Review Article

Preventive and Protective Properties of Zingiber officinale (Ginger) in Diabetes Mellitus, Diabetic Complications, and Associated Lipid and Other Metabolic Disorders: A Brief Review

Table 1

Lipid-lowering effect of Zingiber officinale in animal models.

YearReferencesGinger preparationDosage and administration routeAnimal modelExperiment durationOutcomesConclusion

2010Antihypercholesterolaemic effect of ginger rhizome (Zingiber officinale) in rats
Elrokh et al. [53]
Aqueous extract100, 200 and 400 mg/kg p.o.Hypercholesterolaemic rat4 weekSerum cholesterol
Triglyceride
LDL-c
HDL-c↑
TC/HDL-c (risk ratio)
Significant decrease in all lipid profile parameters, improved risk ratio

2009Protective effects of ethanolic extract of Zingiber officinale rhizome on the development of metabolic syndrome in high-fat diet-fed rats
Nammi et al. [18]
Ethanolic extract 100, 200 and 400 mg/kg p.o.High-fat diet fed rats6 weeksBody weight
Serum glucose
Insulin level
Total cholesterol
LDL-c
Cholesterol
Triglycerides
Free fatty acid
Phospholipids
Provides scientific evidence to substantiate the traditional use of ginger in preventing metabolic disorders

2009Upregulation of mRNA of retinoid-binding protein and fatty acid-binding protein by cholesterol-enriched diet and effect of ginger on lipid metabolism
Matsuda et al. [54]
Ginger powder0.5 g/rat/day in dietHypercholesterolemic rats84 daysLiver retinoid-binding protein mRNA
Visceral fat
May improve lipid metabolism

2007Effect of an herbal extract Number Ten (NT) on body weight in rats
York et al. [55]
Polyherbal aqueous extract (6-7% ginger)0.75 and 1.5 g/day p.o.High-fat diet-fed rat56 daysBody weight gain
Food intake
Body fat ratio
No difference of serum leptin, metabolites and organ weights (kidney, spleen, liver, and gastrocnemius muscle)
Demonstrated the efficacy in reducing weight gain in rodents

2006Beneficial effects of Zingiber officinale on gold thioglucose induced obesity
Goyal and Kadnur [56]
Methanolic and ethanolic ginger extracts250 mg/kg p.o.Goldthioglucose-induced obese mice8 weeksBody weight
Serum glucose
Serum insulin
Serum lipid
Indicates improvement of insulin sensitivity

2005Effect of ethanolic extract of Zingiber officinale on dyslipidaemia in diabetic rats
Bhandari et al. [57]
Fresh ginger ethanolic extract200 mg/kg p.o.STZ-induced diabetic rat20 daysSerum total cholesterol
HDL-c↑
LDL- and VLDL-c
Serum tryglyceride
Phospholipid
Blood glucose
Liver and pancreas lipid peroxidation
Protects tissues from lipid peroxidation, significant lipid lowering activity

2005Antiobesity actions of Zingiber officinale Roscoe
Han et al. [58]
Aqueous ginger extract1 and 3% in dietHigh-fat diet-fed mice8 weeksIn vitro pancreatic lipase activity
Body weight
Parametrial adipose tissue weight
Antiobesity effect may be partially due to the inhibition of intestinal absorption of dietary fat

2001Differential effect of polyherbal, antiobesity preparation OB-200G in male and female mice and monosodium glutamate-treated rats
Kaur and Kulkarni [59]
OB-200G,
a polyherbal preparation (containing 5% ginger aqueous extract)
0.25, 0.5, 1, and 2 g/kg p.o. twice dailyMale and female Laca mice21 days
Lower dose (0.25 g/kg): food intake↑
Higher doses: in female mice
Food intake in female rats
Gender differences involved in mediating antiobesity effect
0.5 g/kg p.o.MSG-treated male and female rats40 daysBody weight
Fat pad weights
Serum glucose ↑
Ambulatory activity↑

2001Investigations on possible serotonergic involvement in effects of OB-200G (polyherbal preparation) on food intake in female mice
Kaur and Kulkarni [60]
OB-200G,
a polyherbal preparation (containing 5% ginger aqueous extract)
0.5 g/kg (contains ginger aqueous extract 5%) p.o.Female albino mice of Laca strain with induced
hyperphagia
4 hoursFood intakeSerotonin is involved in the effect of OB-200G mediated food intake.

2000Ginger extract consumption reduces plasma cholesterol, inhibits LDL oxidation and attenuates development of atherosclerosis in atherosclerotic, apolipoprotein E-deficient mice
Fuhrman et al. [61]
Standardized ginger ethanolic extract (containing 40 mg/g pungent compounds, 90 mg/g polyphenols and 14 μL/g essential oils)25 and 250 μg/day p.o.Apolipoprotein E-deficient (E0) mice10 weeksPlasma cholesterol
Triglyceride
VLDL & LDL
Cellular cholesterol Biosynthesis
LDL oxidation and aggregation
LDL-associated lipid Peroxides
Significant attenuation of the development of atherosclerotic lesions

2000Antiobesity effect of a polyherbal formulation, OB-200G in female rats fed on cafeteria and atherogenic diets Kaur and Kulkarni [62]
OB-200G,
A polyherbal preparation (containing 5% ginger aqueous extract)
400 mg/kg, p.o. twice a dayFemale Wistar rats fed with cafeteria and atherogenic diets40 daysBody weight
Body temperature↑
Locomotor activities↑
Serum glucose level↑
Cholesterol (atherogenic diet)
Exhibited antiobesity effect

1998The protective action of ethanolic ginger (Zingiber officinale) extract in cholesterol fed rabbits
Bhandari et al. [63]
Ginger ethanolic extract200 mg/kg p.o.Hypercholesterolemic rabbit10 weeksSerum total cholesterol
Serum triglyceride
Serum phospholipid
HDL-c↑
LDL- and VLDL-c
Liver and aorta cholesterol
Indicate ginger is an antihyperlipidemic agent

1993Cholesterol biosynthesis inhibitory component from Zingiber officinale Roscoe
Tanabe et al. [64]
Compound (E)-8β, 17-epoxylabd-12-ene-15,16-dial (ZT) isolated from ginger25, 50, 100, and 200 mg/kg p.o.Triton WR-1339-induced hypercholesterolemic miceSerum cholesterol (50, 100, and 200 mg/kg)
Cholesterol biosynthesis in liver
Compound ZT has an inhibitory effect on cholesterol biosynthesis