Evidence map›Paper›PMID 12213959›Full record

ArticleProceedings of the National Academy of Sciences of the United States of America2002

Inhibition of amyloid-beta aggregation and caspase-3 activation by the Ginkgo biloba extract EGb761.

Yuan Luo, Julie V Smith, Vijaykumar Paramasivam, Adam Burdick, Kenneth J Curry, Justin P Buford, Ikhlas Khan, William J Netzer, Huaxi Xu, Peter Butko

Registry-linked trialAbstract read
In one paragraph

Article in Proceedings of the National Academy of Sciences of the United States of America, 2002. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03004508 (Antioxidant Effect of Treatment With Ginkgo Biloba L. Leaf Extract), which is not on this map. Cited by 120 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
120citing papers in PubMed, 3 pooled it
3.3field-weighted citation impact, top 9% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT03004508 phase2unknown statusnot on this mapstarted 2015, after this paper: background citation

Antioxidant Effect of Treatment With Ginkgo Biloba L. Leaf Extract (IDN 5933) on DNA Cell Maintenance and Genomic Stability: A Randomised Study Versus Placebo

TypeinterventionalSponsorIRCCS San RaffaeleRan2015 to 2017Enrolled66ConditionsHealthyArmsGingko Biloba Extract, Placebo
3 · Its place in the literature

Who cites it

120 citing papers in PubMed, 3 syntheses or guidelines pooled it, 24 citations in OpenAlex.

  1. Guideline
  2. Clinical interventions in aging · 2018
    Pooled it
  3. Frontiers in neurology
    Pooled it
  4. Trial
  5. Trial
  6. Trial
  7. Trial
  8. Efficacy of EGb 761Journal of otolaryngology - head & neck surgery = Le Journal d'oto-rhino-laryngologie et de chirurgie cervico-faciale
    Trial
  9. Article
  10. Article
  11. Article
  12. Article
  13. Article
  14. RoastedAntioxidants (Basel, Switzerland) · 2025
    Article
  15. Article
  16. Article
  17. Review
  18. Neuroprotective Effect of Naturally Occurring Flavonoids.Central nervous system agents in medicinal chemistry · 2025
    Review
  19. Efficacy ofFrontiers in neurology · 2025
    Article
  20. Efficacy ofFrontiers in neurology · 2025
    Article

60 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

10 authors at 1 institution in 1 country.

Yuan LuoDepartments of Biological Sciences and Chemistry and Biochemistry, University of Southern Mississippi, Hattiesburg, MS 39406, USA. yuan.luo@usm.edu
Julie V Smith
Vijaykumar Paramasivam
Adam Burdick
Kenneth J Curry
Justin P Buford
Ikhlas Khan
William J Netzer
Huaxi Xu
Peter Butko
University of Southern Mississippi · US

Funding

Mechanisms of Ginkgo biloba NeuropotectionR21AT000293 · NCCIH · UNIVERSITY OF SOUTHERN MISSISSIPPI · PI LUO, YUAN · 2001 to 2004
$421k
NCCIH NIH HHS AT00293-01A2NCCIH NIH HHS R21 AT000293
6 · The paper itself

Abstract

Standardized extract from the leaves of the Ginkgo biloba tree, labeled EGb761, has been used in clinical trials for its beneficial effects on brain functions, particularly in connection with age-related dementias and Alzheimer's disease (AD). Substantial experimental evidence indicates that EGb761 protects against neuronal damage from a variety of insults, but its cellular and molecular mechanisms remain unknown. Using a neuroblastoma cell line stably expressing an AD-associated double mutation, we report that EGb761 inhibits formation of amyloid-beta (Abeta) fibrils, which are the diagnostic, and possibly causative, feature of AD. The decreased Abeta fibrillogenesis in the presence of EGb761 was observed both in the conditioned medium of this Abeta-secreting cell line and in solution in vitro. In the cells, EGb761 significantly attenuated mitochondrion-initiated apoptosis and decreased the activity of caspase 3, a key enzyme in the apoptosis cell-signaling cascade. These results suggest that (i) neuronal damage in AD might be due to two factors: a direct Abeta toxicity and the apoptosis initiated by the mitochondria; and (ii) multiple cellular and molecular neuroprotective mechanisms, including attenuation of apoptosis and direct inhibition of Abeta aggregation, underlie the neuroprotective effects of EGb761.

Indexed as

Ginkgo bilobaAlzheimer DiseaseAmyloid beta-PeptidesCaspase 3CaspasesCell LineEnzyme ActivationGinkgo ExtractHumansIn Vitro TechniquesMacromolecular SubstancesMitochondriaNeuronsNeuroprotective AgentsPhytotherapyPlant ExtractsAmyloid beta-PeptidesCASP3 protein, humanCaspase 3CaspasesGinkgo biloba extractGinkgo ExtractMacromolecular SubstancesNeuroprotective AgentsPlant Extracts

Identifiers

PMID12213959
PMCPMC129421
OpenAlexW1530780071

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.