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Ginger extract components suppress induction of chemokine expression in human synoviocytes.

INTRODUCTION: Ginger has a long history of medicinal use, particularly as an anti-inflammatory agent for a wide variety of diseases such as arthritis. Suppression of inflammation in arthritis is attributed to suppression of proinflammatory cytokines and chemokines produced by synoviocytes, chondrocytes, and leukocytes. OBJECTIVE: This study aimed to elucidate the effect of a combination ginger extract and its individual components on chemokine expression in human synoviocytes. METHODS: Human synoviocytes were incubated with 100 microg/mL combination ginger extract (GE) of Alpinia galanga (AG) and Zingiber officinale (ZO); AG extract alone; ZO extract alone; or control media, for 1 hour at 37 degrees C, 5% CO2. Cells were next activated with 1 ng/mL of tumor necrosis factor alpha (TNF-alpha) for 1 hour to determine macrophage chemotactic factor (MCP-1) and interferon-gamma activated protein (IP-10) mRNA levels using reverse transcriptase polymerase chain reaction (RT-PCR). Secreted MCP-1 and IP-10 were quantified by enzyme-linked immunosorbent assay (ELISA) following a 24 hour incubation period. RESULTS: The GE combination was consistently more effective in decreasing chemokine mRNA and chemokine secreted protein levels than its individual components ZO or AG. In comparison, ZO was more effective than AG in suppressing chemokine expression. CONCLUSION: The present study demonstrates that GE inhibits chemokine expression, and that the combination of ZO and AG components acts synergistically. This ginger formulation may be useful for suppressing inflammation due to arthritis.

Anti-Inflammatory Agents↗

Ginger lowers blood pressure through blockade of voltage-dependent calcium channels.

Ginger (Zingiber officinale Roscoe), a well-known spice plant, has been used traditionally in a wide variety of ailments including hypertension. We report here the cardiovascular effects of ginger under controlled experimental conditions. The crude extract of ginger (Zo.Cr) induced a dose-dependent (0.3-3 mg/kg) fall in the arterial blood pressure of anesthetized rats. In guinea pig paired atria, Zo.Cr exhibited a cardiodepressant activity on the rate and force of spontaneous contractions. In rabbit thoracic aorta preparation, Zo.Cr relaxed the phenylephrine-induced vascular contraction at a dose 10 times higher than that required against K (80 mM)-induced contraction. Ca2+ channel-blocking (CCB) activity was confirmed when Zo.Cr shifted the Ca2+ dose-response curves to the right similar to the effect of verapamil. It also inhibited the phenylephrine (1 microM) control peaks in normal-Ca2+ and Ca2+-free solution, indicating that it acts at both the membrane-bound and the intracellular Ca2+ channels. When tested in endothelium-intact rat aorta, it again relaxed the K-induced contraction at a dose 14 times less than that required for relaxing the PE-induced contraction. The vasodilator effect of Zo.Cr was endothelium-independent because it was not blocked by L-NAME (0.1 mM) or atropine (1 microM) and also was reproduced in the endothelium-denuded preparations at the same dose range. These data indicate that the blood pressure-lowering effect of ginger is mediated through blockade of voltage-dependent calcium channels.

Animals↗

A randomized controlled trial of ginger to treat nausea and vomiting in pregnancy.

OBJECTIVES: To estimate whether the use of ginger to treat nausea or vomiting in pregnancy is equivalent to pyridoxine hydrochloride (vitamin B6). METHODS: A randomized, controlled equivalence trial involving 291 women less than 16 weeks pregnant was undertaken at a teaching hospital in Australia. Women took 1.05 g of ginger or 75 mg of vitamin B6 daily for 3 weeks. Differences from baseline in nausea and vomiting scores were estimated for both groups at days 7, 14, and 21. RESULTS: Ginger was equivalent to vitamin B6 in reducing nausea (mean difference 0.2, 90% confidence interval [CI] -0.3, 0.8), retching (mean difference 0.3; 90% CI -0.0, 0.6) and vomiting (mean difference 0.5; 90% CI 0.0, 0.9), averaged over time, with no evidence of different effects at the 3 time points. CONCLUSION: For women looking for relief from their nausea, dry retching, and vomiting, the use of ginger in early pregnancy will reduce their symptoms to an equivalent extent as vitamin B6. LEVEL OF EVIDENCE: I

Adult↗

Synergistic effect of ginger and nifedipine on human platelet aggregation: a study in hypertensive patients and normal volunteers.

