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Ginsenoside Rh2 from ginseng exosomes enhances chemotherapy sensitivity in non-small cell lung cancer by modulating

Jiao Liu1, Menghan Wang2, Maolin Xia2

  • 1Shanghai Key Laboratory of Molecular Imaging, Jiading District Central Hospital Affiliated Shanghai University of Medicine and Health Sciences, Shanghai 201318, China; School of Nursing and Health Management, Shanghai University of Medicine & Health Sciences, Shanghai 201318, China.

Cellular Signalling
|May 11, 2026
PubMed
Abstract

Insights

Ginseng exosomes containing ginsenoside Rh2 (Gn-Rh2) inhibit non-small cell lung cancer (NSCLC) progression and metastasis. Gn-Rh2 enhances chemotherapy sensitivity by downregulating RRM2 and USP22, offering a potential NSCLC treatment.

Area of Science:

  • Biochemistry
  • Molecular Biology
  • Oncology

Background:

  • Non-small cell lung cancer (NSCLC) is a leading global malignancy with significant chemotherapy resistance.
  • Ginseng exosomes (Gn-Exos) contain ginsenoside Rh2 (Gn-Rh2), a bioactive compound from Panax ginseng with potential anti-cancer properties.

Purpose of the Study:

  • To investigate the efficacy of Gn-Rh2 from Gn-Exos in overcoming chemotherapy resistance in NSCLC.
  • To elucidate the molecular mechanisms underlying Gn-Rh2's effects on NSCLC proliferation, migration, and metastasis.

Main Methods:

  • Isolation and identification of Gn-Exos.
  • In vivo and in vitro assays to assess NSCLC cell proliferation, migration, and metastasis.
  • Mouse tumor xenograft models to evaluate therapeutic effects.
  • Mass spectrometry and proteomic analysis to identify molecular targets.

Main Results:

  • Gn-Exos and Gn-Rh2 significantly inhibited NSCLC cell proliferation, migration, and metastasis in vitro and in vivo.
  • Gn-Rh2 was identified as the primary active component in Gn-Exos.
  • Gn-Rh2 downregulated RRM2 and USP22 by disrupting their interaction, leading to RRM2 degradation.
  • Gn-Rh2 sensitized NSCLC cells to cisplatin chemotherapy.

Conclusions:

  • Gn-Rh2 derived from ginseng exosomes is a potent inhibitor of NSCLC progression and metastasis.
  • The molecular mechanism involves the downregulation of RRM2 and USP22, enhancing chemotherapy sensitivity.
  • Gn-Rh2 represents a promising therapeutic strategy for NSCLC treatment.