Abstract

BackgroundThe Y-75 (Ginsan) acidic polysaccharide from Korean Panax ginseng has been shown to function as an immunomodulatory molecule. However, the efficacy of Y-75 has not been evaluated in clinical trial.MethodsWe verified Y-75 (6 g/day) for safety and immune efficacy in 72 healthy volunteers aged 50–75 years using a randomized, placebo-controlled, parallel, double-blind study. The activities of natural killer (NK) cells and peripheral blood phagocytes, as well as serum levels of monocyte-derived mediators, were assessed before and after administration for 8 and 14 weeks. This trial is registered at ClinicalTrials.gov (NCT02161198).ResultsY-75 significantly enhanced NK cell cytotoxic activity by 35.2% and 40.2% from baseline after administration for 8 and 14 weeks, respectively. The phagocytic activity of peripheral blood cells was also significantly increased by 25.2% and 39.4% and serum level of TNF-α by 38.2% and 44.5% after treatment for 8 and 14 weeks, respectively. Differences in the efficacy of variables compared to the placebo group were also significant. Administration of Y-75 was well tolerated without treatment-related adverse events or alteration of complete blood cell count or blood chemistry over the entire study period.ConclusionY-75 was shown to be a safe and potentially effective natural alternative for enhancing immune function.

Highlights

  • The Y-75 (Ginsan) acidic polysaccharide from Korean Panax ginseng has been shown to function as an immunomodulatory molecule

  • Ginsan is an acidic polysaccharide with a molecular weight of 150,000 Da, isolated from the aqueous Korean Panax ginseng extract [13,14]

  • Previous studies have shown that Ginsan induces the proliferation of lymphocytes [15] and maturation of bone-marrow derived dendritic cells [16,17] as well as stimulates the phagocytic activity of macrophages [18,19]

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Summary

Introduction

The Y-75 (Ginsan) acidic polysaccharide from Korean Panax ginseng has been shown to function as an immunomodulatory molecule. Previous studies have shown that Ginsan induces the proliferation of lymphocytes [15] and maturation of bone-marrow derived dendritic cells [16,17] as well as stimulates the phagocytic activity of macrophages [18,19]. Pretreatment of Ginsan protects mice from lethality induced by Staphylococcus aureus infection [26,27] This survival benefit is associated with enhanced bacterial clearance from circulation and attenuation of the acute elevation of cytokines in the early septic phase, the uncontrolled response of which may be harmful to the host. Taken together, these observations strongly suggest that Ginsan mediates a significant modulatory effect on the immune system. The efficacy of Ginsan has not been studied in clinical trials

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