Evidence map›Paper›PMID 41268309›Full record

ReviewJournal of ginseng research2025

Protective effects of ginsenosides in cerebral small vessel disease: Cellular and molecular mechanisms.

Zhiyong Zhai, Yan Gao

Abstract readReview
In one paragraph

Review in Journal of ginseng research, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed, 1 pooled it
–field-weighted citation impact
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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

5 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Article
  3. Review
  4. Review
  5. Article
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

2 authors.

Zhiyong ZhaiDepartment of Neurology, Shengjing Hospital of China Medical University, Shenyang, Liaoning, PR China.
Yan GaoDepartment of Neurology, Shengjing Hospital of China Medical University, Shenyang, Liaoning, PR China.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Cerebral small vessel disease (CSVD), an age-related vascular disorder linked to cognitive decline, lacks targeted therapies. Ginsenosides, bioactive compounds in ginseng, demonstrate multi-target potential against CSVD by modulating neurovascular dysfunction. Experimental studies highlight their anti-inflammatory, antioxidant, and neuroprotective properties. Ginsenosides suppress pro-inflammatory cytokines (tumor necrosis factor α [TNF-α], interleukin-1β [IL-1β], IL-6) via nuclear factor-kappa B/nod-like receptor protein (NF-κB/NLRP1) inflammasome inhibition, stabilize the blood-brain barrier by preserving tight junctions and reducing matrix metalloproteinase activity, and enhance endothelial survival through vascular endothelial growth factor/sonic hedgehog (VEGF/Shh)-mediated angiogenesis. They mitigate vascular remodeling by blocking vascular smooth muscle cell (VSMC) proliferation via phosphatidylinositol 3 kinase/protein kinase B (PI3K/Akt) and mitogen-activated protein kinase (MAPK) signaling, while attenuating microglial activation and astrocyte dysfunction to improve cerebral blood flow. These compounds also alleviate oxidative stress and promote neurovascular unit integrity. Future research should focus on optimizing ginsenoside combinations, elucidating protein interactions, and exploring synergies with complementary agents to enhance therapeutic efficacy. Ginsenosides represent a promising multi-mechanistic approach for CSVD treatment, addressing inflammation, vascular pathology, and neural damage.

Indexed as

Cerebral small vessel diseaseGinsenosidesIschemic strokeNeurovascular unit

Identifiers

PMID41268309
PMCPMC12629724

What OpenQuestion holds

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Registered trials

None linked

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.