therapeutic strategy. This study reveals the resistance of ginsenoside Rh2 to oxidative stress induced by epileptic activity and identifies the overexpression of FOXO3a in epilepsy tissue, which leads to more severe oxidative stress. In addition, the study uncovers the involvement of the KEAP1-NRF2 pathway in regulating oxidative stress and demonstrates the ability of ginsenoside Rh2 to inhibit the activation of FOXO3a, thus providing potential targets for the development of new treatments for epilepsy.

EUROPEAN JOURNAL OF PHARMACOLOGY (2023)

Review Chemistry, Medicinal

Preparation and bioactivity of the rare ginsenosides Rg3 and Rh2: An updated review

Wenqi Xu et al.

Summary: Ginseng, an ancient medicinal herb, is traditionally used in oriental medicine for treating various diseases. Saponins, the main bioactive components of ginseng, have limited efficacy due to the presence of multiple glucosyl side chains. Recent research has focused on preparing rare ginsenosides Rg3 and Rh2, which are easier to absorb and have higher drug activity. These rare ginsenosides show promising effects in improving immune function and have potential as drugs for various diseases. However, further research is needed to improve production methods and clarify their underlying mechanisms of action.

FITOTERAPIA (2023)

Article Agriculture, Multidisciplinary

Ginsenoside Rg2 Ameliorating CDAHFD-Induced Hepatic Fibrosis by Regulating AKT/mTOR-Mediated Autophagy

Ziwei He et al.

Summary: The study demonstrates that G-Rg2 can improve liver issues induced by a high-fat diet, including its anti-fibrosis effects and impact on the AKT/mTOR signaling pathway.

JOURNAL OF AGRICULTURAL AND FOOD CHEMISTRY (2022)

Article Biochemistry & Molecular Biology

Probable Mechanisms of Doxorubicin Antitumor Activity Enhancement by Ginsenoside Rh2

Alexander Popov et al.

Summary: Ginsenoside Rh2 enhances the efficacy of doxorubicin treatment in murine models of solid and ascites Ehrlich's adenocarcinoma by suppressing tumor cell adhesion and invasion. Rh2 also reduces the toxicity of doxorubicin towards non-cancerous cells by activating the Nrf2-driven antioxidant program.

MOLECULES (2022)

Article Plant Sciences

Apocynum venetum leaf extract alleviated doxorubicin-induced cardiotoxicity through the AKT/Bcl-2 signaling pathway

Yang Zhang et al.

Summary: Apocynum venetum L. leaf extract alleviates doxorubicin-induced cardiomyocyte apoptosis by suppressing oxidative stress and apoptosis through the AKT/Bcl-2 signaling pathway.

PHYTOMEDICINE (2022)

Article Plant Sciences

Effects of G-Rh2 on mast cell-mediated anaphylaxis via AKT-Nrf2/NF-?B and MAPK-Nrf2/NF-?B pathways

Chang Xu et al.

Summary: The study found that G-Rh2 has an inhibitory effect on mast cell-mediated allergic reactions, which may be mediated through the AKT-Nrf2/NF-kB and p38MAPK-Nrf2/NF-kB signaling pathways.

JOURNAL OF GINSENG RESEARCH (2022)

Review Plant Sciences

Ginsenosides are active ingredients in Panax ginseng with immunomodulatory properties from cellular to organismal levels

Long You et al.

Summary: The immune system plays a crucial role in the human body, with immunomodulation being its main function. Ginsenosides, derived from ginseng, have both immunostimulatory and immunosuppressive effects.

JOURNAL OF GINSENG RESEARCH (2022)

Article Plant Sciences

Ginsenoside Rh2 reduces depression in offspring of mice with maternal toxoplasma infection during pregnancy by inhibiting microglial activation via the HMGB1/TLR4/NF-κB signaling pathway

Xiang Xu et al.

Summary: This study demonstrated that GRh2 ameliorated depression-like behavior in mouse offspring of maternal T. gondii infection during pregnancy by attenuating excessive microglial activation and neuroinflammation through the HMGB1/TLR4/NF-kappa B signaling pathway. It suggests that GRh2 could be considered a potential therapy in preventing and treating psychiatric disorders in the offspring of mothers with prenatal exposure to T. gondii infection.

JOURNAL OF GINSENG RESEARCH (2022)

Article Biochemistry & Molecular Biology

Ginsenoside Rh2 inhibits breast cancer cell growth via ERβ-TNFα pathway

Kunjian Peng et al.

Summary: This study found that ginsenoside Rh2 can promote TNFα-induced cell apoptosis and G1/S phase arrest by regulating estrogen receptor beta.

