Therapeutic uses of Ginkgo biloba: advantages, disadvantages and perspectives
PDF (Español (España))

Keywords

Phytotherapeutics
antioxidants
Ginkgo biloba
prolifera- tive diseases
undesirable effects

Abstract

INTRODUCCIÓN: Mundialmente, el empleo de extrac- tos obtenidos de plantas para tratar y prevenir una gran variedad de enfermedades se ha incrementado conside- rablemente. Entre ellos, destaca el uso del extracto es- tandarizado obtenido a partir de hojas secas de Ginkgo biloba (EGb), planta utilizada desde hace más de 2000 años como remedio fitoterapéutico con reconocidas pro- piedades antioxidantes para el tratamiento de enferme- dades neurológicas y cardiovasculares. Debido al alto contenido de glucósidos flavonoides, particularmente quercetina y canferol, también se ha usado para el tra- tamiento de patologías como el cáncer. Sin embargo, es- tudios recientes han demostrado que los antioxidantes también pueden presentar actividad prooxidante, co- adyuvando a la progresión del cáncer y el desarrollo de tumores. OBJETIVO: En este trabajo se efectúa una revi- sión actualizada del uso y aplicaciones del Ginkgo biloba, a fin de contar con una idea más clara sobre sus carac- terísticas farmacológicas y sus efectos, tanto benéficos como adversos, en modelos in vivo e in vitro. MATERIAL Y MÉTODOS: Se llevó a cabo una revisión actualizada en diferentes fuentes de información sobre los usos y efec- tos del Ginkgo biloba. RESULTADOS Y CONCLUSIONES: Aunque los hallazgos indican que el uso del extracto de Ginkgo biloba es efectivo para el tratamiento de una gran cantidad de enfermedades, es necesario conocer, además de su actividad biológica, sus efectos adversos, toxicidad, dosis efectivas y tiempos de administración, entre otros aspectos, que permitan a la población garantizar un buen uso de este producto.

 

Therapeutic uses of Ginkgo biloba: advantages, disadvantages and perspectives

ABSTRACT

INTRODUCTION: In the world, the use of extracts from plants to treat and prevent a great variety of diseases, has increased con- siderably. Among them, it stands out the use of the standardized extract obtained from dried leaves of Ginkgo biloba (EGb), a plant used for more than 2000 years as a phytotherapeutic remedy with recognized antioxidant properties for the treatment of neurological and cardiovascular diseases. Due to the high content of flavonoid glycosides, particularly quercetin and canferol, it has been used for the treatment of pathologies such as cancer. However, recent stud- ies have shown that antioxidants can also have prooxidant activity, contributing to the progression of cancer and the development of tumors. OBJECTIVE: Therefore, this work made an updated review of the use and applications of Ginkgo biloba, to have a clear idea of its pharmacological characteristics and its effects, both beneficial and adverse in in vivo and in vitro models. MATERIAL AND METHODS: An updated review was made in different sources of information on the effects and uses of Ginkgo biloba. RESULTS AND CONCLUSIONS: Although the evidence found indicates that the use of Ginkgo biloba extract is effective for the treatment of many diseases, it is neces- sary to know, in addition to its biological activity, warnings about adverse effects, toxicity, effective doses and administration times, among others, that allow the population to guarantee a good use of this product.

https://doi.org/10.25009/rmuv.2018.2.62
PDF (Español (España))

References

Ahmed, H.H., Shousha, W.G., El-Mezayen, H.A., El-Toumy, S.A., Sa- yed, A.H., & Ramadan, A.R. (2016, Oct 14). Biochemical and molecular evidences for the antitumor potential of Ginkgo biloba leaves extract in rodents. Acta Biochimica Polonica, 64(1),25-33.

Al-Yahya, A.A., Al-Majed, A.A., Al-Bekairi, A.M., Al-Shabanah, O.A., & Qureshi, S. (2006, Sep 19). Studies on the reproductive, cytological and biochemical toxicity of Ginkgo Biloba in Swiss albino mice. Jour- nal of Ethnopharmacology, 107(2),222-8.

Bhattaram, V.A., Graefe, U., Kohlert, C., Veit, M., & Derendorf, H. (2002, Feb). Pharmacokinetics and bioavailability of herbal medici- nal products. Phytomedicine, 9(3), 1-33.

Birks, J., Grimley, E.V., & Van Dongen, M. (2002). Ginkgo bilo- ba for cognitive impairment and dementia. Cochrane Database Sys- tematic Review, (4),CD003120.