In this study, we evaluated the synergistic effect of ginger and nifedipine on anti-platelet aggregation in normal human volunteers and hypertensive patients. The results showed that the percentage of platelet aggregation induced by collagen, ADP and epinephrine in hypertensive patients was larger than that in normal volunteers. Either aspirin or ginger could potentiate the anti-platelet aggregation effect of nifedipine in normal volunteer and hypertensive patients. These results suggested that ginger and nifedipine possessed synergistic effect on anti-platelet aggregation. A combination of 1 g ginger with 10 mg nifedipine per day could be valuable for cardiovascular and cerebrovascular complication due to platelet aggregation.

Adenosine Diphosphate↗

Assessment of genetic diversity among 16 promising cultivars of ginger using cytological and molecular markers.

Ginger (Zingiber officinale Roscoe) is an economically important plant, valued all over the world. The existing variation among 16 promising cultivars as observed through differential rhizome yield (181.9 to 477.3 g) was proved to have a genetic basis using different genetic markers such as karyotype, 4C nuclear DNA content and random amplified polymorphic DNA (RAPD). The karyotypic analysis revealed a differential distribution of A, B, C, D and E type of chromosomes among different cultivars as represented by different karyotype formulas. A significant variation of 4C DNA content was recorded in ginger at an intraspecific level with values ranging from 17.1 to 24.3 pg. RAPD analysis revealed a differential polymorphism of DNA showing a number of polymorphic bands ranging from 26 to 70 among 16 cultivars. The RAPD primers OPC02, OPA02, OPD20 and OPN06 showing strong resolving power were able to distinguish all 16 cultivars. The extent of genetic diversity among these cultivars was computed through parameters of gene diversity, sum of allele numbers per locus and Shannon's information indices. Cluster analysis, Nei's genetic similarity and genetic distances, distribution of cultivars into special distance classes and principal coordinate analysis and the analysis of molecular variance suggested a conspicuous genetic diversity among different cultivars studied. The genetic variation thus detected among promising cultivars of ginger has significance for ginger improvement programs.

DNA, Plant↗

Exposure to ginger root oil enhances mating success of irradiated, mass-reared males of Mediterranean fruit fly (Diptera: Tephritidae).

Previous research revealed that exposure to ginger root oil, Zingiber officinale Roscoe, containing the known male attractant (a-copaene) increased the mating success of male Mediterranean fruit flies, Ceratitis capitata (Wiedemann), from a newly established laboratory colony. The goal of the current study was to determine whether exposure to ginger root oil likewise enhanced the mating competitiveness of irradiated C. capitata males from a 5-yr-old mass-reared strain. Mating tests were conducted in field cages containing guava trees (Psidium guajava L.) to monitor the mating frequency of irradiated, mass-reared and wild males competing for wild females. In the absence of chemical exposure, wild males outcompeted the mass-reared males and obtained 74% of all matings. However, following exposure to ginger root oil (20 microl for 6 h), the mating frequencies were reversed. Whether exposed as mature (3-d-old) or immature (1-d-old) adults, mass-reared males achieved approximately 75% of all matings in tests conducted 2 or 4 d following exposure, respectively. Irradiated, mass-reared males prevented from contacting the oil directly (i.e., exposed to the odor only for 6 h) still exhibited a mating advantage over wild males. In an additional study, signaling levels and female arrivals were compared between males exposed to ginger root oil and nonexposed males, but no significant differences were detected. The implications of these findings for the sterile insect technique are discussed.

Animals↗

Effects of ginger on gastroduodenal motility.

The effect of a ginger rhizome extract (2 x 100 mg) was studied on fasting and postprandial gastroduodenal motility with stationary manometry in 12 healthy volunteers. The results showed that: the interdigestive antral motility was significantly increased by ginger during phase III of the migrating motor complex; the volunteers also had a significantly increased motor response to a test meal in the corpus; a trend to an increased motor response during ginger treatment was seen in all other regions of interest. Oral ginger improves gastroduodenal motility in the fasting state and after a standard test meal.

