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March 20, 2022Open Access Macedonian Journal of Medical SciencesOpen Access

Panax ginseng significantly reduced doxorubicin-induced myocardial injury in experimental rats, lowering cardiac troponin I levels by 9.89 ng/L compared to doxorubicin alone.

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Why the study?

Doxorubicin is an effective broad-spectrum anti-cancer drug, but its clinical use can be limited by cardiotoxicity.

Does Panax ginseng reduce doxorubicin-induced cardiotoxicity in male Sprague Wistar rats?

Population

Thirty male Sprague Wistar rats

Comparison

Distilled water plus saline vs distilled water plus doxorubicin vs Panax ginseng plus doxorubicin

Design

Animal experimental study

Key result

Panax ginseng significantly reduced doxorubicin-induced myocardial injury in experimental rats, lowering cardiac troponin I levels by 9.89 ng/L compared to doxorubicin alone.

Authors

HAHany Akeel Al-HussaniyHAHayder M. Al‐kuraishyAAAbdul-Ghaffar A. Abdulameer

Discussion

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Member takes

Overview

Hypothesis-generating for ginseng in doxorubicin cardiotoxicity; requires human trials before any clinical consideration.

Structured PICO

Does Panax ginseng reduce doxorubicin-induced cardiotoxicity in male Sprague Wistar rats?

P
Population
30 male Sprague Wistar rats were used to evaluate the cardioprotective effects of Panax ginseng against doxorubicin-induced cardiotoxicity over an 11-day period.
I
Intervention
Panax ginseng 100 mg/kg/day orally for 10 days plus a single intraperitoneal injection of doxorubicin 20 mg/kg on the 8th day.
C
Comparator
Distilled water 2.5 ml/kg orally for 10 days plus a single intraperitoneal injection of doxorubicin 20 mg/kg on the 8th day.
O
Outcome
Serum levels of cTnI, BNP, MDA, LPO, GSH, TNF-α, and caspase-3, along with histopathological changes, measured on the 11th day.surrogate

Main Result

Mean Difference: -9.89 (95% CI -15.7–-4.07)

Absolute Event Rate: 30.2% vs 40.09%

p-value: p=0.002

Panax ginseng attenuates doxorubicin-induced cardiotoxicity in a rat model by suppressing oxidative stress, inflammatory, and apoptotic pathways.

Limitations

  • Future research on Panax ginseng and its effect on caspase-3 may be required to determine whether it increases the anti-cancer effect.

Cite This Study

Al-Hussaniy et al. (2022) studied Doxorubicin-induced cardiotoxicity (n=30). Panax ginseng vs. Doxorubicin alone (20 mg/kg) was evaluated on Cardiac troponin I (cTnI) levels (MD -9.89, 95% CI -15.70-4.07, p=0.002). Panax ginseng significantly reduced doxorubicin-induced myocardial injury in experimental rats, lowering cardiac troponin I levels by 9.89 ng/L compared to doxorubicin alone.

synapsesocial.com/papers/6a98159c824c98cfb78bfba2https://doi.org/10.3889/oamjms.2022.9479
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Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1Panax ginseng as Antioxidant and Anti-inflammatory to reduce the Cardiotoxicity of Doxorubicin on rat module2022 · 36 citations
  2. 2Protective Effect of Saponins from Panax notoginseng against Doxorubicin-Induced Cardiotoxicity in Mice2008 · 33 citations
  3. 3Protective effects of Panax ginseng against doxorubicin-induced cardiac toxicity in patients with non-metastatic breast cancer: A randomized, double-blind, placebo-controlled clinical trial2022 · 20 citations
  4. 4Inhibitory effects of Panax ginseng glycoproteins in models of doxorubicin-induced cardiac toxicity in vivo and in vitro2021 · 16 citations
  5. 5Protective role of ginseng extract against oxidative stress, reproductive and some biochemical parameters alterations induced by doxorubicin in male rats2020