Ginsenosides, a triterpenoid glycoside, are major constituents extracted from
Panax ginseng (
Pg),
P. notoginseng,
P. quinquifolium, and another species belonging to the
Panax genus,
P. vietnamensis [15][16]. In spite of the fact that all tissues of ginseng contain ginsenosides, the root is known as a major source of accumulating total ginsenosides. It was demonstrated that there are a lot of factors that impact on the total ginsenosides in the
Panax species, including the age of the ginseng, plant growth promotion, plant–pathogen interaction, and collection and extraction methods. According to their chemical structure, ginsenosides are divided into four groups: (1) protopanaxadiol (PPD) group consisting of Ra1, Rb1, Rc, Rd, R1, and compound K (CK). the sugar moiety attaches at
β-OH of C-3 and/or C-20 in PPD compounds; (2) protopanaxatriol (PPT), consisting of Re, Rf, Rg1, and Rh1. PPT has a sugar moiety that binds to α-OH of C-6 and/or
β-OH of C-20; (3) the ocotillol group, including majonoside R2, vinaginsenoside R1, and pseudoginsenoside F11. This group processes a five-membered epoxy ring at C-20; (4) oleanane ginsenoside group consisting of a pentacyclic triterpene skeleton, such as Ro and R
OA (
Table 1)
[17][18]. On the other hand, ginsenosides are also classified into two groups based on the percentages of the total ginsenoside content in each
Panax species. While a major ginsenoside has been determined to account for over 80% of total ginsenoside content, minor ginsenosides have been present in low concentrations in wild and red ginseng (
Figure 1). the major ginsenosides, such as Rb1, Rb2, Rc, Rd, Re, Rg1, and R1, can be digested into minor ginsenosides by hydrolyzing the multiple sugar moieties. Although the presence of sugar moieties increases the stability and solubility properties of compounds, these residues lead to a decrease in the permeability of the cell membrane. Therefore, the minor ginsenosides, such as F1, F2, Rg2, Rg, Rh2, and CK, have higher anticancer activities than the major ginsenosides
[19]. Ginsenoside Rg3 and Rh2, which possess two and one sugar moieties, respectively, show potent apoptotic and antiproliferative activities
[20]. However, ginsenosides, which possess three or more sugar residues, including Rd, Rc, and Rb1, show little or no sign of antiproliferative activity
[21]. Moreover, many minor ginsenosides show great biological and pharmacological activities. the novel minor 5,6-didehydroginsenoside Rg3 from Pg showed a significant effect on anti-inflammatory activity
[22]. CK has been shown to have antidiabetic, antitumor, anti-inflammatory, and hepatoprotective activities
[23]. A new derivative of ginsenoside from
P. notoginseng, 25-OCH
3-PPD, not only inhibited various types of cancer cell lines, such as pancreatic, breast, and lung cancer, but also exhibited nongenotoxic properties for antitumor treatment
[24]. Noticeably, differences in the position of sugar linkers and hydroxyl groups give direction to biological activities. It has been demonstrated that the available sugar moieties at C-6 of ginsenosides have less anticancer activity than linkages at C-3 or C-20 of ginsenosides. the moieties at C-6 of ginsenosides decrease the interaction between these compounds and their binding proteins by blocking the way into the binding pocket. For example, ginsenoside Rh2 exhibits stronger potency in anticancer activity than Rh1
[25]. In addition, the interaction between ginsenoside and
β-OH of the cholesterol in the cell membrane is affected by the number and size of the hydroxyl group, and due to polar compounds, this could change membrane fluidity and function
[26].
Ginsenosides exhibited various pharmacological activities, such as antimicrobial, antiaggregant, antioxidant, prevention of cardiovascular disease, and improving immune function
[30]. Ginsenoside has been used as a source for the cosmetic and food industries. However, it is the most famous compound as an anticancer agent. While major ginsenosides have no significant or only weak antiproliferative and antiangiogenic activities, minor ginsenosides exhibit strong anticancer activities and cause cell death
[19][21]. Minor ginsenosides have a significant inhibitory effect on cell proliferation and differentiation. the possible cell biological mechanisms of action of ginsenosides based on the existing research are listed as follows: effect on proliferation and differentiation, regulation of cell cycle and p53/p21/murine double minute-2 pathways, modulation of cell death (Bcl-2, Bcl-xL, inhibitory apoptotic protein (IAP), caspases, and death receptors), modulation of growth factor and protein kinase, inflammatory response molecules, and effects on DNA damage (
Figure 1)
[19][21]. As an example, Rh2 has been shown to inhibit the proliferation of MCF-7 human breast cancer cells via inducing a G1 arrest in cell cycle progression, which is associated with the enzyme expression of the cyclin-dependent kinase (CDK) inhibitor protein p21
[27]. Rh2 also inhibits cell growth and induces apoptosis of human leukemia (HL-60) cells via the tumor necrosis factor-α (TNF-α) pathway. Similarly, Rh2 and Rg3 repress cell proliferation and induce apoptosis in HL-Jurkat cells by increasing a mitochondrial reactive oxygen species (ROS)
[25]. Moreover, Rg5 inhibits cell proliferation in retinoblastoma cells by downregulating BCL2 expression in the protein kinase B (PI3K/AKT) signaling pathway
[31]. In addition, Rh1 was the most effective at causing differentiation of F9 teratocarcinoma stem cells by binding to a glucocorticoid receptor. Rh1 also exhibits the ability to inhibit the proliferation, migration, and invasion of colorectal cancer cell lines. the inhibition was achieved by the repression of matrix metalloproteinase 1 (MMP1) and expression of metalloproteinase 3 (MMP3) expression level
[28]. Ginsenoside F1 enhances natural killer (NK) cell cytotoxicity in cancer immunosurveillance by insulin-like growth factor-1 (IGF-1) treatment
[29]. Noticeably, CK not only increases the mRNA levels of angiogenic inhibitors thrombospondin-1 (TSP-1), -1 MMP-1, and metalloproteinase-2 (MMP2), but also decreases the mRNA levels of angiogenic factors vascular endothelial growth factor A (VEGF-A) and fibroblast growth factor 2 (FGF-2) in 3T3-L1 adipocytes. Furthermore, CK shows the ability to inhibit and migrate human glioblastoma U87MG and U373MG cells via an arrested cell cycle progression at the G0/G1 phase
[23]. Moreover, 25-OCH
3-PPD has significant effects on decreasing the survival and inhibiting the proliferation of human prostate and breast cancer cell lines
[24]. Thus, ginsenosides likely have therapeutic potential for the treatment of various cancer diseases.