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New perspective on the immunomodulatory activity of ginsenosides: Focus on effective therapies for post-COVID-19 - 13/08/23

Doi : 10.1016/j.biopha.2023.115154 
Yixin Wang a, b, c, Qin Han a, b, c, Shuxia Zhang a, b, c, Xiaoyan Xing a, b, c, , 1 , Xiaobo Sun a, b, c, , 1
a Beijing Key Laboratory of Innovative Drug Discovery of Traditional Chinese Medicine (Natural Medicine) and Translational Medicine, Institute of Medicinal Plant Development, Peking Union Medical College, and Chinese Academy of Medical Sciences, China 
b Key Laboratory of Bioactive Substances and Resources Utilization of Chinese Herbal Medicine, Ministry of Education, Institute of Medicinal Plant Development, Chinese Academy of Medical Sciences & Peking Union Medical College, Beijing 100193, China 
c Key Laboratory of Efficacy Evaluation of Chinese Medicine against Glycolipid Metabolic Disorders,State Administration of Traditional Chinese Medicine, Institute of Medicinal Plant Development, Peking Union Medical College and Chinese Academy of Medical Sciences, China 

Corresponding authors at: Beijing Key Laboratory of Innovative Drug Discovery of Traditional Chinese Medicine (Natural Medicine) and Translational Medicine, Institute of Medicinal Plant Development, Peking Union Medical College, and Chinese Academy of Medical Sciences, China.Beijing Key Laboratory of Innovative Drug Discovery of Traditional Chinese Medicine (Natural Medicine) and Translational Medicine, Institute of Medicinal Plant Development, Peking Union Medical College, and Chinese Academy of Medical SciencesChina

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Abstract

More than 700 million confirmed cases of Coronavirus Disease-2019 (COVID-19) have been reported globally, and 10–60% of patients are expected to exhibit “post-COVID-19 symptoms,” which will continue to affect human life and health. In the absence of safer, more specific drugs, current multiple immunotherapies have failed to achieve satisfactory efficacy. Ginseng, a traditional Chinese medicine, is often used as an immunomodulator and has been used in COVID-19 treatment as a tonic to increase blood oxygen saturation. Ginsenosides are the main active components of ginseng. In this review, we summarize the multiple ways in which ginsenosides affect post-COVID-19 symptoms, including inhibition of lipopolysaccharide, tumor necrosis factor signaling, modulation of chemokine receptors and inflammasome activation, induction of macrophage polarization, effects on Toll-like receptors, nuclear factor kappa-B, the mitogen-activated protein kinase pathway, lymphocytes, intestinal flora, and epigenetic regulation. Ginsenosides affect virus-mediated tissue damage, local or systemic inflammation, immune modulation, and other links, thus alleviating respiratory and pulmonary symptoms, reducing the cardiac burden, protecting the nervous system, and providing new ideas for the rehabilitation of patients with post-COVID-19 symptoms. Furthermore, we analyzed its role in strengthening body resistance to eliminate pathogenic factors from the perspective of ginseng-epidemic disease and highlighted the challenges in clinical applications. However, the benefit of ginsenosides in modulating organismal imbalance post-COVID-19 needs to be further evaluated to better validate the pharmacological mechanisms associated with their traditional efficacy and to determine their role in individualized therapy.

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Highlights

Post-COVID-19 sequelae continue to affect human life and health.
Ginsenosides modulate post-COVID-19 immune imbalance through multiple pathways.
Ginsenosides may improve post-COVID-19 syndrome.
Analysis of modern pharmacology of ginsenosides in the context of TCM.

Le texte complet de cet article est disponible en PDF.

Abbreviations : COVID-19, SARS-CoV-2, TCM, ACE2, NRP-1, IFN, PPD, PPT, ALI, Th1, Th2, LPS, iNOS, TNF-α, TLRs, NF-κB, ERK, MAPK, MCP-1, NLR, AIM2, AP-1, IRF, IL, PRRS, GSDMD, STAT, NET, PBMCs, CTX, NSCLC, ROS, ARI, GABA

Keywords : Ginsenosides, Immunomodulation, Post-COVID-19, Epidemic disease


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Vol 165

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