Abstract
In the past few decades, using traditional Chinese medicines (TCMs), including Panax ginseng as pharmaceutical, nutraceutical, and healthcare products has expanded globally. TCMs can exert its pharmacological effects as a single herb, as well as in a variety of herbal compatibility forms. And in general, ginseng is orally administered, which make their constituents inevitably brought into contact with gastrointestinal microbiota in the intestine. The gut microbiota possesses the corresponding enzyme system that can metabolize some of the ginsenoside prototypes, which found almost exclusively in ginseng and regarding as the major pharmacological ingredients with therapeutic activities, into metabolites with higher bioavailability and efficacy. Therefore, understanding the role of the gut microbiota in ginsenosides metabolism in vivo and therefore targeting the specific bacterial strains/metabolic function by probiotics, prebiotics, or other micro-ecological modulators potentially to become an attractive approach to enhance the ginseng efficiency.
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References
Abdessamad EK, Fabrice A, Gordon JI, Didier R, Bernard H (2013) The abundance and variety of carbohydrate-active enzymes in the human gut microbiota. Nat Rev Microbiol 11(7):497–504
Akao T, Kanaoka M, Kobashi K (1998a) Appearance of compound K, a major metabolite of ginsenoside Rb1 by intestinal bacteria, in rat plasma after oral administration–measurement of compound K by enzyme immunoassay. Biol Pharm Bull 21(3):245–249
Akao T, Kida H, Kanaoka M, Hattori M, Kobashi K (1998b) Intestinal bacterial hydrolysis is required for the appearance of compound K in rat plasma after oral administration of ginsenoside Rb1 from Panax ginseng. J Pharm Pharmacol 50(10):1155–1160
Araya H, Tomita M, Hayashi M (2005) The novel formulation design of O/W microemulsion for improving the gastrointestinal absorption of poorly water soluble compounds. Int J Pharm 305(1–2):61–74
Aungst BJ (1993) Novel formulation strategies for improving oral bioavailability of drugs with poor membrane permeation or presystemic metabolism. J Pharm Sci 82(10):979–987
Bae E-A, Park S-Y, Kim D-H (2000) Constitutive β-glucosidases hydrolyzing ginsenoside Rb-1 and Rb-2 from human intestinal bacteria. Biol Pharm Bull 23:1481–1485
Bae E-A, Choo M-K, Park E-K, Park S-Y, Shin H-Y, Kim D-H (2002) Metabolism of ginsenoside Rc by human intestinal bacteria and its related antiallergic activity. Biol Pharm Bull 25(6):743–747
Bae E-A, Han MJ, Kim E-J, Kim D-H (2004) Transformation of ginseng saponins to ginsenoside Rh2 by acids and human intestinal bacteria and biological activities of their transformants. Arch Pharmacal Res 27(1):61–67
Bae E-A, Shin J-e, Kim D-H (2005) Metabolism of ginsenoside Re by human intestinal microflora and its estrogenic effect. Biol Pharm Bull 28(10):1903–1908
Chen S, Flower A, Ritchie A, Liu J, Molassiotis A, Yu H, Lewith G (2010) Oral Chinese herbal medicine (CHM) as an adjuvant treatment during chemotherapy for non-small cell lung cancer: a systematic review. Lung Cancer 68(2):137–145
Chi H, Ji G-E (2005) Transformation of ginsenosides Rb1 and Re from Panax ginseng by food microorganisms. Biotechnol Lett 27(11):765–771
