Carcinogenesis Advance Access originally published online on September 18, 2008
Carcinogenesis 2008 29(12):2351-2359; doi:10.1093/carcin/bgn211
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American ginseng suppresses inflammation and DNA damage associated with mouse colitis


Department of Pharmaceutical and Biomedical Sciences, South Carolina College of Pharmacy, University of South Carolina, SC 29208, USA
1 William Jennings Brian Dorn VA Medical Center and the School of Medicine, University of South Carolina, Columbia, SC 29209, USA
2 Institute for National Measurement Standards, National Research Council, Ottawa 29208, Canada
3 Department of Biological Sciences
4 Department of Statistics
5 Department of Pathology and Microbiology, School of Medicine, University of South Carolina, Columbia, SC 29208, USA
6 Cell and Molecular Pharmacology, Hollings Cancer Center, Medical University of South Carolina, Charleston, SC 29425, USA
* To whom correspondence should be addressed. Department of Pharmaceutical and Biomedical Sciences, South Carolina College of Pharmacy, 770 Sumter Street, Coker Life Sciences, Room 513C, University of South Carolina, Columbia, SC 29208, USA. Tel: +1 803 777 6627; Fax: +1 803 777 8356; Email: hofseth{at}cop.sc.edu
Ulcerative colitis (UC) is a dynamic, idiopathic, chronic inflammatory condition associated with a high colon cancer risk. American ginseng has antioxidant properties and targets many of the players in inflammation. The aim of this study was to test whether American ginseng extract prevents and treats colitis. Colitis in mice was induced by the presence of 1% dextran sulfate sodium (DSS) in the drinking water or by 1% oxazolone rectally. American ginseng extract was mixed in the chow at levels consistent with that currently consumed by humans as a supplement (75 p.p.m., equivalent to 58 mg daily). To test prevention of colitis, American ginseng extract was given prior to colitis induction. To test treatment of colitis, American ginseng extract was given after the onset of colitis. In vitro studies were performed to examine mechanisms. Results indicate that American ginseng extract not only prevents but it also treats colitis. Inducible nitric oxide synthase and cyclooxygenase-2 (markers of inflammation) and p53 (induced by inflammatory stress) are also downregulated by American ginseng. Mucosal and DNA damage associated with colitis is at least in part a result of an oxidative burst from overactive leukocytes. We therefore tested the hypothesis that American ginseng extract can inhibit leukocyte activation and subsequent epithelial cell DNA damage in vitro and in vivo. Results are consistent with this hypothesis. The use of American ginseng extract represents a novel therapeutic approach for the prevention and treatment of UC.
Abbreviations: COX-2, cyclooxygenase-2; DSS, dextran sulfate sodium; IFN, interferon; iNOS, inducible nitric oxide synthase; NF-
B, nuclear factor-kappa B; NRC, National Research Council; PBS, phosphate-buffered saline; UC, ulcerative colitis
These authors contributed equally to this work. Received May 19, 2008; revised July 28, 2008; accepted September 3, 2008.