Reagents and Materials
Food grade flavored protease, purchased from Henan Wanbang Industrial Co. (Henan, China). Food grade papain, purchased from Zhejiang Yino Biotechnology Co. (Zhejiang, China). BCA Protein Concentration Assay Kit (Enhanced) purchased from Shanghai Biyuntian Biotechnology Co. (Shanghai, China). Cyclophosphamide injection, size 200 mg/stem, purchased from Baxter Oncology GmbH (Halle, Germany). Lentinus Edodes Mycelia Polysacharide Tablets, size 15 mg/tablet, purchased from Kaifeng Pharmaceutical (Group) Co. (Henan, China), lot number: 20010104. DNFB was purchased from Shanghai Maclean Biochemical Technology Co. (Shanghai, China). RPMI-1640 medium was purchased from Gibco (Grand Island, NY, USA). 10% calf serum purchased from Tianjin Kang Yuan Biotechnology Co. (Tianjin, China), item no. KY-01003. YAC-1 was purchased from the Shanghai Cell Bank of the Chinese Academy of Sciences (Shanghai, China). Dipotassium EDTA, India ink, and Na2CO3 were purchased from Shanghai Yuanye Biotechnology Co. (Shanghai, China). Penicillin and streptomycin double antibodies, Cuttlefish protein A (ConA), MTT, PBS buffer (pH 7.2-7.4), SRBC, Hank's solution, nitro tetrazolium chloride, phenazine dimethyl sulfate, oxidized coenzyme I, 0.2 mol/L Tris-HCl buffer, 2.5% Triton all purchased from Solarbio (Beijing, China). Cytokines, including IL-2, IL-6, and TNF-α, were provided by Invitrogen Co., Ltd. (Carlsbad, CA, USA). All other reagents are of analytical purity grade.
Preparation of Different Effective Parts of Ginseng
The 5-year-old Panax ginseng (sun-dried ginsengs) were bought from Jilin Yisheng Foreign Trade Co., Ltd. (Changchun, China) and authenticated by Professor Changbao Chen in Jilin Ginseng Academy, Changchun University of Chinese Medicine, China. The ginseng was pulverized (60 mesh) and then decocted with water (7 L, 3 times) for 1 h. The extract was concentrated under reduced pressure to obtain the water extract (GWE). Part of the water extract was precipitated with 70% ethanol and stored at 4 ℃ for 24 h. After filtration, the supernatant was freeze-dried to obtain the crude extract of ginseng total saponins extract (TGC), and the precipitate was freeze-dried to obtain the crude extract of ginseng glycoprotein complex (GGC-1). Ginseng glycoprotein was hydrolyzed with flavored protease and papain at (1:1, w/w). The parameters of the mixed enzymolysis were as follows: enzyme addition amount of 1.0%, initial pH 6.0, temperature 50 ℃, and hydrolysis time of 4 h. The hydrolysate was inactivated in a boiling water bath for 10 min, cooled to room temperature, centrifuged at 4000 rpm (revolutions per minute) for 15 min, and then the supernatant was freeze-dried to obtain the ginseng glycopeptide complex (GGC-2).
Animals and Experimental Design
BALB/c mice (female, 6-8 weeks old, 20 ± 2 g body weight) were purchased from Changsheng Biotechnology Co., Ltd. (Liaoning, China). The mice were kept in a standard lab environment with pathogen-free conditions (24-25 ℃, 45-55% humidity, 12 h light-dark cycle). All animal experimental protocols were followed in accordance with local guidelines for the care of laboratory animals at Changchun University of Chinese Medicine and were approved by the Ethics Committee of Animal Care and Welfare for research on laboratory animal use at the institution [SCXK (Ji) 2018-0013], Ethics number is 2021068.