Adult↗

[Etymology of ginger].

The English term ginger originates from Sanskrit sringavera (sringam=horn+vera=body), which was transformed to Latin gingiber and to Old French gingibre, which resulted in ginger in English. The German Ingwer was derived from the same origin, but lost its front sound. The Chinese and Japanese terms for ginger are briefly discussed. And the etymology of the related words gingerbread and ginger ale are also mentioned.

Zingiber officinale↗

[The experiment research of ginger detoxification to Rhizoma Pinelliae].

The experiment results have shown that Ginger can abate the stimulation of Phizoma Pinelliae on abdominal cavity of mice, reduce the torsion incidence rate of mice because of pain which is resulted to i.p. powder suspension of raw Rhizoma pinelliae. We also observed that Ginger can obviously inhibit the increase of capillary permeatility of abdominal cavity of mice, reduce the PGE2 content of inflammatory foot tissue of mice which is due to inject juice of fresh Pinellia Rhizoma. In addition, Ginger can increase the PGE2 content of mice gastric solution, antegonise the decrease of PGE2 content which is come from administration of raw Pinellia Rhizoma and protect the gastric mucous. Above mentioned results suggested that Ginger have detoxification in vivo. to toxin of Pinellia Rhizoma.

Abdominal Cavity↗

The efficacy of ginger in prevention of post-operative nausea and vomiting after outpatient gynecological laparoscopy.

OBJECTIVE: To study the efficacy of ginger in prevention of nausea and vomiting after outpatient gynecological laparoscopy. STUDY DESIGN: Double blind randomized controlled trial. SETTING: Department of Obstetrics and Gynecology, Thammasat Hospital, Faculty of Medicine, Thammasat University. MATERIAL AND METHOD: From January, 2001-December, 2001, 80 patients who underwent outpatient gynecological laparoscopy were randomly allocated into group A (n = 40) and group B (n = 40). The patients in group A received 2 capsules of ginger (1 capsule contain 0.5 g of ginger powder) 1 h before the procedure while the patients in group B received the placebo. The visual analogue nausea scores (VANS) and vomiting times were evaluated at 2, 4 and 24 hours after operation. RESULT: There was a significant difference in the incidence of the nausea between group A [12 (30%)] and group B [23 (57.50%)]. The VANS was lower in group A than in group B at 2 and 4 hours (p < 0.05). No difference of VANS at 24 hours was found in both groups. Incidence and frequency of vomiting in group A were lower than group B but there were not statistically different. CONCLUSION: From our data, ginger is effective in prevention of nausea after outpatient gynecological laparoscopy.

Administration, Oral↗

Pungent principles of ginger (Zingiber officinale) are thermogenic in the perfused rat hindlimb.

Crude extracts of both fresh and dry ginger induced the perfused rat hindlimb to consume oxygen in association with increases in perfusion pressure and lactate production. The principles responsible for these observations, the gingerols and shogaols, were isolated and tested for relative thermogenic activity. The gingerol homologues possessed greater molar potency than their shogaol counterparts. (6)-Gingerol was the most potent principle isolated, causing a mean maximal increase in oxygen consumption of 1.4 +/- 0.1 mumol/g/h (21%), an increase in lactate efflux of 4.7 +/- 0.6 mumol/g/h (87%) with a perfusion pressure increase of 7.7 +/- 0.7 mmHg (30%). Increases in alkyl chain length within each homologous series led to decreased molar potency. Specific nitro-vasodilation using glyceryl trinitrate demonstrated that thermogenesis was at least partly associated with vasoconstriction. Concurrent infusion of alpha or beta antagonists showed that neither adrenergic receptors nor secondary catecholamine release were responsible for the observed effects. Increasing doses of the ginger principles ultimately led to inhibition of steady state oxygen consumption, although perfusion pressure continued to increase. Removal of high ginger principle doses was followed by apparent increases in oxygen uptake unaccompanied by elevated perfusion pressure. As a consequence, the effective concentration ranges of the ginger principles were relatively narrow. The cause of high dose effects is as yet undetermined but may have been due in part to disruption of mitochondrial function.

