| BMC Complementary and Alternative Medicine | |
| Effects of Korean red ginseng (Panax Ginseng Meyer) on bisphenol A exposure and gynecologic complaints: single blind, randomized clinical trial of efficacy and safety | |
| Mirim Jin2  Min-Woo Hwang3  Ho-Sun Lee1  Mihi Yang1  | |
| [1] Research Center for Cell Fate Control, College of Pharmacy, Sookmyung Women’s University, Hyochangwon-gil 52, Yongsan-Gu, Seoul 140-742, Republic of Korea;Labobatory of Pathology, College of Oriental Medicine, Daejeon University, Daejeon, Republic of Korea;Department of Sasang Constitutional Medicine, College of Korean Medicine, Kyung Hee University, Seoul, Republic of Korea | |
| 关键词: Quality of life; Gynecologic complaints; Sasang typology; Chemoprevention; Bisphenol A; Korean red ginseng; | |
| Others : 1087200 DOI : 10.1186/1472-6882-14-265 |
|
| received in 2013-10-20, accepted in 2014-07-14, 发布年份 2014 | |
PDF
|
|
【 摘 要 】
Background
Korean red ginseng (KRG) is a processed ginseng from raw ginseng to enhance safety, preservation and efficacy, known having beneficial effects on women’s health due to its estrogen like function. While estrogen supplementation showed some modulation of endocrine disrupting chemicals, bisphenol A (BPA) has been focused as a potential endocrine disrupting chemical. In this study, we examined the efficacy and safety outcomes of KRG against BPA, focusing on female quality of life (QOL). Individual variations in susceptibility to KRG were also investigated with the Sasang Typology, the personalized medicine used for hundred years in Korea.
Methods
We performed a single-blind randomized clinical trial. Study subjects were young women (N = 22), consumed 2.7 g of KRG or placebo per day for 2 weeks and filled up questionnaires regarding gynecologic complaints at the 4 time spots. We analyzed urinary total BPA and malondialdehyde (MDA), an oxidative stress biomarker, with GC/MS and HPLC/UVD respectively, and diagnosed their Sasang Typology with the questionnaire for the Sasang constitution Classification (QSCC II).
Results
KRG consumption decreased urinary BPA and MDA levels (ps < 0.05) and alleviated ‘menstrual irregularity’, ‘menstrual pain’, and ‘constipation’ (ps < 0.05). SoEum type (Lesser Yin person) among the Sasang types showed significant alleviation in insomnia, flushing, perspiration and appetite by KRG consumption, rather than other Sasang types. During the intervention, no one experienced any aggravated side effects.
Conclusion
We suggest KRG is efficient for protection for female QOL and BPA- exposure and – related oxidative stress. However, individual variation in susceptibility to KRG should be further considered for identifying ideal therapy.
Trial registration
【 授权许可】
2014 Yang et al.; licensee BioMed Central Ltd.
【 预 览 】
| Files | Size | Format | View |
|---|---|---|---|
| 20150116023747847.pdf | 1158KB | ||
| Figure 6. | 54KB | Image | |
| Figure 5. | 61KB | Image | |
| Figure 4. | 25KB | Image | |
| Figure 3. | 56KB | Image | |
| Figure 2. | 50KB | Image | |
| Figure 1. | 101KB | Image |
【 图 表 】
Figure 1.
Figure 2.
Figure 3.
Figure 4.
Figure 5.
Figure 6.
【 参考文献 】
- [1]KFDA: State of the Distribution Market of Health Functional Foods. 2011. Korean government document # 11-1470550-000223-14
- [2]Lee HS, Park JY, Yang M: Chemopreventive effects of Korean red ginseng (Panax ginseng Meyer) on exposure to PolycyclicAromatic hydrocarbons. J Ginseng Res 2011, 35:339-343.
- [3]Nam K: The comparative understanding between red ginsengs and white ginseng processed ginsengs (Panax ginseng C.A. Mayer). J Ginseng Res 2005, 29:1-18.
- [4]Jang DJ, Lee MS, Shin BC, Lee YC, Ernst E: Red ginseng for treating erectile dysfunction: a systematic review. Br J Clin Pharmacol 2008, 66(4):444-450.
- [5]Hong CE, Lyu SY: Anti-inflammatory and anti-oxidative effects of Korean red ginseng extract in human keratinocytes. Immune Network 2011, 11(1):42-49.
- [6]Ernst E: Panax ginseng: an overview of the clinical evidence. J Ginseng Res 2010, 34(4):259-263.