ACTA BIOCHIMICA ET BIOPHYSICA SINICA (2022)

Article Cell Biology

Ginsenoside Rh2 mitigates doxorubicin-induced cardiotoxicity by inhibiting apoptotic and inflammatory damage and weakening pathological remodelling in breast cancer-bearing mice

Jingang Hou et al.

Summary: The study found that ginsenoside Rh2 can reduce the cardiotoxicity caused by doxorubicin (Dox) by inhibiting cardiac histopathological changes, apoptosis, necrosis, and inflammation. Rh2 also attenuates pathological remodeling by reducing fibroblast to myofibroblast transition (FMT) and endothelial-mesenchymal transition (EndMT). RNA-sequencing analysis showed that Dox treatment predominantly targets cell cycle and microtubule attachment, while Rh2 regulates these effects. Interestingly, Rh2 also attenuates fibrosis by promoting senescence in myofibroblasts and reversing established myofibroblast differentiation in EndMT.

CELL PROLIFERATION (2022)

Article Biochemistry & Molecular Biology

Excess intracellular ATP causes neuropathic pain following spinal cord injury

Nobuhiko Nakajima et al.

Summary: Intractable neuropathic pain following spinal cord injury (NP-SCI) reduces a patient's quality of life. Excessive buildup of intracellular ATP at the lesion site leads to the release of ATP with mechanical stimulation, causing NP-SCI. Neuroinflammation plays an important role in this process.

CELLULAR AND MOLECULAR LIFE SCIENCES (2022)

Article Multidisciplinary Sciences

Ginsenoside Rh2 sensitizes the anti-cancer effects of sunitinib by inducing cell cycle arrest in renal cell carcinoma

Hyun Ji Hwang et al.

Summary: This study found that the combination therapy of ginsenoside and sunitinib significantly enhances the inhibition of cell viability in clear cell renal cell carcinoma (ccRCC) cells, and inhibits cell proliferation by inducing oxidative DNA damage.

SCIENTIFIC REPORTS (2022)

Review Pharmacology & Pharmacy

Saponins and their derivatives: Potential candidates to alleviate anthracycline-induced cardiotoxicity and multidrug resistance

Pei-Rong Qu et al.

Summary: Anthracyclines (ANTs) play an irreplaceable role in oncology treatment, but their clinical application is limited due to cardiotoxicity and multidrug resistance (MDR). Natural compounds, including saponins, have been found to be potential agents for protecting the heart and reversing MDR caused by ANTs. This review summarizes previous research on the mechanisms of anthracycline-induced cardiotoxicity (AIC) and MDR, and highlights the pharmacological effects and potential molecular targets of saponins and their derivatives in inhibiting AIC and reversing MDR, aiming to encourage future research and clinical trials.

PHARMACOLOGICAL RESEARCH (2022)

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Ginsenoside Rh2 attenuates CDAHFD-induced liver fibrosis in mice by improving intestinal microbial composition and regulating LPS-mediated autophagy

Siyu Chen et al.

Summary: The research shows that G-Rh2 can alleviate liver fibrosis by repairing intestinal injury, improving intestinal microbial composition, reducing plasma LPS levels, and activating the AKT-mTOR signaling pathway.

PHYTOMEDICINE (2022)

Article Behavioral Sciences

Ginsenoside Rh2 administration produces crucial antidepressant-like effects in a CUMS-induced mice model of depression

Lin-Sheng Shi et al.

Summary: This study investigated the antidepressant effects and mechanisms of action of Ginsenoside Rh2 in a depression animal model. The results showed that Rh2 reduced depressive-like symptoms and promoted the activation of the BDNF signaling pathway.

BRAIN AND BEHAVIOR (2022)

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Ginsenoside Rh2 Inhibits NLRP3 Inflammasome Activation and Improves Exosomes to Alleviate Hypoxia-Induced Myocardial Injury

Zhongwen Qi et al.

Summary: The study found that Ginsenoside Rh2 could improve the inflammatory microenvironment after acute myocardial infarction and enhance the protective effect of exosomes against myocardial injury, providing new insights into the modification of exosomes in MI treatment.

FRONTIERS IN IMMUNOLOGY (2022)

Article Biochemistry & Molecular Biology

(20S) Ginsenoside Rh2-Activated, Distinct Apoptosis Pathways in Highly and Poorly Differentiated Human Esophageal Cancer Cells

He Li et al.

Summary: Ginsenoside Rh2 (G-Rh2) exhibits potent cytotoxic activity against highly differentiated and poorly differentiated esophageal cancer cells, inducing apoptosis through the activation of the mitochondria-mediated intrinsic pathway. Furthermore, G-Rh2 upregulates the expression of death receptors and activates Caspase-8 in poorly differentiated esophageal cancer cells.