Christensen LP, Martin J, Ulla K (2006) Simultaneous determination of ginsenosides and polyacetylenes in American ginseng root (Panax quinquefolium L.) by high-performance liquid chromatography. J Agric Food Chem 54(24):8995–9003
Classen David C, Pestonik Stanley L, Evans S, Lloyd JF, Burke John P (1997) Adverse drug events in hospitalized patients: excess length of stay, extra costs, and attributable mortality. J Am Med Assoc 277(4):301–306
Crow JM (2011) Microbiome: that healthy gut feeling. Nature 4880(7378):88–89
Cui J, Yu B, Zhao Y, Zhu W, Li H, Lou H, Zhai G (2009) Enhancement of oral absorption of curcumin by self-microemulsifying drug delivery systems. Int J Pharm 371(1–2):148–155
Doestzada M, Vila AV, Zhernakova A, Koonen DPY, Weersma RK, Touw DJ, Kuipers F, Wijmenga C, Fu J (2018) Pharmacomicrobiomics: a novel route towards personalized medicine? Protein Cell 9(5):432–445
Dürr C, Hoffmeister D, Wohlert S-E, Ichinose K, Weber M, Uv Mulert, Thorson JS, Bechthold A (2004) The glycosyltransferase UrdGT2 catalyzes both C- and O-glycosidic sugar transfers. Angew Chem Int Ed 43:2962–2965
Elrakaiby M, Dutilh BE, Rizkallah MR, Boleij A, Cole JN, Aziz RK (2014) Pharmacomicrobiomics: the impact of human microbiome variations on systems pharmacology and personalized therapeutics. OMICS 18(7):402–414
Gao S, Basu S, Yang G, Deb A, Hu M (2013) Oral bioavailability challenges of natural products used in cancer chemoprevention. Prog Chem 25(9):1553–1574
Goossens D, Jonkers D, Russel M, Stobberingh E, Van Den Bogaard A, Stockbrügger R (2003) The effect of Lactobacillus plantarum 299v on the bacterial composition and metabolic activity in faeces of healthy volunteers: a placebo-controlled study on the onset and duration of effects. Aliment Pharmacol Ther 18(5):495–505
H M, K L, S S (2010) Variations in faecal bacterial enzyme activities and associations with bowel function and diet in elderly subjects. J Appl Microbiol 85(1):37–41
Haiser HJ, Turnbaugh PJ (2012) Is it time for a metagenomic basis of therapeutics? Science 336(6086):1253–1255
Hasegawa H (2004) Proof of the mysterious efficacy of ginseng: basic and clinical trials: metabolic activation of ginsenoside: deglycosylation by intestinal bacteria and esterification with fatty acid. J Pharmacol Sci 95(2):153–157
Hasegawa H, Sung J-H, Benno Y (1997) Role of human intestinal Prevotella oris in hydrolyzing ginseng saponins. Planta Med 63(5):436–440
He CX, He ZJ (2010) Microemulsions as drug delivery systems to improve the solubility and the bioavailability of poorly water-soluble drugs. Expert Opin Drug Delivery 7(4):445–460
Hemmerly TE (1977) A ginseng farm in Lawrence County, Tennessee. Econ Bot 31(2):160–162
Jong-Ryul C, Hong SW, Yuri K, Se-Eun J, Nam-Jae K, Han MJ, Dong-Hyun K (2011) Metabolic activities of ginseng and its constituents, ginsenoside rb1 and rg1, by human intestinal microflora. J Gins Res 35(3):301–307
Kano T, Shimizu M, Kanda T, Hijikata Y (2012) Sairei-to therapy on alloimmune recurrent spontaneous abortions and alloimmune-, autoimmune complicated recurrent spontaneous abortions. Am J Chin Med 38(04):705–712
