Review Article

Antiapoptotic Effects of EGb 761

Table 2

Modulation of molecular signals in apoptosis by EGb 761 and its constituents.

Compounds Target/mechanisms References

EGb 761 Reduction of the apoptotic cell death [4446]
Reduction of Fas mRNA [57, 95]
Stabilization of mitochondrial transmembrane potential [4951]
Enhancement of energy metabolism [61]
Increase of the antiapoptotic Bcl-2 protein [5759, 62, 95]
Increase of mRNA of proapoptotic genes such as Bax and Bcl-xs and caspases-7, -8, and -12 [57, 62, 95]
Inhibition of cyt c release and activation of Apaf-1 [54, 55]
Reduction of caspase-9 and -3 activities [51, 60, 62, 63, 65, 66]
Prevention of nuclear DNA fragmentation [56, 60, 66, 83]
Inhibition of the production of cytokines, including TNFα, IL-2, IL-4, IFN- , and PGE2 [167]
Free radical scavenging activity [50, 7984]
Increase of Mn-SOD, GPx, GCLC, GST-P1, and NQO1 mRNA and protein [101105, 111]
Induction of Nrf2 nuclear translocation by the increase of the degradation of Keap1 [111, 112]
Induction of CREB phosphorylation via activation of Akt, releasing BDNF [107, 116]
Activation of SIRT1 [151]
Downregulation of JNK/AP-1 signaling pathway [164, 165]
Suppression of the activation of p53 [55]

Flavone fraction

Quercetin Increase of cell proliferation and inhibition of apoptosis [7982]
Free radical scavenging activity [82, 84]
Inhibition of TNF transcription [167]
Upregulation of HO-1 via the MAPKs/Nrf-2 pathway [110]
Induction of nuclear translocation of Nrf 2 [110]
Up-regulation of the CREB-BDNF pathway [120]
Decrease in IkBβ phosphorylation [152]
Inhibition of phosphorylation and activation of JNK and suppression of AP-1-DNA binding [169]
Inhibition of ERK activation [85]

Kaempferol Inhibition of apoptosis [7982, 184188]
Increase of Bcl-2 protein and decrease of Bax protein.[184188]
Inhibition of cyt c release[187, 188]
Inhibition of caspase-3 activity and internucleosomal DNA fragmentation [184, 187, 188]
Free radical scavenging activity [82, 84, 185, 186]
Inhibition of the ascorbate-dependent NADH oxidase [185]
Induction of GCLC expression and increase of glutathione level [187]
Up-regulation of HO-1 via the JNK/Nrf-2 pathway [187]
Suppression of p53 activation [188]
Inhibition of NF-kB p65 protein [189]

Isorhamnetin Prevention of cell death and suppression of apoptosis [190]
Up-regulation of Bcl-2-related genes [190]
Down-regulation of the BH3 only and Bax-like-related genes [190]
Inhibition of cyt c release from the mitochondria into the cytosol [190]
Inactivation of caspases-3 and -9 and cleavage of PARP [190]
Attenuation of DNA fragmentation [190]
ROS-scavenging effect [82, 84, 190]
Inactivation of the ERK pathway [190]
Suppression of p53 activation [190]

Terpenoid fraction

Ginkgolides Increase of cell proliferation and inhibition of apoptosis [90, 91]
Free radical scavenging activity [8587]
Decrease of the release of LDH, TNFα, IL-1β, and IL-6 [90, 91, 154]
Increase of the activation of the p42/p44 (ERK) MAPK pathway [137]
Increase of mRNA and protein levels of HIF-1α[137]
Inhibition of the NIK/IKKα/IkB/NF-kB signaling pathway [157]
Decreases of c-fos and c-jun mRNA expression [85]

BilobalidesInhibition of apoptosis [177]
Up-regulation of the subunit III of cytochrome C-oxidase and subunit ND1 of NADH dehydrogenase [90, 91]
Decrease of c-myc, p53, and Bax proteins [177]
Inhibition of caspase-3 activity [177]
Suppression of p65 NF-kB protein [153]
Up-regulation of the CREB-BDNF pathway [120]