Two hundred and eighty mice were randomly assigned into 4-batches with 7-groups per batch and 10-mice per group (Table 1). which were converted according to their extraction rate in ginseng, respectively. After one-week adaptation, the NC (Normal control, Feed normally without treatment) and MC (Model control, An animal model of immunosuppression induced by cyclophosphamide, without drug intervention) groups were applied 10 mL/kg of deionized water, while the other groups (Drug treatment in immunosuppression animals) were treated daily with the corresponding test solution in the same way once a day for 30 days. During the intragastric administration, from day 22, 50 mg/kg cyclophosphamide (CTX) was injected intraperitoneally 5 times every two days for MC, PC (Positive control, Treatment with the positive drug of Lentinus edodes mycelia polysaccharide tablets (LEMPT), GWE, TGC, GGC-1 and GGC-2 groups (Table 1). These treatment details are given in Table 1.
Table 1
Experimental treatment and their doses used in animal experiments.
No.
|
Treatments
|
Intragastric administration
|
Intragastric administration dose
|
CTX dose
|
1
|
Normal control (NC)
|
Deionized water
|
10 mL/kg
|
-
|
2
|
Model control (MC)
|
Deionized water
|
10 mL/kg
|
50 mg/kg/d
|
3
|
Positive control (PC)
|
LEMPT
|
20 mg/kg/d
|
50 mg/kg/d
|
4
|
Ginseng water extract (GWE)
|
GWE
|
900 mg/kg/d
|
50 mg/kg/d
|
5
|
Total ginsenoside complex (TGC)
|
TGC
|
700 mg/kg/d
|
50 mg/kg/d
|
6
|
Ginseng glycoprotein complex (GGC-1)
|
GGC-1
|
300 mg/kg/d
|
50 mg/kg/d
|
7
|
Ginseng glycopeptide complex (GGC-2)
|
GGC-2
|
210 mg/kg/d
|
50 mg/kg/d
|
Determination of Spleen and Thymus Index
After 30 days of the experiment, the mice were weighed and sacrificed by cervical dislocation. The spleen and thymus were quickly separated and weighed, and the spleen and thymus indexes were calculated according to the following formula (Xing et al. 2017):

Non-specific Immune Function Experiment
Carbon Clearance Experiment. On the 31 st day, the mice were injected intravenously with India ink diluted 4 times with sterile saline, and the amount of each mouse was 0.1 mL/10 g. After injection, the time was recorded immediately. The blood (20 µL) was collected from the epicanthus venous plexus at 2 min and 10 min, respectively. The collected blood samples were immediately added with 2 mL Na2CO3 solution and mixed. With Na2CO3 solution as blank control, 200 µL of each sample was accurately extracted, and the absorbance was measured at 600 nm wavelength of the enzyme-labeled instrument. After collecting blood samples, the mice were sacrificed by cervical dislocation, and the spleen and liver were separated and weighed. The phagocytic index α was used to indicate the function of phagocytes in mice to remove carbon particles, and calculated by the following formula (Xing et al. 2017):

Where, OD1 and OD2 are the optical densities at t2 (10 min) and t1 (2 min) respectively, and the slope K is the phagocytosis rate.
NK Cell Activity Assay. In this study, the activity of NK cells was determined by the lactate dehydrogenase method (Yang et al. 2009). The spleens of mice killed under sterile conditions were rinsed with sterile Hank’s solution and gently crushed with clamps to obtain uniform cell suspension. The obtained cell suspension was washed twice with Hank's solution, centrifuged at 1000 rpm for 10 min, and the supernatant was removed to recover spleen cells. The recovered spleen cells were added with red blood cell lysate to remove red blood cells and then added with Hank's solution. After centrifugation at 1000 rpm for 10 min, 1 mL RPMI-1640 complete medium containing 10% calf serum was used for suspension, and the cell concentration was adjusted to 2 × 107 cells/ mL.
The 100 µL targe YAC-1 cells (4 × 105 cells/mL) were added to the well which contained the 100 µL effector cells to ensure a 50:1 effector/target ratio. The spontaneous release level and the maximum release level of each well were examined. Quantities of 100 µL of target cells and 100 µL of culture medium were added to the spontaneous releasing well; Quantities of 100 µL of target cells and 100 µL of 2.5% Triton were added to the maximum releasing well. All tests in wells were done thrice. After incubation for 4 h in a 37 ℃, 5% CO2 incubator (Thermo Fisher Scientific, LS-CO150, USA), the cells on each plate were centrifuged at 1500 rpm for 5 min. Subsequently, 100 µL of supernatant was sucked from each well and added to another 96-well plate mixture with 100 µL of LDH substrate solution. After reaction for 3 min, 30 µL of 1 mol/L HCl solution was applied to each well. The absorbance was measured at 490 nm using a multifunction microplate reader and the splenic NK cell activity was calculated using the following equation:

Specific Immune Function Experiment
Cellular Immunity Experiment: Spleen Cell Proliferation Test. The proliferation rate of cells was detected by the ConA-induced mouse spleen lymphocyte transformation experiment (Yang et al. 2009). Splenocytes were processed in the same way as for the NK cell activity assay.