Khadka P, Ro J, Kim H, Kim I, Kim JT, Kim H, Cho JM, Yun G, Lee J (2014) Pharmaceutical particle technologies: An approach to improve drug solubility, dissolution and bioavailability. Asian J Pharm Sci 9(6):304–316
Kim DH (2012) Chemical diversity of Panax ginseng, Panax quinquifolium, and Panax notoginseng. J Gins Res 36(1):1–15
Kim Y-S, Kim J-J, Cho K-H, Jung W-S, Moon S-K, Park E-K, Kim D-H (2008) Biotransformation of ginsenoside Rb1, crocin, amygdalin, geniposide, puerarin, ginsenoside Re, hesperidin, poncirin, glycyrrhizin, and baicalin by human fecal microflora and its relation to cytotoxicity against tumor cells. J Microbiol Biotechnol 18(6):1109–1114
Kim K-A, Jung I-H, Park S-H, Ahn Y-T, Huh C-S, Kim D-H (2013) Comparative analysis of the gut microbiota in people with different levels of ginsenoside Rb1 degradation to compound K. PLoS ONE 8(4):e62409
Kim KA, Yoo HH, Gu W, Yu DH, Jin MJ, Choi HL, Yuan K, Guerin-Deremaux L, Kim DH (2014) Effect of a soluble prebiotic fiber, NUTRIOSE, on the absorption of ginsenoside Rd in rats orally administered ginseng. J Gins Res 38(3):203–207
Kyung-Ah K, Hyun YH, Wan G, Yu DH, Ji JM, Hae-Lim C, Yuan K, Laetitia GD, Dong-Hyun K (2015) A prebiotic fiber increases the formation and subsequent absorption of compound K following oral administration of ginseng in rats. J Gins Res 39(2):183–187
Lam KN, Alexander M, Turnbaugh PJ (2019) Precision medicine goes microscopic: engineering the microbiome to improve drug outcomes. Cell Host Microbe 26(1):22–34
Laparra JM, Sanz Y (2010) Interactions of gut microbiota with functional food components and nutraceuticals. Pharmacol Res 61(3):219–225
Lee D-S, Kim Y-S, Ko C-N, Cho K-H, Bae H-S, Lee K-S, Kim J-J, Park E-K, Kim D-H (2002) Fecal metabolic activities of herbal components to bioactive compounds. Arch Pharmacal Res 25(2):165–169
Lefranc-Millot C (2010) NUTRIOSE ® 06: a useful soluble dietary fibre for added nutritional value. Nutr Bull 33(3):234–239
Lefranc-Millot C, Guérin-Deremaux L, Wils D, Neut C, Miller LE, Saniez-Degrave MH (2012) Impact of a resistant dextrin on intestinal ecology: how altering the digestive ecosystem with NUTRIOSE®, a soluble fibre with prebiotic properties, may be beneficial for health. J Int Med Res 40(1):211–224
Leung KW, Wong ST (2010) Pharmacology of ginsenosides: a literature review. Chin Med 5(1):20
Li LP, Jiang HD (2006) Metabolism of Chrysanthemum morifolium extracts in intestinal flora. Chin Tradit Herb Drugs 37(7):1001–1005
Li W, Nan L, Ji Y, Sun X, Sun Z (2009) Studies on influence factors of gnsenoside Rg1 and Rb1 absorption in intestines of rats. China J Chin Mater Med 34(20):2627–2632
Lin YC, Chen HW, Yucheng K, Chang YF, Yijang L, Jengjong H (2010) Therapeutic efficacy evaluation of curcumin on human oral squamous cell carcinoma xenograft using multimodalities of molecular imaging. Am J Chin Med 38(02):343–358
Liu H, Yang J, Feifei DU, Gao X, Xutao MA, Huang Y, Fang XU, Niu W, Wang F, Mao YU (2009) Absorption and disposition of ginsenosides after oral administration of Panax notoginseng extract to rats. Drug Metab Disposition 37(12):2290–2298
Liu JY, Lee KF, Sze CW, Tong Y, Tang SC, Ng TB, Zhang YB (2013a) Intestinal absorption and bioavailability of traditional Chinese medicines: a review of recent experimental progress and implication for quality control. J Pharm Pharmacol 65(5):621–633