- [7]Shim JY, Kim MH, Kim HD, Ahn JY, Yun YS, Song JY: Protective action of the immunomodulator ginsan against carbon tetrachloride-induced liver injury via control of oxidative stress and the inflammatory response. Toxicol Appl Pharmacol 2010, 242(3):318-325.
- [8]Kho MJ, Minji B, Yang M: Chemopreventive effects of Korean red ginseng on urinary bisphenol a and malondialdehyde. Cancer Prev Res (Korean) 2010, 15(3):231-235.
- [9]Park Y, Kwon HY, Shimi MK, Rhyu MR, Lee Y: Improved lipid profile in ovariectomized rats by red ginseng extract. Die Pharmazie 2011, 66(6):450-453.
- [10]Hao K, Gong P, Sun SQ, Hao HP, Wang GJ, Dai Y, Liang Y, Xie L, Li FY: Beneficial estrogen-like effects of ginsenoside Rb1, an active component of Panax ginseng, on neural 5-HT disposition and behavioral tasks in ovariectomized mice. Eur J Pharmacol 2011, 659(1):15-25.
- [11]Lind PM, Eriksen EF, Lind L, Orberg J, Sahlin L: Estrogen supplementationmodulates effects of the endocrine disrupting pollutant PCB126 in rat bone and uterus: diverging effects in ovariectomized and intact animals. Toxicology 2004, 199(2–3):129-136.
- [12]Hwang SY, Kim WJ, Wee JJ, Choi JS, Kim SK: Panax ginseng improves survival and sperm quality in guinea pigs exposed to 2,3,7,8- tetrachlorodibenzo- p-dioxin. BJU Int 2004, 94(4):663-668.
- [13]Shim MK, Lee YJ: Estrogen receptor is activated by korean red ginseng in vitro but not in vivo. J Ginseng Res 2012, 36(2):169-175.
- [14]Kim SY, Seo SK, Choi YM, Jeon YE, Lim KJ, Cho S, Choi YS, Lee BS: Effects of red ginseng supplementation on menopausal symptoms and cardiovascular risk factors in postmenopausal women: a double-blind randomized controlled trial. Menopause 2012, 19(4):461-466.
- [15]Jia L, Zhao Y: Current evaluation of the millennium phytomedicine–ginseng (I): etymology, pharmacognosy, phytochemistry, market and regulations. Curr Med Chem 2009, 16(19):2475-2484.
- [16]Lee J-M: Dong-Yi-Soo-Se-Bo-Won. 1894. https://docs.google.com/file/d/0B_XNOYjXOO0BTnJrTVJoaTNfMkU/edit?pli=1 webcite
- [17]Lee SMS, Kim H, Kim J: A clinical study on the Sasang constitutional preference for foods. Korean J Oriental Med 2007, 13(1):77-83.
- [18]Chae H, Lyoo IK, Lee SJ, Cho S, Bae H, Hong M, Shin M: An alternative way to individualized medicine: psychological and physical traits of Sasang typology. J Altern Complement Med 2003, 9(4):519-528.
- [19]Kim JY, Duong DP: Sasang constitutional medicine as a holistic tailored medicine. Evid-Based Compl Alt 2009, 6:11-19.
- [20]Theo C, Dianne D, John Peterson M: Our stolen future: are we threatening our fertility, intelligence, and survival?. New York: Dutton; 1997. [A Scientific Detective Story]
- [21]Yang M, Kim SY, Chang SS, Lee IS, Kawamoto T: Urinary concentrations of bisphenol A in relation to biomarkers of sensitivity and effect and endocrine related health effects. Environ Mol Mutagen 2006, 47(8):571-578.
- [22]Sabatini L, Wilson C, Lower A, Al-Shawaf T, Grudzinskas JG: Superoxide dismutase activity in human follicular fluid after controlled ovarian hyperstimulation in women undergoing in vitro fertilization. Fertil Steril 1999, 72(6):1027-1034.
- [23]Mok-Lin E, Ehrlich S, Williams PL, Petrozza J, Wright DL, Calafat AM, Ye X, Hauser R: Urinary bisphenol A concentrations and ovarian response amongwomen undergoing IVF. Int J Androl 2010, 33(2):385-393.
- [24]Yi B, Kasai H, Lee HS, Kang Y, Park JY, Yang M: Inhibition by wheat sprout (Triticum aestivum) juice of bisphenol A-induced oxidative stress in youngwomen. Mut Res 2011, 724(1–2):64-68.
