Diabetes mellitus is characterized by hyperglycemia. An abnormally elevated blood glucose level causes oxidative stress and the formation of advanced glycation endproducts (AGEs), which have been closely linked to diabetic complications such as neuropathy, retinopathy and nephropathy. 1,2) In particular, diabetics are at increased risk for several types of kidney disease, and the predominant cause of end stage renal disease in this disorder is diabetic nephropathy. 3,4) However, recent clinical trials suggest that there is no effective treatment for diabetic nephropathy.5) Therefore, preventions of the occurrence and progression of diabetic nephropathy has become a very important issue. Therefore, great effort has been focused on traditional and herbal medicine without toxic effects to find a novel therapeutic agent for diabetic nephropathy.Panax ginseng C. A. MEYER is one of the most widely used herbal medicines in the Orient. It has a wide range of pharmacological and physiological actions, such as antiaging, immunoenhancement, antistress and antitumor. [6][7][8] In addition, several investigations strongly support the evidence that ginseng root possesses anti-diabetic properties, such as inhibition of intestinal glucose absorption, increase in energy expenditure, improving sensitivity to insulin and stimulation of sugar metabolism, etc.9-11) Moreover, ginseng root has been shown in clinical studies to have beneficial effects in diabetic patients. 12,13) Of the two kinds of ginseng, white ginseng (WG) is airdried ginseng, and red ginseng (RG) is produced by steaming raw ginseng at 98-100°C for 2-3 h. RG is reportedly more pharmacologically active than WG.14) These improved biological activities of ginsengs result from changes in the chemical constituents that occur during steam treatment. Ginseng saponins, referred to as ginsenosides, are believed to play a pharmacologically important role. Several investigators have reported new ginsenosides from RG that are not usually found in WG.15) Recently, a method which can enhance the yield of these RG specific components by steaming ginseng at a temperature higher than RG has been developed.16) This heat-processed ginseng, termed sun ginseng (SG), has been reported to have more potent pharmacological activities, such as vasorelaxation, antioxidant and anti-tumor activities.17,18) Furthermore, SG showed stronger peroxynitrite (ONOO Ϫ ) and hydroxyl radical scavenging activities than WG and RG in our previous in vitro study.19) However, the effects of SG on diabetic rats have not been reported yet, and the enhanced radical scavenging activities of SG are thought to be beneficial against diabetic oxidative damage caused by hyperglycemia.Therefore, the protective effect of SG against renal damage caused by oxidative stress or the formation of AGEs under diabetes and its molecular biological mechanism were investigated in this study.
MATERIALS AND METHODSReagents Phenylmethylsulfonyl fluoride (PMS) and bactin were purchased from Sigma Chemical Co. (St. Louis, MO, U.S.A.)....