Liu X, Wu WY, Jiang BH, Yang M, Guo DA (2013b) Pharmacological tools for the development of traditional Chinese medicine. Trends Pharmacol Sci 34(11):620–628
Lozupone CA, Stombaugh JI, Gordon JI, Jansson JK, Knight R (2012) Diversity, stability and resilience of the human gut microbiota. Nature 489(7415):220–230
Mallett AK, Rowland IR, Bearne CA, Flynn JC, Fehilly BJ, Udeen S, Farthing MJG (1988) Effect of dietary supplements of apple pectin, wheat bran or fat on the enzyme activity of the human faecal flora. Microb Ecol Health Dis 1(1):23–29
Marteau P, Pochart P, Flourie B, Pellier P, Santos L, Desjeux J, Rambaud J (1990) Effect of chronic ingestion of a fermented dairy product containing Lactobacillus acidophilus and Bifidobacterium bifidum on metabolic activities of the colonic flora in humans. Am J Clin Nutr 52(4):685–688
Nicholson JK, Wilson DI (2003) Understanding’global’ systems biology: metabonomics and the continuum of metabolism. Nat Rev Drug Discov 2(8):668–676
Nicholson JK, Holmes E, Wilson DI (2005) Gut microorganisms, mammalian metabolism and personalized health care. Nat Rev Microbiol 3(5):431–438
Nicholson JK, Holmes E, Kinross J, Burcelin R, Gibson G, Jia W, Pettersson S (2012) Host-gut microbiota metabolic interactions. Science 336(6086):1262–1267
Niu T, Smith DL, Yang Z, Gao S, Yin T, Jiang Z-H, You M, Gibbs RA, Petrosino JF, Hu M (2013) Bioactivity and bioavailability of ginsenosides are dependent on the glycosidase activities of the A/J mouse intestinal microbiome defined by pyrosequencing. Pharm Res 30(3):836–846
Norvaisas P, Ziemys A (2014) The role of payload hydrophobicity in nanotherapeutic pharmacokinetics. J Pharm Sci 103(7):2147–2156
O’Hara AM, Shanahan F (2006) The gut flora as a forgotten organ. EMBO Rep 7(7):688–693
Park EK, Shin J, Bae EA, Lee YC, Kim DH (2007) Intestinal bacteria activate estrogenic effect of main constituents puerarin and daidzin of Pueraria thunbergiana. Biol Pharm Bull 29(12):2432–2435
Reddy BS, Hanson D, Mangat S, Mathews L, Sbaschnig M, Sharma C, Simi B (1980) Effect of high-fat, high-beef diet and of mode of cooking of beef in the diet on fecal bacterial enzymes and fecal bile acids and neutral sterols. J Nutr 110(9):1880–1887
Romanelli C, Cooper HD, Campbell-Lendrum D, Maiero M, Karesh WB, Hunter D, Golden CD (2015) Connecting global priorities: biodiversity and human health: a state of knowledge review, WHO/CBD
Saad R, Rizkallah MR, Aziz RK (2012) Gut Pharmacomicrobiomics: the tip of an iceberg of complex interactions between drugs and gut-associated microbes. Gut Pathog 4(1):16–16
Schnackenberg LK (2007) Global metabolic profiling and its role in systems biology to advance personalized medicine in the 21st Century. Expert Rev Mol Diagn 7(3):247–259
Shu GW, Jia-Li LV, Chen H, Zheng Y (2009) Research development of extract of traditional Chinese medicine as growth-promoting factor of probiotics. Food Sci Technol 10:162–165
Sivakumar G, Yu KW, Paek KY (2010) Biosafe ginseng: a novel source for human well-being. Eng Life Sci 5(6):527–533
Thomson VJ (2016) The hidden organ. Science 351:672–672
Tu Y (2011) The discovery of artemisinin (qinghaosu) and gifts from Chinese medicine. Nat Med 17(10):1217–1220
