Effects of Ginkgo biloba extract (EGb 761) and quercetin on lipopolysaccharide-induced release of nitric oxide
Abstract
Administration of bacterial lipopolysaccharide (LPS) to laboratory animals and cultured macrophages is known to induce the production of nitric oxide (NO) from inducible nitric oxide synthase (iNOS). Here we show that pre-treatment with Ginkgo biloba extract (EGb 761) suppresses the in vivo production of NO (measured by the Griess reaction) after challenge with LPS. In order to begin to understand the mechanism of this inhibition, we evaluated in vitro effects of EGb 761 and its flavonoid component, quercetin, on LPS-treated RAW 264.7 macrophages. Pre-treatment with EGb 761 or quercetin dose-dependently inhibited NO release. Both substances scavenged NO generated from the decomposition of sodium nitroprusside. Western analysis showed that EGb 761 and quercetin inhibited LPS-induced levels of iNOS protein. Northern blotting demonstrated that EGb 761 and quercetin decreased LPS-induced iNOS mRNA levels without altering the half-life. Activation of mitogen activated protein kinases (MAPKs) and the redox-sensitive transcription factors, nuclear factor-kappaB (NF-kappaB) and activator protein 1 (AP-1) are key events in the signal transduction pathways mediating iNOS induction. In our studies, both EGb 761 and quercetin inhibited p38 MAPK activity, which is necessary for iNOS expression in LPS-stimulated RAW 264.7 macrophages. However, differences in the response of NF-kappaB, AP-1, and Jun N-terminal kinase/stress activated protein kinase (JNK/SAPK) and its downstream substrates to EGb 761 and quercetin suggest that quercetin is not the sole component responsible for the in vivo inhibition of LPS-induced iNOS activation by EGb 761.
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LPS activates three subclasses of MAPKs in macrophages and other cells: ERK, JNK, and p38; some compounds suppress proinflammatory cytokines and NF-κB and inhibit COX-2 and iNOS expression by inhibiting some of these MAPKs.
“In macrophages and other types of cells, LPS activates three subclasses of MAPKs: extracellular signal-regulated kinase (ERK), c-Jun-terminal kinase (JNK) and p38. Studies have revealed that some compounds are able to suppress proinflammatory cytokines and NF-κB, to inhibit the COX-2 and iNOS expression inhibiting some of these MAPKS [129,130,131].”
From Antioxidant and Anti-Inflammatory Activities of Essential Oils: A Short Review (2010) · cites this paper as [129]
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BackgroundGinkgo biloba inhibits bleomycin-induced lung fibrosis in rats
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“The physiological NO production is extremely important to defend the body; however, its overproduction and metabolites have been implicated in the development of pathologies, such as bacterial septic shock and chronic inflammation (Wadsworth and Koop, 2001).”
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“Thus, the mechanism of inhibition of LPS-induced iNOS expression by BT might be similar to sesamol and other polyphenol antioxidants that selectively inhibit p38 MAPK [20, 34].”
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“Based on all these studies, totally, GB possesses notable antiinflammatory influences, which are at the transcriptional level and via NF ‐ κ B/AP ‐ 1, MAPKs, COX ‐ 2/PGE2, and iNOS/NO pathways (Ilieva et al., 2004; Jang et al., 2012; Park et al., 2006; Ryu et al., 2012; Wadsworth & Koop, 2001; Wadsworth, McDonald, & K…”
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“While the present study focused on the antagonizing effect of EGb and its terpenoids on homocysteine-induced iNOS expression, the other components in EGb such as quercetin (flavonoid) were also shown to have free radical scavenging properties [48].”
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“Similar findings of a flavonoid rich-extract reducing the expression of iNOS protein and corresponding transcript have been reported with extracts from black rice bran fraction or Ginko biloba in vitro [30, 31].”
