Panax ginseng is a highly valued medicinal herb in Eastern society. It has also been well accepted in the West over the past decades. Ginsenosides, a major group of phytoestrogens, are the main active components of ginseng. Ginsenoside Rb1 (GRb1) is one of the most abundant ginsenosides in ginseng extract, accounting for 27-42% of the total ginsenosides. 1) It has been proven to alleviate many central nervous system (CNS) disorders, including ischemic stroke. The mechanisms of GRb1 in ameliorating cerebral ischemia/reperfusion involve anti-oxidation, 2) up-regulating neurotrophic factors, 3) anti-apoptosis 3,4) and neurogenesis induction.
5)However, recent data on the pharmacokinetics of Rb1 show that its absolute oral bioavailability is as low as 4.35% in rats. Low membrane permeability dominates the extent of absorption.6,7) Also, some studies have demonstrated that the effects of 0.1-100 nmol/kg intracerebroventricular GRb1 on ischemic injury are comparable to that of several mg/kg GRb1 systemically administrated. 3,4,8) These results suggest that GRb1 might have difficulty entering the CNS. The blood-brain barrier (BBB) or other specialized CNS barriers are the main obstacles to the delivery of many potentially therapeutic and diagnostic compounds to specific areas of the brain. Large (Ͼ500 Da) hydrophilic molecules such as peptides and proteins are generally excluded, unless they can be transferred by specific receptor-mediated transcytosis or by the less specific adsorptive-mediated transcytosis.9,10) With a relatively large molecular weight of 1109.46 and an amphiphilic molecular structure, Rb1 is predicted too hard to penetrate the BBB.In recent years, intranasal delivery has gained a significant amount of attention as a convenient and reliable noninvasive method for the systemic administration of drugs. Moreover, it has been proven to rapidly target therapeutics to the CNS, bypassing the BBB, which is particularly suitable for CNS drugs with a large molecular weight and systemic side effects.11) Intranasal Ginsenoside Rg3 has been shown to have anti-fatigue effects.12) The distribution of Panax notoginseng saponins (containing GRb1) in the form of its suspension in plasma after intranasal administration has been tested.
13)However, the distribution of ginsenosides in the brain after intranasal or any other delivery method is still unknown.Macroautophagy (autophagy) is an evolutionarily conserved mechanism for the degradation of cellular proteins and organisms. The process of autophagy is the assembly and transformation of double-membrane vesicles.14) In the last decade, it has been recognized to play a critical role in removing protein aggregates, as well as damaged or excess organelles, to maintain intracellular homeostasis and keep the cell healthy. However, excessive or inappropriate autophagy can also lead to cell death (autophagy related cell death).
15)In the brain, autophagy occurs at a low level under physiological conditions. However, this pathway is rapidly up-regulated under environmental str...