Chan, P.C., Xia, Q., & Fu, P.P. (2007, Jul-Sep). Ginkgo biloba leave extract: biological, medicinal, and toxicological effects.Journal of Envi- ronmental Sciences and Health, Part C, Environmental Carcinogenesis Ecotoxicology Reviews,25(3):211-44.

Chen, F., Li, L., Xu, F., Sun, Y., Du, F., Ma, X., Zhong, C., Li, X., Wang, F., Zhang, N., & Li, C. (2013, Sep). Systemic and cerebral expo- sure to and pharmacokinetics of flavonols and terpene lactones after dosing standardized Ginkgo biloba leaf extracts to rats via dif- ferent routes of administration. British Journal of Pharmacology, 170(2),440-57.

Chen, W.D., Liang, Y., Xie, L., Lu, T., Liu, X.D., & Wang, G.J. (2007, Jan). Pharmacokinetics of the ginkgo B following intravenous admin- istration of ginkgo B emulsion in rats. Biological & Pharmaceutical Bulletin. 30(1), 1-5.

Chen, X.H., Miao, Y.X., Wang, X.J., Yu, Z., Geng, M.Y., Han, Y.T., & Wang L.X. (2011, Apr 1). Effects of Ginkgo biloba extract EGb761 on human colon adenocarcinoma cells. Cell Physiology and Biochemistry. 27(3-4), 227-32.

Choi, E.J., Lee, B.H., Lee, K., & Chee, K.M. (2005, May). Long-term combined administration of quercetin and daidzein inhibits querceti- na induced suppression of glutathione antioxidant defenses. Food and Chemical Toxicology, 43(5), 793-8.

Coqueret, O. (2003, Feb). New roles for p21 and p27 cell-cycle inhibitors: a function for each cell compartment? Trends in Cell Biolo- gy, 13(2),65-70.

DeFeudis, F.V. & Drieu, K. (2000, Jul). Ginkgo biloba extract (EGb 761) and CNS functions: basic studies and clinical applications. Cu- rrent Drug Targets, 1(1),25-58.

Diamond, B.J., Shiflett, S.C., Feiwel, N., Matheis, R.J., Noskin, O., Richards, J.A., & Schoenberger, N.E. (2000, May). Ginkgo biloba extract: Mechanisms and clinical indications. Archives of Physical Medicine and Rehabilitation, 81(5), 668-78.

Dias, M.C., Furtado, K.S., Rodrigues, M.A., & Barbisan, L.F. (2013). Effects of Ginkgo biloba on chemically-induced mammary tumors in rats receiving tamoxifen. BMC Complementary and Alternative Medi- cine,(1), 13-93.

Dubey, A.K., Shankar, P.R., Upadhyaya, D., & Deshpande, V.Y. (2004, Jul-Sep). Ginkgo biloba--an appraisal. Kathmandu University Medical Journal (KUMJ), 2(3),225-9.

Dunnick, J.K., & Hailey, J.R. (1992, Oct). Toxicity and carcinoge- nicity studies of quercetin, a natural component of foods. Fundamen- tal and Applied Toxicology, 19(3),423-31.

Hamdoun, S., & Efferth, T. (2017, May 23). Ginkgolic acids inhibit migration in breast cancer cells by inhibition of NEMO sumoylation and NF-κB activity. Oncotarget, 8(21),35103-115.

Jiang, W., Cong, Q., Wang, Y., Ye, B., & Xu, C. (2014, May). Gink-go may sensitize ovarian cancercells to cisplatin: Antiproliferative and apoptosis-inducing effects of Ginkgolide B on ovarian cancer cells. In- tegrative Cancer Therapies, 13(3),NP10-7.

Jiang, X.Y., Qian, L.P., Zheng, X.J., Xia, Y.Y., Jiang, Y.B., & Sun, D.Y. (2009, Nov). Interventional effect of Ginkgo biloba extract on the pro- gression of gastric precancerous lesions in rats. Journal of Digestive Diseases, 10(4),293-9.

Kang, J.W., Kim, J.H., Song, K., Kim, S.H., Yoon, J.H., & Kim, K.S. (2010, Jan). Kaempferol and quercetin, components of Ginkgo biloba extract (EGb 761), induce caspase-3-dependent apoptosis in oral ca- vity cancer cells. Phytotherapy Research, 24(Suppl 1), S77-82.

Kanowski, S., & Hoerr, R. (2003, Nov). Ginkgo biloba extract EGb 761 in dementia: intent-to-treat analyses of a 24-week, multi-center, double-blind, placebo-controlled, randomized trial. Pharmacopsy- chiatry, 36(6),297-303.

