PMID- 34049473 OWN - NLM STAT- MEDLINE DCOM- 20211015 LR - 20211015 IS - 1793-6853 (Electronic) IS - 0192-415X (Linking) VI - 49 IP - 5 DP - 2021 TI - Ginsenoside Rh1 Improves Type 2 Diabetic Nephropathy through AMPK/PI3K/Akt-Mediated Inflammation and Apoptosis Signaling Pathway. PG - 1215-1233 LID - 10.1142/S0192415X21500580 [doi] AB - Although ginseng (Panax ginseng C.A. Meyer) has received extensive attention in the treatment and prevention of type 2 diabetes mellitus (T2DM) in the past few decades, there are few studies on the complications of T2DM. At present, obesity-linked diabetic nephropathy (DN) has become the most prevailing element of the end-stage renal failure in the world. The aim of this work is to evaluate the ameliorative effects of ginsenoside Rh1 (G-Rh1) on DN induced by high fat diet plus streptozotocin (HFD/STZ) through some potential and combined mechanisms of action. The results showed that G-Rh1 treatment at 5 and 10 mg/kg for 8 weeks exerted excellent effects in controlling fasting blood glucose (FBG), improving glucose tolerance, and increasing insulin level. In addition, G-Rh1 effectively prevents the excessive production of advanced glycation end products (AGEs), a diabetic nephropathy marker, in HFD/STZ induced DN mice. Meanwhile, oxidation indicators including SOD, GSH, and MDA were improved by G-Rh1 treatment to varying degrees. It is worth noting that G-Rh1 not only inhibits the secretion of Nox1 and Nox4 in kidney tissues, but also has an inhibitory effect on inflammatory factors and NF-[Formula: see text]B signaling pathway. Importantly, further in-depth research on molecular mechanisms provides vital evidence that the ameliorative effect of G-Rh1 on DN is related to the inhibition of apoptosis and the AMPK/PI3K/Akt signaling pathway. In summary, G-Rh1 may be of great value in improving the treatment of DN although more experimental data is needed. FAU - Su, Wen-Ya AU - Su WY AD - College of Chinese Medicinal Materials, Jilin Agricultural University, Changchun 130118, P. R. China. FAU - Li, Ying AU - Li Y AD - College of Chinese Medicinal Materials, Jilin Agricultural University, Changchun 130118, P. R. China. FAU - Chen, Xuan AU - Chen X AD - College of Chinese Medicinal Materials, Jilin Agricultural University, Changchun 130118, P. R. China. FAU - Li, Xin AU - Li X AD - College of Chinese Medicinal Materials, Jilin Agricultural University, Changchun 130118, P. R. China. FAU - Wei, Heng AU - Wei H AD - College of Chinese Medicinal Materials, Jilin Agricultural University, Changchun 130118, P. R. China. FAU - Liu, Zhi AU - Liu Z AD - College of Chinese Medicinal Materials, Jilin Agricultural University, Changchun 130118, P. R. China. AD - National & Local Joint Engineering Research Center for Ginseng Breeding and Development, Changchun 130118, P. R. China. FAU - Shen, Qiong AU - Shen Q AD - College of Chinese Medicinal Materials, Jilin Agricultural University, Changchun 130118, P. R. China. FAU - Chen, Chen AU - Chen C AD - School of Biomedical Sciences, The University of Queensland, Brisbane, QLD 4072, Australia. FAU - Wang, Ying-Ping AU - Wang YP AD - College of Chinese Medicinal Materials, Jilin Agricultural University, Changchun 130118, P. R. China. AD - National & Local Joint Engineering Research Center for Ginseng Breeding and Development, Changchun 130118, P. R. China. FAU - Li, Wei AU - Li W AD - College of Chinese Medicinal Materials, Jilin Agricultural University, Changchun 130118, P. R. China. AD - National & Local Joint Engineering Research Center for Ginseng Breeding and Development, Changchun 130118, P. R. China. LA - eng PT - Journal Article DEP - 20210527 PL - Singapore TA - Am J Chin Med JT - The American journal of Chinese medicine JID - 7901431 RN - 0 (Ginsenosides) RN - 0 (Inflammation Mediators) RN - 5W494URQ81 (Streptozocin) RN - 63223-86-9 (ginsenoside Rh1) RN - EC 2.7.11.1 (Proto-Oncogene Proteins c-akt) RN - EC 2.7.11.31 (AMP-Activated Protein Kinases) SB - IM MH - AMP-Activated Protein Kinases/*metabolism MH - Animals MH - Apoptosis/*drug effects MH - Diabetes Mellitus, Experimental/drug therapy MH - Diabetic Nephropathies/*drug therapy MH - Diet, High-Fat MH - Ginsenosides/chemistry/*pharmacology MH - Inflammation/*drug therapy MH - Inflammation Mediators MH - Mice MH - Molecular Structure MH - Phosphatidylinositol 3-Kinases/*metabolism MH - Proto-Oncogene Proteins c-akt/*metabolism MH - Streptozocin OTO - NOTNLM OT - AMPK/PI3K/Akt OT - Apoptosis OT - Diabetic Nephropathy OT - G-Rh1 OT - NF-[Formula: see text]B OT - TNF-[Formula: see text] EDAT- 2021/05/30 06:00 MHDA- 2021/10/16 06:00 CRDT- 2021/05/29 05:24 PHST- 2021/05/30 06:00 [pubmed] PHST- 2021/10/16 06:00 [medline] PHST- 2021/05/29 05:24 [entrez] AID - 10.1142/S0192415X21500580 [doi] PST - ppublish SO - Am J Chin Med. 2021;49(5):1215-1233. doi: 10.1142/S0192415X21500580. Epub 2021 May 27.