Parkinson’s disease (PD) is the second most common
neurodegenerative
disorder after Alzheimer’s disease (AD), and its pathogenesis
remains obscure. Current treatment approaches mainly including levodopa
and dopamine agonists provide symptomatic relief but fail to halt
disease progression, and they are often accompanied by severe side
effects. In this context, natural phytochemicals have received increasing
attention as promising preventive or therapeutic candidates for PD,
given their multitarget pharmaceutical mechanisms of actions and good
safety profile. Ginger (Zingiber officinale Roscoe, Zingiberaceae) is a very popular spice used as a medicinal
herb throughout the world since the ancient years, for a wide range
of conditions, including nausea, diabetes, dyslipidemia, and cancer.
Emerging in vivo and in vitro evidence
supports the neuroprotective effects of ginger and its main pharmaceutically
active compounds (zingerone, 6-shogaol, and 6-gingerol) in PD, mainly
via the regulation of neuroinflammation, oxidative stress, intestinal
permeability, dopamine synaptic transmission, and possibly mitochondrial
dysfunction. The regulation of several transcription factors and signaling
pathways, including nuclear factor kappa B (NF-κB), p38 mitogen-activated
protein kinase (MAPK), phosphatidylinositol-3-kinase (PI3K)/Ak strain
transforming (Akt), extracellular signal-regulated kinase (ERK) 1/2,
and AMP-activated protein kinase (AMPK)/proliferator-activated receptor
gamma coactivator 1 alpha (PGC1α) have been shown to contribute
to the protective effects of ginger. Herein, we discuss recent findings
on the beneficial role of ginger in PD as a preventive agent or potential
supplement to current treatment strategies, focusing on potential
underlying molecular mechanisms.