Abstract
Although radiotherapy is widely employed in the treatment of various malignancies in oncology patients, its use is limited by the toxic effects it causes in surrounding tissues, including the gastrointestinal system. Korean Red Ginseng (KRG) is a traditional drug reported to possess antioxidant and restorative properties in various studies. The purpose of the present study was to investigate the protective effects of KRG against radiation-associated small intestinal damage. Twenty-four male Sprague Dawley rats were randomly assigned into three groups. No procedure was performed on Group 1 (control) during the experiment, while Group 2 (x-irradiation) was exposed to radiation only. Group 3 (x-irradiation + ginseng) received ginseng via the intraperitoneal route for a week prior to x-irradiation. The rats were killed 24 h after radiation. Small intestinal tissues were evaluated using histochemical and biochemical methods. An increase in malondialdehyde (MDA) levels and a decrease in glutathione (GSH) were observed in the x-irradiation group compared to the control group. KRG caused a decrease in MDA and caspase-3 activity and an increase in GSH. Our findings show that it can prevent damage and apoptotic cell death caused by x-irradiation in intestinal tissue and can therefore play a protective role against intestinal injury in patients receiving radiotherapy.
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References
Abou-Zeid SM, El-Bialy BE, El-Borai NB et al (2018) Radioprotective effect of Date syrup on radiation-induced damage in Rats. Sci Rep. https://doi.org/10.1038/S41598-018-25586-3
Bai L, Gao J, Wei F et al (2018) Therapeutic potential of ginsenosides as an adjuvant treatment for diabetes. Front Pharmacol 9:1–14. https://doi.org/10.3389/fphar.2018.00423
Bellïes M, Gonzalo S, Serra N et al (2017) Environmental exposure to low-doses of ionizing radiation. Effects on early nephrotoxicity in mice. Environ Res 156:291–296. https://doi.org/10.1016/j.envres.2017.03.034
Broin PÓ, Vaitheesvaran B, Saha S et al (2015) NIH public access. Int J Radiat Oncol Biol Phys 91:360–367. https://doi.org/10.1016/j.ijrobp.2014.10.023.Intestinal
Cho HJ, Lee WH, HA HOM, et al (2017) Role of NADPH oxidase in radiation-induced pro-oxidative and pro-inflammatory pathways in mouse brain. Physiol Behav 176:139–148. https://doi.org/10.1080/09553002.2017.1377360.Role
De Ruysscher D, Niedermann G, Burnet NG et al (2019) Radiotherapy toxicity. Nat Rev Dis Prim. https://doi.org/10.1038/s41572-019-0064-5
Delaney G, Jacob S, Featherstone C, Barton M (2005) The role of radiotherapy in cancer treatment: Estimating optimal utilization from a review of evidence-based clinical guidelines. Cancer 104:1129–1137. https://doi.org/10.1002/cncr.21324
Draper HH, Hadley M (1990) Malondialdehyde determination as index of lipid Peroxidation. Methods Enzymol 186:421–431. https://doi.org/10.1016/0076-6879(90)86135-I
El-Ghazaly MA, El-Hazek RM, Khayyal MT (2015) Protective effect of the herbal preparation, STW 5, against intestinal damage induced by gamma radiation in rats. Int J Radiat Biol 91:150–156. https://doi.org/10.3109/09553002.2014.954059
Elliott TB, Deutz NE, Gulani J et al (2014) Gastrointestinal acute radiation syndrome in Göttingen minipigs (Sus Scrofa Domestica). Comp Med 64:456–463
Ellman GL (1959) Tissue sulfhydryl groups. Arch Biochem Biophys 82:70–77
Huang Q, Wang T, Yang L, Wang HY (2017) Ginsenoside Rb2 alleviates hepatic lipid accumulation by restoring autophagy via induction of sirt1 and activation of AMPK. Int J Mol Sci 18:1–15. https://doi.org/10.3390/ijms18051063
Jalili-Firoozinezhad S, Prantil-Baun R, Jiang A et al (2018) Modeling radiation injury-induced cell death and countermeasure drug responses in a human Gut-on-a-Chip article. Cell Death Dis. https://doi.org/10.1038/s41419-018-0304-8
Jemal A, Bray F, Ferlay J (2011) Global Cancer Statistics: 2011. CA Cancer J Clin 61:69–90. https://doi.org/10.3322/caac.20107.Available
Keskek M, Gocmen E, Kilic M et al (2006) Increased expression of cyclooxygenase-2 (COX-2) in radiation-induced small bowel injury in rats. J Surg Res 135:76–84. https://doi.org/10.1016/j.jss.2006.03.031
Leach JK, Van TG, Lin P et al (2001) Ionizing radiation-induced, mitochondria-dependent generation of reactive oxygen. Nitrogen 1:3894–3901
Lee JH, Lee HJ, Yang M et al (2013) Effect of Korean Red Ginseng on radiation-induced bone loss in C3H/ HeN mice. J Ginseng Res 37:435–441. https://doi.org/10.5142/jgr.2013.37.435
Lu L, Li W, Chen L et al (2019) Radiation-induced intestinal damage: latest molecular and clinical developments. Futur Oncol 15:4105–4118. https://doi.org/10.2217/fon-2019-0416
Mansour HH (2013) Protective effect of ginseng against gamma-irradiation-induced oxidative stress and endothelial dysfunction in rats. EXCLI J 12:766–777
Mercantepe F, Topcu A, Rakici S et al (2019) The effects of N-acetylcysteine on radiotherapy-induced small intestinal damage in rats. Exp Biol Med 244:372–379. https://doi.org/10.1177/1535370219831225