Animals↗

Intraspecific strains of Pythium aphanidermatum induced disease resistance in ginger and response of host proteins.

Intraspecific strains of Pythium aphanidermatum induced resistance in ginger against rhizome rot and activated biosynthesis of selected host proteins. Pre-inoculation of plants with IR strain (avirulent) or co-inoculation with SR2 (virulent) caused significant reduction in disease severity. Analysis of protein profiles of ginger leaves of inoculated and non-inoculated plants by SDS-PAGE and Image Master VDS-ID Gel Analysis version : 3.0 revealed that some specific defence proteins/stress proteins increased in inoculated plants. Five such proteins having molecular weight 56, 32, 27, 18 and 14 kDa were detected in leaves of plant treated with IR + SR2 strains. On the contrary, mycelial protein profiles and submerged growth of strains were studied separately and together. Mycelia of IR, SR2 and IR + SR2 exhibited 26, 23 and 25 protein bands, respectively although, 21 bands were common between IR and SR2. Growth of SR2 in synthetic medium was much higher than that of IR, but the growth of two strains together was lower than SR2 alone. To characterise strains, their differential growth response to DL-beta-aminobutyric acid (BABA), a known defence activator of ginger was also tested. Results suggested that at least 5 specific defence proteins/stress proteins were involved in microbially induced resistance in ginger and inducer strains were distinct in their specific protein profiles and sensitivity to BABA.

Zingiber officinale↗

[Effects of Meloidogyne incognita initial inoculation density on ginger growth].

The study with potted ginger showed that Meloidogyne incognita infection could reduce the plant height, stem diameter, quantity of shoots, and fresh weight of stem, leaf and root, and finally, reduce ginger yield. With the enhancement of M. incognita initial inoculation density, the growth of ginger was damaged more severely, e. g., under inoculating 50, 100 and 200 M. incognita eggs per 100 g soil, ginger yield decreased by 27.91%, 37.73% and 42.14%, respectively. The reproduction rate of M. incognita was also affected by the initial inoculation density, the lower the initial inoculation density, the higher the reproduction rate. When the inoculation density reached 746.20 eggs per 100 g soil, the reproduction rate was 1.

Animals↗

[Randomized controlled study on ginger-salt-partitioned moxibustion at shenque (CV 8) on urination disorders poststroke].

OBJECTIVE: To probe the therapeutic effect and safety of ginger-salt-partitioned moxibustion on urination disorders poststroke. METHODS: Eighty-two cases of cerebral apoplexy, including cerebral infarction and cerebral hemorrhage, with urination disorders induced by neurogenic bladder at restoration stage were randomly divided into a treatment group treated with ginger-salt-partitioned moxibustion at Shenque (CV 8) and routine acupuncture, and a control group treated with routine acupuncture. Thirty-nine cases in the treatment group and 36 cases in the control group completed all treatments. The treatment was given 5 times each week and the therapeutic effects were observed after treatment of 3 consecutive weeks. RESULTS: Ginger-salt-partitioned moxibustion in improvement of mean urination times of each day, mean times to be asked to awaken for the nursing personnel at night, mean times of urgent urinary incontinence at day for the patient, cases-times of urinary incontinence of the patient at night, and increasing degree of urinary incontinence was better than the control group (P<0.01, P<0.05). CONCLUSION: Ginger-salt-partitioned moxibustion is a safe and effective therapy for urination disorders poststroke.

Acupuncture Points↗

Effectiveness of ginger for prevention of nausea and vomiting after gynecological laparoscopy.