Wang J, Chow D, Heiati H, Shen WC (2003) Reversible lipidization for the oral delivery of salmon calcitonin. J Controlled Release 88(3):369–380
Wang Y, Pan J-Y, Xiao X-Y, Lin R-C, Cheng Y-Y (2006) Simultaneous determination of ginsenosides in Panax ginseng with different growth ages using high-performance liquid chromatography–mass spectrometry. Phytochem Anal 17(6):424–430
Wang L, Zhou GB, Liu P, Song JH, Liang Y, Yan XJ, Xu F, Wang BS, Mao JH, Shen ZX (2008) Dissection of mechanisms of Chinese medicinal formula Realgar-Indigo naturalis as an effective treatment for promyelocytic leukemia. Proc Natl Acad Sci U S A 105(12):4826–4831
Wang C-Z, Du G-J, Zhang Z, Wen X-D, Calway T, Zhen Z, Musch MW, Bissonnette M, Chang EB, Yuan C-S (2012) Ginsenoside compound K, not Rb1, possesses potential chemopreventive activities in human colorectal cancer. Int J Oncol 40(6):1970–1976
Wu YL (2012) Collateral theory and vascular lesion treatment. Am J Chin Med 37(02):241–252
Xinhuanet (2016) “Traditional Chinese Medicine in China.” Available from: http://news.xinhuanet.com/english/china/2016–12/06/c_135883982.htm
Xu J, Chen HB, Li SL (2017) Understanding the molecular mechanisms of the interplay between herbal medicines and gut microbiota. Med Res Rev 37(5):1140–1185
Yang L, Xu S, Liu C, Su Z (2009) In vivo metabolism study of ginsenoside Re in rat using high-performance liquid chromatography coupled with tandem mass spectrometry. Anal Bioanal Chem 395(5):1441–1451
Yang R, Huang X, Dou J, Zhai G, Su L (2013) Self-microemulsifying drug delivery system for improved oral bioavailability of oleanolic acid: design and evaluation. Int J Nanomed 8:2917–2926
Yim J-S, Kim Y-S, Moon S-K, Cho K-H, Bae H-S, Kim J-J, Park E-K, Kim D-H (2004) Metabolic activities of ginsenoside Rb1, baicalin, glycyrrhizin and geniposide to their bioactive compounds by human intestinal microflora. Biol Pharm Bull 27(10):1580–1583
Yin YM, Cui FD, Mu CF, Choi MK, Kim JS, Chung SJ, Shim CK, Kim DD (2009) Docetaxel microemulsion for enhanced oral bioavailability: preparation and in vitro and in vivo evaluation. J Controlled Release 140(2):86–94
Zhao L, Nicholson JK, Lu A, Wang Z, Tang H, Holmes E, Shen J, Zhang X, Li JV, Lindon JC (2012) Targeting the human genome-microbiome axis for drug discovery: inspirations from global systems biology and traditional Chinese medicine. J Proteome Res 11(7):3509–3519
Zhou SS, Xu J, Zhu H, Wu J, Xu JD, Yan R, Li XY, Liu HH, Duan SM, Wang Z (2016) Gut microbiota-involved mechanisms in enhancing systemic exposure of ginsenosides by coexisting polysaccharides in ginseng decoction. Sci Rep 6:22474
宋玮, 郑伟, 张洁, 张涛, 刘曙晨, 余利岩, 马百平 (2018) 中药皂苷类成分的体内代谢研究进展. 药学学报 53(10):31–41
王菡, 富强, 王丽思, 张连学, 赵露 (2012) 人参皂苷生物合成的相关酶及其基因的研究进展. 人参研究 24(1):40–46
郭亚雄, 刘艳波, 李德龙, 韩向北, 许多, 程宏, 赵丽晶, 赵丽娟, 董妍 (2010) 20(s)-原人参二醇对前列腺癌RM-1细胞的生长抑制作用及其机制. 吉林大学学报(医学版) 36(2):349–353
高娟, 周安东, 原野, 赵天蛟 (2016) 黑曲霉降解人参皂苷Rb1制备稀有皂苷Compound K. 生物技术进展 6(2): 98–104
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Shuiming, X., Xiaoyan, Z. (2021). Gut Microbiome for Ginseng Medicine. In: Xu, J., Yang, TJ., Hu, Hy. (eds) The Ginseng Genome. Compendium of Plant Genomes. Springer, Cham. https://doi.org/10.1007/978-3-030-30347-1_14
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