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      Adaptogenic effects of Panax ginseng on modulation of immune functions

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          Abstract

          Traditional medicinal practices have used natural products such as adaptogens to treat inflammatory, autoimmune, neurodegenerative, bacterial, and viral diseases since the early days of civilization. Panax ginseng Myer is a common herb used in East Asian countries for millennia, especially in Korea, China, and Japan. Numerous studies indicate that ginseng can modulate the immune system and thereby prevent diseases. Although the human immune system comprises many different types of cells, multiple studies suggest that each type of immune cell can be controlled or stimulated by ginseng or its derivatives. Provisional lists of ginseng's potential for use against viruses, bacteria, and other microorganisms suggest it may prove to be a valuable pharmaceutical resource, particularly if higher-quality evidence can be found. Here, we reviewed the role of ginseng as an immune-modulating agent in attempt to provide a valuable starting point for future studies on the herb and the human immune system.

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          Most cited references96

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          Global and Multi-National Prevalence of Fungal Diseases—Estimate Precision

          Fungal diseases kill more than 1.5 million and affect over a billion people. However, they are still a neglected topic by public health authorities even though most deaths from fungal diseases are avoidable. Serious fungal infections occur as a consequence of other health problems including asthma, AIDS, cancer, organ transplantation and corticosteroid therapies. Early accurate diagnosis allows prompt antifungal therapy; however this is often delayed or unavailable leading to death, serious chronic illness or blindness. Recent global estimates have found 3,000,000 cases of chronic pulmonary aspergillosis, ~223,100 cases of cryptococcal meningitis complicating HIV/AIDS, ~700,000 cases of invasive candidiasis, ~500,000 cases of Pneumocystis jirovecii pneumonia, ~250,000 cases of invasive aspergillosis, ~100,000 cases of disseminated histoplasmosis, over 10,000,000 cases of fungal asthma and ~1,000,000 cases of fungal keratitis occur annually. Since 2013, the Leading International Fungal Education (LIFE) portal has facilitated the estimation of the burden of serious fungal infections country by country for over 5.7 billion people (>80% of the world’s population). These studies have shown differences in the global burden between countries, within regions of the same country and between at risk populations. Here we interrogate the accuracy of these fungal infection burden estimates in the 43 published papers within the LIFE initiative.
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            Control of adaptive immunity by the innate immune system.

            Microbial infections are recognized by the innate immune system both to elicit immediate defense and to generate long-lasting adaptive immunity. To detect and respond to vastly different groups of pathogens, the innate immune system uses several recognition systems that rely on sensing common structural and functional features associated with different classes of microorganisms. These recognition systems determine microbial location, viability, replication and pathogenicity. Detection of these features by recognition pathways of the innate immune system is translated into different classes of effector responses though specialized populations of dendritic cells. Multiple mechanisms for the induction of immune responses are variations on a common design principle wherein the cells that sense infections produce one set of cytokines to induce lymphocytes to produce another set of cytokines, which in turn activate effector responses. Here we discuss these emerging principles of innate control of adaptive immunity.
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              Innate immunity.

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                Author and article information

                Contributors
                Journal
                J Ginseng Res
                J Ginseng Res
                Journal of Ginseng Research
                Elsevier
                1226-8453
                2093-4947
                17 September 2020
                January 2021
                17 September 2020
                : 45
                : 1
                : 32-40
                Affiliations
                [1 ]School of Health and Society, University of Wollongong, NSW, Australia
                [2 ]Department of Biomedical Engineering, Khulna University of Engineering and Technology, Khulna, Bangladesh
                [3 ]R&D Headquarters, Korea Ginseng Corporation, Daejeon, Republic of Korea
                [4 ]Department of Soil, Water and Environment, University of Dhaka, Dhaka, Bangladesh
                [5 ]Department of Integrative Biotechnology, Sungkyunkwan University, Suwon, Republic of Korea
                [6 ]College of Pharmacy, Chung-Ang University, Seoul, Republic of Korea
                [7 ]Biological Resources Utilization Department, National Institute of Biological Resources, Incheon, Republic of Korea
                Author notes
                []Corresponding author. Department of Integrative Biotechnology, Sungkyunkwan University, Suwon, 16419, South Korea jaecho@ 123456skku.edu
                [∗∗ ]Corresponding author. R&D Headquarters, Korea Ginseng Corporation, Daejeon, Republic of Korea shhyun@ 123456kgc.co.kr
                [∗∗∗ ]Corresponding author. School of Health and Society, University of Wollongong, NSW, Australia hassanh@ 123456uow.edu.au
                [☆]

                These authors contributed equally to this work.

                Article
                S1226-8453(20)30139-1
                10.1016/j.jgr.2020.09.004
                7790873
                33437154
                74a3105d-8e68-4a54-9881-e43fd5f587da
                © 2020 The Korean Society of Ginseng. Publishing services by Elsevier B.V.

                This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/).

                History
                : 20 August 2020
                : 2 September 2020
                : 11 September 2020
                Categories
                Review Article

                adaptogen,immune function,panax ginseng myer,innate immunity,adaptive immunity

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