OBJECTIVE: To study the effectiveness of ginger for prevention of nausea and vomiting after gynecological laparoscopy. MATERIAL AND METHOD: From July 2005 to October 2005, 60 inpatients who underwent laparoscopic operations for non-cancer gynecologic conditions at Bangkok Metropolitan Administration Medical College or Vajira Hospital were randomized into Group A (n = 30) or Group B (n = 30). Group A received 3 capsules of ginger (1 capsule contained 0.5 g of ginger powder) while Group B received 3 capsules of placebo. Both groups received their medicine 1 hour prior the operation. Nausea and vomiting were assessed with the Visual Analogue Scores (VAS) and presence of vomiting at 2 and 6 hours after the operation. RESULTS: Median VAS at 2 hours post operation of Group A was not significantly different from that of Group B with the median of 0 (range, 0-5.4) and 0.15 (range, 0-10) respectively (95% CI from -2.59 to 0.90 and p = 0.142). At 6 hours post operation, the median VAS of Group A was significantly lower than group B, 0.55 (range, 0-7.4) versus 2.80 (range, 0-10) (95% CI from -3.61 to -0.73 and p = 0.015). Presence of vomiting at 2 hours was not different between the two groups, 10% in Group A and 20% in Group B (95% CI from -28% to 8% and p = 0.278). At 6 hours, 23.3% of group A had an episode of vomiting compared to 46.7% of group B (95% CI from -47% to 1% and p = 0.058). CONCLUSION: Ginger has shown efficacy for prevention of nausea and borderline significance to prevention vomiting after gynecological laparoscopy at 6 hour post operation.

Administration, Oral↗

Effect of ginger & garlic on DNA content of gastric aspirate.

DNA content of gastric aspirates was studied before and after intragastric infusions of three doses of ginger (2, 4, 6 g) and four doses of garlic (0.3, 0.75, 1.5, 3 g) on different days in volunteers. Only one dose was administered on any day. The mean changes of DNA-p/min in gastric aspirates after intragastric infusions of 2 and 4 g ginger were -1.37 +/- 2.3 and 6.74 +/- 3.06 respectively, which were not significant statistically. However, 6 g ginger given intragastrically showed a mean significant increase in DNA-p/min of 3.23 +/- 1.02 (P less than 0.05). Intragastric infusion of 0.3 g uncooked garlic showed a non-significant increase in DNA-p/min of 0.307 +/- 0.59. On the other hand, infusion of 0.75, 1.5 and 3 g of uncooked garlic each caused significant increase in DNA-p/min of 5.47 +/- 1.63 (P less than 0.01), 10.42 +/- 3.46 (P less than 0.01) and 29.26 +/- 4.55 (P less than 0.001) respectively. Infusion of 3 g of cooked garlic also showed significant increase in DNA-p/min of 21.43 +/- 4.62 (P less than 0.001). There was no significant difference between the effect of cooked and uncooked (3 g) garlic. Ginger in quantities of 6 g or more and garlic in quantities of 0.75 g or more cause a significant increase in exfoliation of gastric surface epithelial cells in human subjects.

Cooking↗

Aqueous extracts of onion, garlic and ginger inhibit platelet aggregation and alter arachidonic acid metabolism.

Aqueous extracts of onion, garlic and ginger inhibited platelet aggregation induced by several aggregation agents, including arachidonate (AA), in a dose-dependent manner. While onion and garlic extracts were found to be weak inhibitors of platelet thromboxane synthesis, ginger extract inhibited the platelet cyclooxygenase products and this effect correlated well with its inhibitory effects on the platelet aggregation induced by the above aggregation agents. These two effects were dose-dependent. Although the three aqueous extracts inhibited the biosynthesis of 6-keto-F1 alpha in rat aortic rings from labelled AA, they did not reduce prostacyclin production from endogenous AA pool in aortic rings. Aqueous ginger extract was extracted into three organic solvents in order of increasing polarity (n-hexane, chloroform, ethyl acetate). An analysis of the n-hexane extract revealed at least three clearly separated TLC bands containing materials that inhibited platelet thromboxane generation simultaneously increasing lipoxygenase products (HETE). The results indicate that if the same were happening in vivo, onion, garlic and ginger could be useful as natural antithrombotic materials.

Adenosine Diphosphate↗

[Effect of ginger-processing on l-ephedrine contents in rhizoma Pinelliae].

The contents of l-ephedrine in Rhizoma Pinelliae have been determined to be approximately 3.44 x 10(-3). The contents vary with the five different processing methods in the following order, Pinellia boiled with ginger juice and alum > raw Pinellia > Pinellia dipped in ginger juice > Pinellia boiled only with ginger juice > Pinellia dipped in alum solution. The alum solution and the Pinellia boiled only with ginger juice bear most strongly on the l-ephedrine contents of Pinellia.

Drugs, Chinese Herbal↗