Abstract

BackgroundRecently, clinical research has suggested that red ginseng components play a role in liver protection and combating fatigue. However, fermented ginseng has not been analyzed for liver-protective or anti-fatigue effects.ObjectiveThis study evaluates the positive effects of fermented ginseng powder (GBCK25) on liver function.MethodsNinety participants with elevated alanine aminotransferase levels (35 ≤ ALT ≤1 05 IU/L) were randomized to one of three groups. The participants were treated with GBCK25 tablets at a dose of 500 mg/day (high dose), 125 mg/day (low dose), or placebo group daily for 12 weeks. The primary outcomes included changes in ALT and gamma-glutamyl transferase (GGT) levels. The secondary outcomes included changes in aspartate amino-transferase (AST), high-sensitivity C-reactive protein (hs-CRP), multidimensional fatigue scale, lipid profile, and antioxidant markers.ResultsIn male subjects, after 12 weeks of low-dose GBCK25 (125 mg) supplementation, the GGT (P = 0.036) and hs-CRP (P = 0.021) levels decreased significantly more than those in the placebo group. High-dose GBCK25 (500 mg) supplementation significantly decreased the fatigue score compared with the placebo group. There were no clinically significant differences between the groups when studying any safety parameter.ConclusionOur results suggest that GBCK25 supplementation has beneficial effects on liver function.Trial registrationThis study was registered at Clinical Trials.gov (NCT03260543).

Highlights

  • Clinical research has suggested that red ginseng components play a role in liver protection and combating fatigue

  • This study evaluates the positive effects of fermented ginseng powder (GBCK25) on liver function

  • In a pre-clinical study [25], we found that serum ALT concentration was reduced after GBCK25 supplementation in a Western diet (WD) fed mouse model, and that significant decrease in serum ALT concentration was noted in mice receiving GBCK25 administration

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Summary

Introduction

Clinical research has suggested that red ginseng components play a role in liver protection and combating fatigue. Fermented ginseng has not been analyzed for liver-protective or anti-­ fatigue effects. Objective: This study evaluates the positive effects of fermented ginseng powder (GBCK25) on liver function. The primary outcomes included changes in ALT and gamma-glutamyl transferase (GGT) levels. The secondary outcomes included changes in aspartate amino-transferase (AST), high-sensitivity C-reactive protein (hs-CRP), multidimensional fatigue scale, lipid profile, and antioxidant markers. Results: In male subjects, after 12 weeks of low-dose GBCK25 (125 mg) supplementation, the GGT (P = 0.036) and hs-CRP (P = 0.021) levels decreased significantly more than those in the placebo group. High-dose GBCK25 (500 mg) supplementation significantly decreased the fatigue score compared with the placebo group. Conclusion: Our results suggest that GBCK25 supplementation has beneficial effects on liver function. Trial registration: This study was registered at Clinical Trials.gov (NCT03260543)

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