ResultGinkgolide A, B, and huperzine A inhibit nitric oxide-induced neurotoxicity
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“…prostaglandin E2 (Ilieva et al., 2004), tumour necrosis factor-a (Wadsworth et al., 2001a; Ilieva et al., 2004) and inducible nitric oxide synthase (Wadsworth and Koop, 2001b; Ilieva et al., 2004); however, bilobalide has a lesser effect, although one study has shown a decrease in inducible nitric…”
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“Furthermore, EGb 761 decreases iNOS expression partially mediated via the suppression of p38 MAPK, which is essential for iNOS expression [46].”
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“Thus, the inhibition of NF-κB subsequently inhibits the gene transcription of IL-6, TNF-α, and other inflammatory cytokines [73].”
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“The mechanism of action of Ginkgo biloba extracts have not been fully determined but there is considerable evidence to show that they block induction of iNOS and release of NO in in vitro and in vivo models (Wadsworth and Koop, 2001a, b; Ilieva et al., 2004).”
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“After oral administration of quercetin at 1200 mg, which is a standard recommended dosage, plasma levels of quercetin gradually increase and peak at 12 μM [22,23], which is a much higher level than that which caused modulation of cytokine production by CD4+ T cells after IL-4 stimulation in vitro in this study.”
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“Although there is no standard recommended dosage of quercetin, a dose of 1200 to 1500 mg per day is commonly used [26] as a supplement.”
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Polyphenols Suppress and Modulate Inflammation
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“Experimental evidence clearly show that administration of LPS to laboratory animals increases the activity of iNOS in cells and tissues, including macrophages and lung tissue, to produce NO (Wadsworth & Koop 2001).”
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“The leaves of Ginkgo biloba tree have attracted attention as agents for improving circulation, particularly cerebral circulation which may lead to improved mental functions (Wadsworth & Koop, 2001).”
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- Authors
- Wadsworth, T. L., & Koop, D. R.
- Affiliations
- Oregon Health & Science University (US)
- Corresponding author
- Koop, Dennis R
- Venue
- Chemico-Biological Interactions
- Publisher
- Elsevier BV
- Published
- 2001-07
- Volume
- 137
- Issue
- 1
- Pages
- 43-58
- ISSN
- 0009-2797 (ISSN-L)
- OpenAlex
- W2035027020
- Cited by
- 116
- References
- 62
- Citations by year
- 2025: 1 · 2024: 3 · 2023: 2 · 2022: 3 · 2021: 2 · 2020: 4 · 2019: 3 · 2018: 2 · 2017: 4 · 2016: 2 · 2015: 6 · 2014: 3 · 2013: 7 · 2012: 5
- FWCI
- 19.61
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Chemico-Biological Interactions (publishedVersion)
- PubMed (publishedVersion)
- Funders
- National Institute on Alcohol Abuse and Alcoholism (AA 08608)
- Topics
- Health Sciences › Medicine › Complementary and alternative medicine › Ginkgo biloba and Cashew Applications
- Life Sciences › Immunology and Microbiology › Immunology › Immune Response and Inflammation
- Health Sciences › Medicine › Pharmacology › Flavonoids in Medical Research
- Keywords
- Ginkgo biloba extract EGb 761, quercetin, lipopolysaccharide, nitric oxide, inducible nitric oxide synthase, macrophages, RAW 264.7 macrophages, p38 MAPK, NF-κB, AP-1, SAPK/JNK, flavonoids, anti-inflammatory activity, signal transduction
- MeSH terms
- Ginkgo Extract, Animals, Cells, Cultured, Dose-Response Relationship, Drug, Enzyme Inhibitors, Imidazoles, Lipopolysaccharides, Macrophages, Male, Mice, Inbred C57BL, Nitric Oxide, Nitroprusside, Plant Extracts, Pyridines, Quercetin, Tumor Necrosis Factor-alpha, Free Radical Scavengers, Nitric Oxide Synthase, Nitric Oxide Donors, Ginkgo biloba, Mice, Nitric Oxide Synthase Type II
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