Study on the Changes of Chemical Constituents in Different Compatibilities of Ginseng-Prepared Rehmannia Root and Their Effects on Bone Marrow Inhibition after Chemotherapy

Chem Pharm Bull (Tokyo). 2020 May 1;68(5):428-435. doi: 10.1248/cpb.c19-00994. Epub 2020 Mar 17.

Abstract

Ginseng (G) and Prepared Rehmannia Root (PRR) are commonly used in traditional Chinese medicine for blood supplementation. This study aimed to study G and PRR with different compatibility ratios changes in chemical composition and inhibition of cyclophosphamide-induced myelosuppression. HPLC was used to determine the chemical constituents of 13 ginsenosides, 5-hydroxymethylfurfural (5-HMF) and verbascoside in different proportions of G-PRR. Balb/c mice were injected intraperitoneally with cyclophosphamide (CTX) to induce bone marrow suppression. The effects of different proportions of G-PRR on peripheral blood, bone marrow nucleated cells, thymus and spleen index of myelosuppressed mice were analyzed. The results showed that the compatibility of G and PRR can promote the dissolution of ginsenosides, and the content of conventional ginsenosides decreased, and the content of rare ginsenosides increased. Different proportions of G-PRR increased the number of peripheral blood and bone marrow nucleated cells in cyclophosphamide-induced bone marrow suppression mice (p < 0.01), increased thymus index (p < 0.01), decreased spleen index (p < 0.01). Different proportions of G-PRR can improve the myelosuppression induced by cyclophosphamide in mice, and the combined effect of G-PRR is better than the single decoction of G and PRR. Among them, G-PRR 2 : 3 and G-PRR 1 : 2 were better than the other groups. These results indicate that different proportion of G-PRR can improve bone marrow suppression, and the combined decoction of G-PRR is better than the separate Decoction in improving bone marrow suppression. This improvement may be related to the changes of the substance basis and active ingredients of G-PRR.

Keywords: Prepared Rehmannia Root; ginseng; myelosuppression.

MeSH terms

  • Animals
  • Antineoplastic Agents, Alkylating / administration & dosage
  • Bone Marrow / drug effects*
  • Cyclophosphamide / administration & dosage
  • Disease Models, Animal
  • Dose-Response Relationship, Drug
  • Furaldehyde / analogs & derivatives*
  • Furaldehyde / chemistry
  • Furaldehyde / pharmacology
  • Ginsenosides / chemistry
  • Ginsenosides / pharmacology*
  • Glucosides / chemistry
  • Glucosides / pharmacology*
  • Injections, Intraperitoneal
  • Male
  • Medicine, Chinese Traditional
  • Mice
  • Mice, Inbred BALB C
  • Molecular Structure
  • Panax / chemistry*
  • Phenols / chemistry
  • Phenols / pharmacology*
  • Plant Roots / chemistry
  • Rehmannia / chemistry*
  • Structure-Activity Relationship

Substances

  • Antineoplastic Agents, Alkylating
  • Ginsenosides
  • Glucosides
  • Phenols
  • acteoside
  • 5-hydroxymethylfurfural
  • Cyclophosphamide
  • Furaldehyde