The cell suspension was seeded in a 24-well culture plate, 1 mL per well, added with ConA solution 75 µL /well, and set a blank control. The cells were cultured at 37 ℃ for 72 h in a 5% CO2 incubator. Four hours before the end of the culture, the culture medium of each hole was discarded, the RPM1-1640 culture medium without calf serum was added to each hole, and the concentration of 5 mg/mL MTT 50 µL was continued to culture for 4 h. After the end of the culture, gently suction the culture medium in the hole, adding I mL DMSO to each hole, blowing and mixing so that the purple crystal completely dissolved. Packed into a 96-well culture plate, each hole was packed into 6 holes as parallel samples, and the optical density was measured by the enzyme-labeled instrument at 570 nm wavelength. Zeroing with cell-free blank hole, and the proliferative capacity of splenocytes was calculated using the following equation:

Cellular Immunity Experiment: Delayed-Type Hypersensitivity Reaction (DTH). At 25 d, the abdominal skin of mice in each group was depilated with depilating ointment, and 50 µL DNFB solution was evenly smeared on the depilated abdomen to sensitize it. After 5 days of skin allergy, the mice in each group were attacked with 10 µL DNFB solution on both sides of the right ear, and the left ear was used as the control. After 24 h, the mice were sacrificed by cervical dislocation, and the left and right ears were taken. The round ear lobes with a diameter of 6 mm were taken out from each ear lobe with a perforator and weighed. The degree of ear swelling (i. e., the weight difference between the left and right ear lobes) was used as the evaluation index of DTH reaction (Gaspari et al. 2016).
Humoral Immunity Experiment: Determination of Serum Hemolysin. In this study, the hemagglutination method was used to detect the level of hemolysin. 4% (v/v) of SRBC was diluted into 2% cell suspension with sterile saline at 26 d, and mice in each group were immunized by intraperitoneal injection of 0.2 mL. 4 d later, blood was removed from the eyes of mice and placed in 1.5 ml centrifuge tubes at room temperature for about 1 h. The clotted blood was stripped from the wall of the tube so that the serum was fully precipitated, centrifuged at 2000 r/min for 10 min, and the serum was collected. The serum was diluted 1, 2, 4, and 8 times with physiological saline. The serum with different dilutions was placed in a micro-hemagglutination test plate, 100 µL per well, and then 100 µL 0.5% (volume fraction) SRBC suspension was added. The suspension was mixed evenly and covered in a wet flat plate. The cells were incubated at 37 °C for 3 h to observe the degree of blood coagulation (Fan et al. 2021).
Determination of Peripheral White Blood Cell Count
The whole blood samples were collected by removing the eyeball of mice, and the blood samples were mixed evenly with anticoagulants to prevent blood coagulation. The white blood cell count was detected by the whole blood cell analyzer within 24 h (Park et al. 2018).
Assessment of Cytokines in Serum
Blood samples were obtained from the internal canthus vein of mice, centrifuged at 2000 r/min for 10 min, and the serum was collected and stored in a refrigerator at -80 ℃. Detection of cytokines based on TNF-α, IL-2, IL-6 Mouse ELISA kits using ELISA double antibody sandwich method (Cuellar-Nunez et al. 2021).
Data Statistics
In this experiment, the data were statistically analyzed by t-test, and the GraphPad Prism 7.0 software was used for comparison between groups. The data were expressed in the form of x ± SD, P < 0.05 is a significant difference, P < 0.01 is a highly significant difference, and P > 0.05 is a non-significant difference.