Abstract

Ginseng (Order: Apiales, Family: Araliaceae, Genus: Panax) has been used as a traditional herbal medicine for over 2000 years, and is recorded to have antianxiety, antidepressant and cognition enhancing properties. The protective effects of ginseng on neurological disorders are discussed in this review. Ginseng species and ginsenosides, and their intestinal metabolism and bioavailability are briefly introduced. This is followed by molecular mechanisms of effects of ginseng on the brain, including glutamatergic transmission, monoamine transmission, estrogen signaling, nitric oxide (NO) production, the Keap1/Nrf2 adaptive cellular stress pathway, neuronal survival, apoptosis, neural stem cells and neuroregeneration, microglia, astrocytes, oligodendrocytes and cerebral microvessels. The molecular mechanisms of the neuroprotective effects of ginseng in Alzheimer’s disease (AD) including β-amyloid (Aβ) formation, tau hyperphosphorylation and oxidative stress, major depression, stroke, Parkinson’s disease and multiple sclerosis are presented. It is hoped that this discussion will stimulate more studies on the use of ginseng in neurological disorders.

Highlights

  • Protective effects of ginseng on neurological disordersWei-Yi Ong 1,2*, Tahira Farooqui 3, Hwee-Ling Koh 4, Akhlaq A

  • Ginseng (Order: Apiales, Family: Araliaceae, Genus: Panax) roots, stems, and leaves have been used as traditional herbal medicine for over 2000 years

  • Treatment with Panax notoginseng flavonol glycosides inhibited the aggregation of Aβ in a dose-dependent manner and modulated the increase in Ca2+ and cell death triggered by Aβ in cultured neurons

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Summary

Protective effects of ginseng on neurological disorders

Wei-Yi Ong 1,2*, Tahira Farooqui 3, Hwee-Ling Koh 4, Akhlaq A. The protective effects of ginseng on neurological disorders are discussed in this review. Their intestinal metabolism and bioavailability are briefly introduced. This is followed by molecular mechanisms of effects of ginseng on the brain, including glutamatergic transmission, monoamine transmission, estrogen signaling, nitric oxide (NO) production, the Keap1/Nrf adaptive cellular stress pathway, neuronal survival, apoptosis, neural stem cells and neuroregeneration, microglia, astrocytes, oligodendrocytes and cerebral microvessels. It is hoped that this discussion will stimulate more studies on the use of ginseng in neurological disorders

Introduction
Intestinal Metabolism and Actions of Ginseng
Stimulation Stimulation Inhibition Stimulation Stimulation
Bioavailability of Ginseng
Molecular Mechanisms of Effects of Ginseng on the Brain
Antidepressant Upregulation of BDNF
Protective Effects of Ginseng on Neurological Disorders
Conclusions and Future Directions
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