Kim, M.J., Park, Y.J., Chung, K.H., & Oh, S.M. (2013, Dec). The in- hibitory effects of the standardized extracts of Ginkgo biloba on aro- matase activity in JEG-3 human choriocarcinoma cells. Phytotherapy Research, 27(12),1756-62.

Lee, J.H., Kim, Y.G., Ryu, S.Y., Cho, M.H., & Lee, J. (2014, May 17).

Ginkgolic acids and Ginkgo biloba extract inhibit Escherichia coli O157:H7 and Staphylococcus aureus biofilm formation. International Journal of Food Microbiology, 174,47-55.

Li, Y., Wu, Y., Yao, X., Hao, F., Yu, C., Bao, Y., Wu, Y., Song, Z., Sun, Y., Zheng, L., Wang, G., Huang, Y., Sun, L., & Li, Y. (2017:[b] Apr 10). Ginkgolide A ameliorates LPS-induced inflammatory responses Invi- tro and In vivo. International Journal of Molecular Sciences, 18(4),1-15.

Li, Y., Chung, Y.H., Shin, E.J., Dang, D.K., Jeong, J.H., Ko, S.K., Nah, S.Y., Baik, T.G., Jhoo, J.H., Ong, W.Y., Nabeshima, T., & Kim, H.C. (2017). YY-1224, a terpene trilactone-strengthened Ginkgo biloba, attenuates neurodegenerative changes induced by β-amyloid (1-42) or double transgenic overexpression of APP and PS1 via inhibition of cyclooxy- genase-2. Journal of Neuroinflammation, 14(1), 1-22.

Liu, S.Q., Xu, C.Y., Qin, M.B., Tan, L., Zhuge, C.F., Mao, Y.B., Lai, M.Y., & Huang, J.A. (2015, Jun). Ginkgo biloba extract enhances che- motherapy sensitivity and reverses chemoresistance through sup- pression of the KSR1-mediated ERK1/2 pathway in gastric can- cer cells. Oncology Reports, 33(6), 2871-82.

Lu, Q., Yang, T., Zhang, M., Du, L., Liu, L., Zhang, N., Guo, H., Zhang, F., Hu, G., & Yin X. (2014, May). Preventative effects of Gink- go biloba extract (EGb761) on high glucose-cultured opacity of rat lens. Phytotherapy Research, 28(5),767-73.

Marcocci, L., Maguire, J.J., Droy-Lefaix, M.T., & Packer, L. (1994, Jun 15). The nitric oxide-scavenging properties of Ginkgo biloba ex- tract EGb 761. Biochemical and Biophysical Research Communica- tion, 201(2),748-55.

Mauri, P., Simonetti, P., Gardana, C., Minoggio, M., Morazzoni, P., Bombardelli, E., & Pietta, P. (2001). Liquid chromatography/atmo- spheric pressure chemical ionization mass spectrometry of terpene- lactones in plasma of volunteers dosed with Ginkgo biloba L. extracts. Rapid Communications in Mass Spectrometry, 15(12),929-34.

Mdzinarishvili, A., Sumbria, R., Lang, D., & Klein, J. (2012). Gink- go extract EGb761 confers neuroprotection by reduction of glutamate release in ischemic brain, 15(1),94-102.

Mei, N., Guo, X., Ren, Z., Kobayashi, D., Wada, K., & Guo, L. (2017, Jan 2). Review of Ginkgo biloba-induced toxicity, from experimen-

tal studies to human case reports. Journal of Environmental Science and Health, Part C, Environmental Carcinogenesis & Ecotoxicology Re- views, 35(1), 1-28.

Mix, J.A., & Crews, W.D. (2002, Jul 2). A double-blind, place-bo-controlled, randomized trial of Ginkgo biloba extract EGb 761 in a simple of cognitively intact older adults: neuropsychological findings, Human Psychopharmacology. 17(6), 267-77.

Pebdani, M.A., Taavoni, S., Seyedfatemi, N., & Haghani, H. (2014, May) Triple-blind, placebo-controlled trial of Ginkgo biloba extract on sexual desire in postmenopausal women in Tehran. Iran Journal of Nursing and Midwifery Research, 19(3), 262-5.

Rapin, J.R., Lamproglou, I., Drieu, K., & DeFeudis, F.V. (1994, Sep). Demonstration of the “anti-stress” activity of an extract of Ginkgo bilo- ba (EGb 761) using a discrimination learning task. General Pharmaco- logy, 25(5),1009-16.