- [25]KFDA (2010): Health Functional Food Code. http://eng.kfda.go.kr/board/board_view.php?av_seq=17&av_pg=1&board_id=ENG_RULE&textfield=&keyfield= webcite
- [26]Kim JY, Park JY, Kang HJ, Kim OY, Lee JH: Beneficial effects of Korean red ginseng on lymphocyte DNA damage, antioxidant enzyme activity, and LDL oxidation in healthy participants: a randomized, double-blind, placebo-controlled trial. Nutr J 2012, 11:47.
- [27]Oh KJ, Chae MJ, Lee HS, Hong HD, Park K: Effects of Korean red ginseng on sexual arousal in menopausal women: placebo-controlled, double-blind crossover clinical study. J Sex Med 2010, 7(4 Pt 1):1469-1477.
- [28]Choi S, Hong J, Chi S, Jung B, Ahn K: A study on the association between Sasang Constitutions (QSCCII ) and Huh’s morphological diagramming. Korean J Oriental Med 2002, 8(1):75-92.
- [29]Kim H, Jang CH: Sensitive determanation of eleven phenolic endocrine disrupting chemicals in human urine using gas chromatography/ mass spectrometry-selected ion monitoring. Environ Eng Res (Korean) 2007, 12(3):93-100.
- [30]Adewale HB, Jefferson WN, Newbold RR, Patisaul HB: Neonatal bisphenol-a exposure alters rat reproductive development and ovarian morphology withoutimpairing activation of gonadotropin-releasing hormone neurons. Biol Reprod 2009, 81(4):690-699.
- [31]Zama AM, Uzumcu M: Epigenetic effects of endocrine-disrupting chemicals on female reproduction: an ovarian perspective. Front Neuroendocrinol 2010, 31(4):420-439.
- [32]Bredhult C, Sahlin L, Olovsson M: Gene expression analysis of human endometrial endothelial cells exposed to Bisphenol A. Reprod Toxicol 2009, 28(1):18-25.
- [33]Titus-Ernstoff L, Troisi R, Hatch EE, Wise LA, Palmer J, Hyer M, Kaufman R, Adam E, Strohsnitter W, Noller K, Herbst AL, Gibson-Chambers J, Hartge P, Hoover RN: Menstrual and reproductivecharacteristics of women whose mothers were exposed in utero to diethylstilbestrol (DES). Int J Epidemiol 2006, 35(4):862-868.
- [34]Takeuchi TTO, Ikezuki Y, Takai Y, Taketani Y: Positive relationship between androgen and the endocrine disruptor, bisphenol A, in normal women and women with ovarian dysfuction. EndocrJ 2004, 51(2):165-169.
- [35]Nah WH, Park MJ, Gye MC: Effects of early prepubertal exposure to bisphenol A on the onset of puberty, ovarian weights, and estrous cycle in female mice. Clin Exp Reprod Med 2011, 38(2):75-81.
- [36]Anderson OS, Sant KE, Dolinoy DC: Nutrition and epigenetics: an interplay of dietary methyl donors, one-carbon metabolism and DNA methylation. J Nutr Biochem 2012, 23(8):853-859.
- [37]Cho YS, Hong ST, Choi KH, Chang YH, Chung AS: Chemopreventive activity of porphyrin derivatives against 6-sulfooxymethylbenzo[a]pyrene mutagenicity. Asian Pac J Cancer Prev 2000, 1(4):311-317.
- [38]Kabalak AA, Soyal OB, Urfalioglu A, Saracoglu F, Gogus N: Menometrorrhagia and tachyarrhythmia after using oral and topical ginseng. J Womens Health (Larchmt) 2004, 13(7):830-833.
- [39]Horiuchi Akira NY, Tanaka N: Effect of traditional Japanese medicine, Daikenchuto (TJ-100) in patients with chronic constipation. Gastroenterology Res 2010, 3(4):151-155.
- [40]Tode T, Kikuchi Y, Hirata J, Kita T, Nakata H, Nagata I: Effect of Korean red ginseng on psychological functions in patients with severe climacteric syndromes. Int J Gynaecol Obstet 1999, 67(3):169-174.
- [41]Jeong Han H, Yun Kim H, Joon Choi J, Ahn SY, Lee SH, Oh KW, Kim SY: Effects of red ginseng extract on sleeping behaviors in human volunteers. J Ethnopharmacol 2013, 149(2):597-599.
- [42]Ma H, Sullivan-Halley J, Smith AW, Neuhouser ML, Alfano CM, Meeske K, George SM, McTiernan A, McKean-Cowdin R, Baumgartner KB, Ballard-Barbash R, Bernstein L: Estrogenic botanical supplements, health-related quality of life, fatigue, and hormone-related symptoms in breast cancer survivors: a HEAL study report. BMC Complement Altern Med 2011, 11:109.
PDF