MOLECULES (2022)

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Ginsenoside Rh2 Ameliorates Neuropathic Pain by inhibition of the miRNA21-TLR8-mitogen-activated protein kinase axis

Yuan-Yuan Fu et al.

Summary: This study found that Ginsenoside Rh2 can relieve neuropathic pain induced by spinal nerve injury by inhibiting the miRNA-21-TLR8-MAPK signaling pathway.

MOLECULAR PAIN (2022)

Article Integrative & Complementary Medicine

Ginsenoside Rh2 Regulates the CFAP20DC-AS1/MicroRNA-3614-3p/BBX and TNFAIP3 Axis to Induce Apoptosis in Breast Cancer Cells

Jae Eun Park et al.

Summary: This study investigates the regulatory activity of long noncoding RNA CFAP20DC-AS1 and its interaction with miR-3614-3p in the anticancer mechanism of Rh2. The study reveals that Rh2 inhibits CFAP20DC-AS1, obscuring the interaction between the lncRNA and miR-3614-3p, leading to the suppression of anticancer genes BBX and TNFAIP3, thereby achieving antiproliferation activity.

AMERICAN JOURNAL OF CHINESE MEDICINE (2022)

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20(S)-Ginsenoside Rh2-induced apoptosis and protective autophagy in cervical cancer cells by inhibiting AMPK/mTOR pathway

Shuai Bian et al.

Summary: 20(S)-GRh2 inhibits proliferation and induces apoptosis in HeLa cells by activating intrinsic apoptotic pathway and causing mitochondrial dysfunction, while enhancing autophagy by promoting AMPK phosphorylation and suppressing mTOR activity. The use of autophagy inhibitors enhances 20(S)-GRh2-induced apoptosis, while autophagy inducers promote cell survival. Additionally, the protective autophagy induced by 20(S)-GRh2 inhibits the AMPK/mTOR pathway, promoting apoptosis in cervical cancer cells.

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Oral microbial dysbiosis and its performance in predicting oral cancer

Shih-Chi Su et al.

Summary: Dysbiosis of the oral microbiome may dictate the progression of oral squamous cell carcinoma (OSCC), with risky behaviors and individuals' oral health condition affecting the composition of the oral microbiome. Disruptions in the oral microbial population, particularly related to oral tumorigenicity, have been identified in OSCC patients, indicating a potential functional role of oral microbiome in formulating a tumor microenvironment and influencing the production of tumor-suppressive metabolites. Furthermore, microbial signatures related to oral cancer have been successfully replicated across discovery and validation cohorts.

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Ginseng: A bibliometric analysis of 40-year journey of global clinical trials

Weijie Chen et al.

Summary: The review provides an extensive overview of ginseng clinical trials over the past 40 years. It analyzes the global network of ginseng clinical trials, highlighting regional distribution and the significant contributions of South Korea and universities. The review also emphasizes the need for rigorous investigations and evidence to evaluate the safety and effectiveness of ginseng products.

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Protective effect of ginsenoside Rh2 on scopolamine-induced memory deficits through regulation of cholinergic transmission, oxidative stress and theERK-CREB-BDNFsignaling pathway

Jingwei Lv et al.

Summary: The study demonstrated that Rh2 treatment effectively improved memory deficits induced by Scop in mice by modulating the cholinergic system, inhibiting oxidative stress, and activating the ERK-CREB-BDNF signaling pathway. These findings suggest that Rh2 may be a promising candidate compound for treating Alzheimer's disease.

PHYTOTHERAPY RESEARCH (2021)

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Pharmacokinetics of Ginsenoside Rh2, the Major Anticancer Ingredient of Ginsenoside H Dripping Pills, in Healthy Subjects

Zhenlei Wang et al.

Summary: The pharmacokinetics study of ginsenoside Rh2, the major anticancer ingredient of GH, in healthy volunteers showed that Rh2 was absorbed at a moderate speed, with exposure being dose-dependent. Plasma concentration of Rh2 reached steady state after oral administration of GH twice daily for 5 days, with no obvious accumulation in exposure parameters in the multiple-dose study.

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20(S)-Ginsenoside Rh2 Suppresses Oral Cancer Cell Growth by Inhibiting the Src-Raf-ERK Signaling Pathway

Haibo Zhang et al.

Summary: Research has shown that 20(S)-Ginsenoside Rh2 exerts anti-proliferative and pro-apoptotic effects in oral cancer cells, inhibits cell migration and invasion, and achieves these functions by regulating EMT-related proteins.

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Rebecca L. Siegel et al.