Sahu, S.C., & Gray, G.C. (1994, Oct 14). Kaempferol-induced Nu- clear DNA damage and lipid peroxidation. Cancer Letters, 85(2),159- 64.

Satyan, K.S., Jaiswal, A.K., Ghosal, S., & Bhattacharya, S.K. (1998, Mar). Anxiolytic activity of ginkgolic acid conjugates from Indian Gink- go biloba. Psychopharmacology (Berl), 136(2),148-52.

Sayin, V.I., Ibrahim, M.X., Larsson, E., Nilsson, J.A., Lindahl, P., & Bergo, M.O. (2014, Jan 29). Antioxidants accelerate lung cancer pro- gression in mice. Science Translational Medicine, 29; 6(221),221ra15.

Senggunprai, L., Kukongviriyapan, V., Prawan, A., & Kukongviri- yapan, U. (2014, Jun). Quercetin and EGCG exhibit chemopreventive effects in cholangiocarcinoma cells via suppression of JAK/STAT signa- ling pathway. Phytotherapy Research, 28(6), 841-8.

Serrano-García, N., Pedraza-Chaverri, J., Mares-Sámano, J.J., Oroz-co-Ibarra, M., Cruz-Salgado, A., Jiménez-Anguiano, A., Sotelo, J., & Trejo-Solís, C. (2013). Antiapoptotic Effects of EGb 761. Evi- dence-Based Complementary and Alternative Medicine. 495703.

Tulsulkar, J., & Shah, Z.A. (2013, Jan). Ginkgo biloba prevents transient global ischemia-induced delayed hippocampal neuronal death through antioxidant and anti-inflammatory mechanism. Neu- rochemistry Intertational, 62(2),189-97.

Usai, S., Grazzi, L., & Bussone, G. (2011, May). Gingkolide B as migraine preventive treatment in young age: results at 1-year fol- low-up. , 32(1):197-9.

Volková, M., Forstová-Krízová, V., Skálová, L., & Trejtnar, F. (2013, Dec). Modulatory effects of quercetin and rutin on the ac- tivity, expression and inducibility of CYP1A1 in intestinal HCT-8 cells. Phytotherapy Research, 27(12),1889-93.

Wang, D.L., Liang, Y., Chen, W.D., Xie, L., Wang, G.J., & Liu, X.D. (2008, Mar) Identification of ginkgolide B metabolites in urine and rat liver cytochrome P450 enzymes responsible for their formation in vitro. Acta Pharmacologica Sinica, 29(3), 376-84.

White, H.L., Scates, P.W., & Cooper, B.R. (1996, Mar 15). Ex- tracts of Ginkgo biloba leaves inhibit monoamine oxidase. Life Sciences, 58(16),1315-21.

Winter, E. (1991, Jan). Effects of an extract of Ginkgo biloba on learning and memory in mice. Pharmacology, Biochemistry and Be- havior, 38(1),109-14.

Yuan, Q., Wang, C.W., Shi, J., & Lin, Z.X. (2017, Jan 4). Ef-fects of Ginkgo biloba on dementia: An overview of systematic re- views. Journal of Ethnopharmacology, 4(195),1-9.

Yuqing, Z., Aaron, Y.C., Min, L., Changyi, C., & Qizhi, Y. (2008, Jul). Ginkgo Biloba extract kaempferol inhibits cell proliferation and induces apoptosis in pancreatic cancer cells. The Journal of Sur- gical Research, 148(1), 17–23.

Zhang, Y., Chen, A.Y., Li, M., Chen, C., & Yao, Q. (2008, Jul).

Ginkgo biloba extract kaempferol inhibits cell proliferation and in- duces apoptosis in pancreatic cancer cells. The Journal of Surgical Research, 148(1),17-23.

Zhao, X.D., Dong, N., Man, H.T., Fu, Z.L., Zhang, M.H., Kou, S.,& Ma, S.L. (2013, Sep). Antiproliferative effect of the Ginkgo biloba extract is associated with the enhancement of cytochrome P450 1B1 expression in estrogen receptor-negative breast cancer cells. , 1(5),797-801.

Zhou, W., Chai, H., Lin, P.H., Lumsden, A.B., Yao, Q., & Chen, C. (2004). Clinical use and molecular mechanisms of action of ex- tract of Ginkgo biloba leaves in cardiovascular diseases. Cardiovas- cular Drug Reviews banner, 22(4),309-19.

Creative Commons License

This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.

Copyright (c) 2023 Revista Médica de la Universidad Veracruzana

Downloads

Download data is not yet available.