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Advanced Neurologyurology
            Advanced Ne                                                    Role of Panax ginseng in neuronal complications


            a means of effective and potential therapy for various   resulted in a paradigm shift from one drug and one target to
            medical disorders . In many diseases such as neuronal   multiple drugs and multiple targets, with their interaction
                          [1]
            damage, chemotherapy is not always an effective treatment;   increasing multi-fold . Network pharmacology is an
                                                                                [20]
            therefore, complementary and alternative medicine has   approach that focuses on the biological interactions and
            become an attractive therapeutic option and is gradually   their genes counterparts, which effectively play an active role
            gaining traction since this form of medicine commonly   in exerting the therapeutic effect of a herb once it interacts
            involves the use of herbs for their therapeutic applications .  with the target proteins in the host, which is Homo sapiens.
                                                        [2]
              Among the herbs used, Panax ginseng is a traditional   This approach is, therefore, very potent in deciphering the
            medicinal plant that has been used therapeutically for   mechanistic mode of action of several individual herbs or a
                                                                                                           [21]
            millennia in East Asian countries such as China, Japan, and   concoction of herbs that belong to TCM Pharmacopoeia .
            Korea. In Traditional Chinese Medicine (TCM), ginseng is   In this study, the mode of action of P. ginseng against
            considered a potent herb. Interestingly, “Panax” means “all-  neuronal  damage  was elucidated  using a  network
            healing”, which hails ginseng to be a potent herb in healing   pharmacology approach. At present, limited data are
            all medical aspects of the human body. Among different   available for the therapeutic potential of P. ginseng against
            types of ginseng found all over the world, P. ginseng has   neuronal damage,  which further affirms that no study
            received much attention and has been the research target   has previously reported on the mechanism of action of
            of most of the studies surrounding this species . Ginseng   the herb against neuronal damage. Furthermore, the
                                                 [3]
            has been reported to exert many beneficial effects on the   molecular docking analysis helps determine the potential
            central nervous system as well as endocrine, cardiovascular,   action of its active compounds that interact with possible
            and immune systems [4,5] , and has a wide range of potential   protein targets in human in the treatment of neuronal
            therapeutic advantages against various disorders, such   damage. This study presents a suitable premise to ascertain
            as cancer  and ischemic stroke . Furthermore, ginseng   the potential ability of the herb for its other potentially
                                      [7]
                   [6]
            has been reported to reduce the side effects caused by   therapeutic abilities. Therefore, it is necessary to investigate
            chemotherapy and radiotherapy, therefore, improving the   said mechanism of action, with specific attention given
            overall quality of life and good mental health of patients   to the multi-target interaction of P. ginseng. Therefore, a
            with neuronal damage .                             network pharmacology approach was employed in this
                              [7]
              Neuronal damage is one of the most precarious medical   study along with the analyses of biological pathways and
            conditions affecting the elderly worldwide. The phenotypic   drug interactions to determine the pharmacological action
            features of neuronal damage at the macroscopic level in most   of P. ginseng in treating neuronal damage.
            cases include headache and seizures, but the pathogenesis   2. Materials and methods
            differs at both histological and genetic levels, with various
            predisposing risk factors coming into play . The induction   2.1. Methodology
                                             [8]
            of neuronal damage is facilitated by various events in the   The potential of P. ginseng in treating neuronal damage was
            cell, along with the generation of reactive oxygen species   ascertained using the STITCH database , which was the
                                                                                               [22]
            (ROS), depletion of antioxidative species, and induction   first step of the systematic analysis. In the next step, the
            of inflammatory phases and cyclooxygenase activity . It is   bioactive compounds were elucidated from an extensive
                                                     [9]
            well-established that the development of neuronal damage   literature search, along with their associated protein targets
            is prompted by the action of different biological pathways   in human. This step was followed by the construction of
            caused by TP53, ERBB2, BRAF, and KRAS mutations [10-13] .   protein-protein interaction network (PPIN) and the gene
            Moreover, the release of inflammatory mediators, such   ontology (GO) enrichment analysis (Figure 1).
            as heat-shock proteins (HSP), interleukins [6,11,12] , and
            vascular endothelial growth factor [14-17] , has been found   2.2. Retrieval of chemical ingredients and their
            to significantly accelerate the development of neuronal   targets
            damage. Various studies have demonstrated the protective   This step was performed by screening the compounds of
            effects of ginseng in the treatment of neuronal damage,   P.  ginseng  on  the  TCM  systems  pharmacology  database
            which also increases the quality of life in patients receiving   and analysis platform (TCMSP) database . After this step,
                                                                                               [23]
            chemotherapyp . The inhibitory effects of P. ginseng and   the herb-associated protein targets were retrieved from
                        [18]
            its constituents on neuronal damage mechanisms have   the reported literature and TCMSP database, respectively,
            been investigated and confirmed in many experiments .  after which these protein targets were screened for their
                                                       [19]
              In recent years, the concept of network pharmacology   association  in  the  treatment  of  neuronal  damage.  The
            has arisen from the systems biology approach, which has   targets were then analyzed further.


            Volume 1 Issue 2 (2022)                         2                        https://doi.org/10.36922/an.v1i2.44
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