Summary: Every year, the American Cancer Society projects the numbers of new cancer cases and deaths in the United States, with the latest data showing a significant decline in lung cancer mortality, while prostate cancer mortality has plateaued and breast and colorectal cancer mortality have slowed. Improvements in treatment have accelerated progress against lung cancer, leading to a record drop in overall cancer mortality.

CA-A CANCER JOURNAL FOR CLINICIANS (2021)

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Pan-PPAR agonist lanifibranor improves portal hypertension and hepatic fibrosis in experimental advanced chronic liver disease

Zoe Boyer-Diaz et al.

Summary: The study demonstrates that lanifibranor improves portal hypertension and liver fibrosis, two key elements of the pathophysiology of ACLD, in preclinical models of the disease. Evaluation of lanifibranor in liver cells from patients with ACLD further supports its beneficial effects.

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Total saponin extract, ginsenoside Rb1, and compound K alleviate peripheral and central neuropathic pain through estrogen receptors on rats

Jee Youn Lee et al.

Summary: The study showed that total saponin extract (TSE), ginsenoside Rb1, and compound K derived from red ginseng have potential antinociceptive effects against neuropathic pain, alleviating allodynia and hyperalgesia induced by peripheral and central neuropathic pain. Additionally, the antinociceptive effects of TSE and Rb1 were found to be mediated through the estrogen receptor (ER), and compound K also demonstrated significant alleviation of both types of neuropathic pain.

PHYTOTHERAPY RESEARCH (2021)

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Global cancer statistics 2020: GLOBOCAN estimates of incidence and mortality worldwide for 36 cancers in 185 countries

Hyuna Sung et al.

Summary: The global cancer burden in 2020 saw an estimated 19.3 million new cancer cases and almost 10.0 million cancer deaths. Female breast cancer surpassed lung cancer as the most commonly diagnosed cancer, while lung cancer remained the leading cause of cancer death. These trends are expected to rise in 2040, with transitioning countries experiencing a larger increase compared to transitioned countries due to demographic changes and risk factors associated with globalization and a growing economy. Efforts to improve cancer prevention measures and provision of cancer care in transitioning countries will be crucial for global cancer control.

CA-A CANCER JOURNAL FOR CLINICIANS (2021)

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LINC00853 restrains T cell acute lymphoblastic leukemia invasion and infiltration by regulating CCR9/CCL25

Jingyuan Li et al.

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Ginsenoside Rh2 stimulates the production of mitochondrial reactive oxygen species and induces apoptosis of cervical cancer cells by inhibiting mitochondrial electron transfer chain complex

Ying Liu et al.

Summary: The study demonstrated the potential anti-cervical cancer activity of G-Rh2 by inhibiting mitochondrial complex activity to induce apoptosis in cervical cancer cells.

MOLECULAR MEDICINE REPORTS (2021)

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Ginsenoside Rh2 alleviates ulcerative colitis by regulating the STAT3/miR-214 signaling pathway

Xuanqing Chen et al.

Summary: The study found that Rh2 exhibits potential application value in the treatment of ulcerative colitis (UC), and its mechanism is related to the downregulation of STAT3/miR-214 levels.

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Strategies for Remodeling the Tumor Microenvironment Using Active Ingredients of Ginseng-A Promising Approach for Cancer Therapy

Mo Li et al.

Summary: This review summarizes the functions and mechanisms of ginseng active components in regulating the tumor microenvironment. Ginsenosides and ginseng polysaccharides play crucial roles in anti-tumor effects by modulating TME, including inhibiting tumor angiogenesis, regulating immune cell function, and suppressing cancer stem cell stemness. Furthermore, ginseng may impact the tumor immune microenvironment through the restoration of gut microbiota.

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Ginsenoside Rh2 Inhibits Glycolysis through the STAT3/c-MYC Axis in Non-Small-Cell Lung Cancer

Xiaodan Sun et al.

Summary: Ginsenoside Rh2 inhibits proliferation and metastasis of NSCLC cells by promoting apoptosis and suppressing epithelial-mesenchymal transition. Rh2 exerts a glycolysis inhibition effect by regulating key enzymes of the glycolysis process, and its metabolic shift function is dependent on the STAT3/c-Myc axis.

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Thyroid cancer, recent advances in diagnosis and therapy

Fadi Nabhan et al.

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Resveratrol effects in oral cancer cells: a comprehensive review

Tamires Cunha Almeida et al.

Summary: Oral cancer is a common tumor with high incidence and mortality worldwide, and the current treatments often have high failure rates and toxicity. Therefore, the search for new drugs for more effective treatment is necessary. Natural products, such as resveratrol, with chemopreventive and anti-cancer effects, show promise in the treatment of oral cancer.

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Rh2-enriched Korean ginseng (Ginseng Rh2+) inhibits tumor growth and development of metastasis of non-small cell lung cancer

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