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KMID : 0352720210450010066
Journal of Ginseng Research
2021 Volume.45 No. 1 p.66 ~ p.74
Korean Red Ginseng aqueous extract improves markers of mucociliary clearance by stimulating chloride secretion
Cho Do-Yeon

Skinner Daniel
Zhang Shaoyan
Lazrak Ahmed
Lim Dong-Jin
Weeks Christopher G.
Banks Catherine G.
Han Chang-Kyun
Kim Si-Kwan
Tearney Guillermo J.
Matalon Sadis
Rowe Steven M.
Woodworth Bradford A.
Abstract
Background: Abnormal chloride (Cl?) transport has a detrimental impact on mucociliary clearance in both cystic fibrosis (CF) and non-CF chronic rhinosinusitis. Ginseng is a medicinal plant noted to have anti-inflammatory and antimicrobial properties. The present study aims to assess the capability of red ginseng aqueous extract (RGAE) to promote transepithelial Cl? secretion in nasal epithelium.

Methods: Primary murine nasal septal epithelial (MNSE) [wild-type (WT) and transgenic CFTR?/?], fisher-rat-thyroid (FRT) cells expressing human WT CFTR, and TMEM16A-expressing human embryonic kidney cultures were utilized for the present experiments. Ciliary beat frequency (CBF) and airway surface liquid (ASL) depth measurements were performed using micro?optical coherence tomography (¥ìOCT). Mechanisms underlying transepithelial Cl? transport were determined using pharmacologic manipulation in Ussing chambers and whole-cell patch clamp analysis.

Results: RGAE (at 30¥ìg/mL of ginsenosides) significantly increased Cl? transport [measured as change in short-circuit current (¥ÄISC = ¥ìA/cm2)] when compared with control in WT and CFTR?/? MNSE (WT vs control = 49.8¡¾2.6 vs 0.1+/?0.2, CFTR?/- = 33.5¡¾1.5 vs 0.2¡¾0.3, p < 0.0001). In FRT cells, the CFTR-mediated ¥ÄISC attributed to RGAE was small (6.8 ¡¾ 2.5 vs control, 0.03 ¡¾ 0.01, p < 0.05). In patch clamp, TMEM16A-mediated currents were markedly improved with co-administration of RGAE and uridine 5-triphosphate (8406.3 +/? 807.7 pA) over uridine 5-triphosphate (3524.1 +/? 292.4 pA) or RGAE alone (465.2 +/? 90.7 pA) (p < 0.0001). ASL and CBF were significantly greater with RGAE (6.2+/?0.3 ¥ìm vs control, 3.9+/?0.09 ¥ìm; 10.4+/?0.3 Hz vs control, 7.3 ¡¾ 0.2 Hz; p < 0.0001) in MNSE.

Conclusion: RGAE augments ASL depth and CBF by stimulating Cl? secretion through CaCC, which suggests therapeutic potential in both CF and non-CF chronic rhinosinusitis.
KEYWORD
CFTR, Chloride channels, Mucociliary clearance, Red Ginseng, Sinusitis
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