Monti P, Wysocki J, van der Meeren A, Griffiths NM (2005) The contribution of radiation-induced injury to the gastrointestinal tract in the development of multi-organ dysfunction syndrome or failure. Br J Radiol Suppl. https://doi.org/10.1259/bjr/53186341
Na JY, Kim S, Song K et al (2012) Anti-apoptotic activity of ginsenoside Rb1 in hydrogen peroxide-treated chondrocytes: Stabilization of mitochondria and the inhibition of caspase-3. J Ginseng Res 36:242–247. https://doi.org/10.5142/jgr.2012.36.3.242
Nguyen NH, Nguyen CT (2019) Pharmacological effects of ginseng on infectious diseases. Inflammopharmacology 27:871–883. https://doi.org/10.1007/s10787-019-00630-4
Orhon ZN, Uzal C, Kanter M et al (2016) Protective effects of Nigella sativa on gamma radiation-induced jejunal mucosal damage in rats. Pathol Res Pract 212:437–443. https://doi.org/10.1016/j.prp.2016.02.017
Park SE, Park C, Kim SH et al (2009) Korean red ginseng extract induces apoptosis and decreases telomerase activity in human leukemia cells. J Ethnopharmacol 121:304–312. https://doi.org/10.1016/j.jep.2008.10.038
Park HM, Kim SJ, Kim JS, Kang HS (2012) Reactive oxygen species mediated ginsenoside Rg3- and Rh2-induced apoptosis in hepatoma cells through mitochondrial signaling pathways. Food Chem Toxicol 50:2736–2741. https://doi.org/10.1016/j.fct.2012.05.027
Poindexter SV, Reddy VK, Mittal MK et al (2015) Transcriptional corepressor MTG16 regulates small intestinal crypt proliferation and crypt regeneration after radiation-induced injury. Am J Physiol - Gastrointest Liver Physiol 308:G562–G571. https://doi.org/10.1152/ajpgi.00253.2014
Rakici SY, Guzel AI, Tumkaya L, Sevim Nalkiran H, Mercantepe T (2020) Pelvic radiation-induced testicular damage: an experimental study at 1 gray. Syst Biol Reprod Med 66:89–98. https://doi.org/10.1080/19396368.2019.1679909
Suman S, Kumar S, Moon BH et al (2017) Increased transgenerational intestinal tumorigenesis in offspring of ionizing radiation exposed parent APC1638N/+ mice. J Cancer 8:1769–1773. https://doi.org/10.7150/jca.17803
Ullah HMA, Lee YY, Kim M et al (2021) Red ginseng oil attenuates oxidative stress and offers protection against ultraviolet-ınduced photo toxicity. Oxid Med Cell Longev. https://doi.org/10.1155/2021/5538470
Uzal C, Sezer A, Usta U et al (2012) The protective effect of amifostine on radiation-induced proctitis: systemic versus topical application. Balkan Med J 29:32–38. https://doi.org/10.5152/balkanmedj.2011.005
Verma P, Jahan S, Kim TH, Goyal PK (2011) Management of radiation injuries by Panax ginseng extract. J Ginseng Res 35:261–271. https://doi.org/10.5142/jgr.2011.35.3.261
Xing J, jing, Hou J gang, Ma Z na, et al (2019) Ginsenoside Rb3 provides protective effects against cisplatin-induced nephrotoxicity via regulation of AMPK-/mTOR-mediated autophagy and inhibition of apoptosis in vitro and in vivo. Cell Prolif 52:1–16. https://doi.org/10.1111/cpr.12627
Xu X, Ling Q, Wei Q et al (2011) Korean Red Ginseng: a new approach for the treatment of graft-versus-host disease after liver transplantation. Transpl Proc 43:2651–2655. https://doi.org/10.1016/j.transproceed.2011.06.032
Yahyapour R, Motevaseli E, Rezaeyan A et al (2018) Reduction–oxidation (redox) system in radiation-induced normal tissue injury: molecular mechanisms and implications in radiation therapeutics. Clin Transl Oncol. https://doi.org/10.1007/s12094-017-1828-6
Zhang C, Ni J, Li BL et al (2013) CpG-oligodeoxynucleotide treatment protects against ıonizing radiation-ınduced ıntestine ınjury. PLoS ONE. https://doi.org/10.1371/journal.pone.0066586
Zhang JJ, Wang JQ, Xu XY et al (2020) Red ginseng protects against cisplatin-induced intestinal toxicity by inhibiting apoptosis and autophagy: via the PI3K/AKT and MAPK signaling pathways. Food Funct 11:4236–4248. https://doi.org/10.1039/d0fo00469c
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AO and LT designed the study. AO, LT, TM, TCS, MU, SK, GD and AP performed the experiments. TM and TCS performed the histopathological analysis. HKY and EYK performed the biochemical analysis. AO, LT, TM and TCS wrote the manuscript. All authors read and approved the final manuscript.
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The animal experiments were performed in conformity with the laws and regulations for animal experiments in Helsinki Declarations and were approved by the Recep Tayyip Erdoğan University local animal care committee (Rize, Turkey, decision no. 2021/14 dated 27.05.2021). Experimental procedures were carried out following the directives for the care and use of laboratory animals.
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Ozdemir, A., Tumkaya, L., Mercantepe, T. et al. The protective effects of ginseng on x-irradiation-induced intestinal damage in rats. Radiat Environ Biophys 62, 395–402 (2023). https://doi.org/10.1007/s00411-023-01039-y
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DOI: https://doi.org/10.1007/s00411-023-01039-y