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Aging and disease    2017, Vol. 8 Issue (6) : 812-826     DOI: 10.14336/AD.2017.0615
Review |
Advances in the Studies of Ginkgo Biloba Leaves Extract on Aging-Related Diseases
Zuo Wei1, Yan Feng2,3, Zhang Bo1, Li Jiantao1, Mei Dan1,*
1Peking Union Medical College Hospital, Chinese Academy of Medical Sciences & Peking Union Medical College, Beijing, China
2Cerebrovascular Diseases Research Institute, Xuanwu Hospital of Capital Medical University, Beijing, China
3Department of Neurobiology, Capital Medical University, Beijing, China
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The prevalence of degenerative disorders in public health has promoted in-depth investigations of the underlying pathogenesis and the development of new treatment drugs. Ginkgo biloba leaves extract (EGb) is obtained from Ginkgo biloba leaves and has been used for thousands of years. In recent decades, both basic and clinical studies have established the effects of EGb. It is widely used in various degenerative diseases such as cerebrovascular disease, Alzheimer’s disease, macroangiopathy and more. Here, we reviewed several pharmacological mechanisms of EGb, including its antioxidant properties, prevention of mitochondrial dysfunctions, and effect on apoptosis. We also described some clinical applications of EGb, such as its effect on neuro and cardiovascular protection, and anticancer properties. The above biological functions of EGb are mainly focused on aging-related disorders, but its effect on other diseases remains unclear. Thus, through this review, we aim to encourage further studies on EGb and discover more potential applications

Keywords Ginkgo biloba leaves extract      degenerative disorders      antioxidant      neuron protection      anticancer      cardiovascular     
Corresponding Authors: Mei Dan   
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These authors contributed equally to this paper.

Issue Date: 01 December 2017
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Zuo Wei
Yan Feng
Zhang Bo
Li Jiantao
Mei Dan
Cite this article:   
Zuo Wei,Yan Feng,Zhang Bo, et al. Advances in the Studies of Ginkgo Biloba Leaves Extract on Aging-Related Diseases[J]. Aging and disease, 2017, 8(6): 812-826.
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Figure 1.  Structures of EGb 761 constituents.
Figure 2.  Main resources and pathways for oxidant generateon in aging

O2- and NO are produced in various conditions. NOS induces protein nitrosylation as well as the generation of ONOO- by reacting with O2-. SOD detoxifies O2- to H2O2, which is converted to H2O by catalase or GSHPx. OH that is generated from H2O2 leads cell injury by oxidized lipid, protein, DNA and RNA. EGb could exert an antioxidant effect by scavenging free radical, regulating oxidase and antioxidation enzyme, inhibiting lipid/Protein/DNA/RNA peroxidation and protecting mitochondrial respiratory chain.

Figure 3.  Mitochondria mediated apoptosis

Mitochondria are the target of stress injury. The generation of ROS in mitochondria then induces the release of cyt-c by mechanisms related to Bcl-2 family proteins (Bcl-2, Bcl-Xl, Bax, and Bid). Once cyt-c released, it binds to caspase-9 to form a complex which subsequently activates caspase-3 and other caspases, such as caspase-2, -6, -8 and -10. Activated caspase-3 is known to cleave nuclear DNA repair enzymes, which then lead to nuclear DNA damage and finally result in apoptosis. EGb could prevent apoptosis by inhibiting mitochondria-mediated caspases activation.

Figure 4.  Death receptor mediated apoptosis

The extracellular Fas ligand first binds to a receptor, and then binds to FADD protein. This complex activates procaspase-8 into caspase-8. Then, caspase-8 activates caspase-3 and this effector caspase leads to DNA damage and cell death. What is more, Fas ligand such as TNF-α, can also induce NF-κB activation and transcription. EGb protects against apoptosis by decreasing the expression of FasL/FasR and inhibiting NF-κB activation.

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