Ginsenoside Rg1 improves survival in a murine model of polymicrobial sepsis by suppressing the inflammatory response and apoptosis of lymphocytes

J Surg Res. 2013 Aug;183(2):760-6. doi: 10.1016/j.jss.2013.01.068. Epub 2013 Feb 26.

Abstract

Background: Unbalanced inflammatory response and lymphocyte apoptosis are the main reasons for high mortality in patients with sepsis. Ginsenoside Rg1 (Rg1), the most important component isolated from Panax ginseng, has long been used to treat inflammatory and immune-related diseases. We designed this study to investigate the therapeutic effect of this agent on cecal ligation and puncture (CLP)-induced sepsis in mice.

Materials and methods: We randomly divided C57BL/6 mice into four experimental groups: sham, sham plus Rg1, CLP, and CLP plus Rg1. We intravenously injected Rg1 (20 mg/kg) 1 h after CLP and evaluated survival, bacterial clearance, cytokine production, histology, neutrophil emigration, and lymphocyte apoptosis.

Results: Our study showed that treatment with Rg1 significantly improved survival in septic mice (P < 0.01). Rg1 administration suppressed the inflammatory response and enhanced bacterial clearance. Histologic examination of lung and liver showed only minor abnormalities in mice that received Rg1. In addition, Rg1 increased neutrophil counts in peritoneal cavity and inhibited lymphocyte apoptosis in thymus and spleen.

Conclusions: Ginsenoside Rg1 has a protective role against CLP-induced polymicrobial sepsis by attenuating the proinflammatory response, enhancing innate immunity and preserving adaptive immunity. Rg1 could be a promising new agent for treatment of sepsis.

Keywords: Anti-inflammation; Ginsenoside Rg1; Immune modulation; Sepsis.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Animals
  • Anti-Inflammatory Agents / pharmacology
  • Anti-Inflammatory Agents / therapeutic use
  • Apoptosis / drug effects*
  • Cecum / injuries
  • Coinfection / drug therapy
  • Coinfection / microbiology
  • Coinfection / mortality*
  • Disease Models, Animal
  • Ginsenosides / pharmacology*
  • Ginsenosides / therapeutic use*
  • Inflammation / pathology
  • Inflammation / prevention & control*
  • Ligation / adverse effects
  • Lymphocytes / drug effects
  • Lymphocytes / pathology*
  • Male
  • Mice
  • Mice, Inbred C57BL
  • Neutrophils / drug effects
  • Neutrophils / pathology
  • Punctures / adverse effects
  • Sepsis / drug therapy
  • Sepsis / microbiology
  • Sepsis / mortality*
  • Spleen / drug effects
  • Spleen / pathology
  • Survival Rate

Substances

  • Anti-Inflammatory Agents
  • Ginsenosides
  • ginsenoside Rg1