Evidence map›Paper›PMID 28055331›Full record

ReviewJournal of environmental science and health. Part C, Environmental carcinogenesis & ecotoxicology reviews2017

Review of Ginkgo biloba-induced toxicity, from experimental studies to human case reports.

Nan Mei, Xiaoqing Guo, Zhen Ren, Daisuke Kobayashi, Keiji Wada, Lei Guo

Abstract readReview
In one paragraph

Review in Journal of environmental science and health. Part C, Environmental carcinogenesis & ecotoxicology reviews, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 51 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
51citing papers in PubMed, 4 pooled it
12.1field-weighted citation impact, top 1% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

51 citing papers in PubMed, 4 syntheses or guidelines pooled it, 152 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. The Search for Drugs Derived from Natural Products forCurrent topics in medicinal chemistry · 2024
    Pooled it
  4. Ginkgo biloba for tinnitus.The Cochrane database of systematic reviews · 2022
    Pooled it
  5. Trial
  6. Frontiers in nutrition · 2026
    Review
  7. The active ingredient of Ginkgo biloba extract (quercetin) improved HIn vitro cellular & developmental biology. Animal · 2025
    Article
  8. Role of oxeiptosis in disease mechanisms and therapeutic opportunities.Apoptosis : an international journal on programmed cell death · 2025
    Review
  9. Potential anticancer effects and toxicity of flavones luteolin and apigeninJournal of environmental science and health. Part C, Toxicology and carcinogenesis · 2025
    Review
  10. Article
  11. Review
  12. Article
  13. Article
  14. Review
  15. Current issues in molecular biology · 2023
    Article
  16. Article
  17. Review
  18. Review
  19. Article
  20. Flavonoid glycoside fraction ofAIMS neuroscience · 2023
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors at 2 institutions in 2 countries.

Nan Meia Division of Genetic and Molecular Toxicology , National Center for Toxicological Research , Jefferson , Arkansas , USA.
Xiaoqing Guoa Division of Genetic and Molecular Toxicology , National Center for Toxicological Research , Jefferson , Arkansas , USA.
Zhen Renb Division of Biochemical Toxicology , National Center for Toxicological Research , Jefferson , Arkansas , USA.
Daisuke Kobayashic Department of Food and Chemical Toxicology , Faculty of Pharmaceutical Sciences, Health Sciences University of Hokkaido , Hokkaido , Japan.
Keiji Wadac Department of Food and Chemical Toxicology , Faculty of Pharmaceutical Sciences, Health Sciences University of Hokkaido , Hokkaido , Japan.
Lei Guob Division of Biochemical Toxicology , National Center for Toxicological Research , Jefferson , Arkansas , USA.
National Center for Toxicological Research · USHealth Sciences University of Hokkaido · JP

Funding

Intramural FDA HHS FD999999
6 · The paper itself

Abstract

Ginkgo biloba seeds and leaves have been used as a traditional herbal remedy for thousands of years, and its leaf extract has been consumed as a botanical dietary supplement for decades. Ginkgo biloba extract is a complex mixture with numerous components, including flavonol glycosides and terpene lactones, and is one of the most widely sold botanical dietary supplements worldwide. Concerns about potential health risks for the general population have been raised because of the widespread human exposure to Ginkgo biloba and its potential toxic and carcinogenic activities in rodents. The National Toxicology Program conducted 2-year gavage studies on one Ginkgo biloba leaf extract and concluded that there was clear evidence of carcinogenic activity of this extract in mice based on an increased incidence of hepatocellular carcinoma and hepatoblastoma. Recently, Ginkgo biloba leaf extract has been classified as a possible human carcinogen (Group 2B) by the International Agency for Research on Cancer. This review presents updated information on the toxicological effects from experimental studies both in vitro and in vivo to human case reports (caused by ginkgo seeds or leaves), and also summarizes the negative results from relatively large clinical trials.

Indexed as

Dietary SupplementsGinkgo bilobaHumansPlant ExtractsTerpenesPlant ExtractsTerpenesCase reportclinical trialgenotoxicityGinkgo biloba leaf extractginkgo seedstoxicity

Identifiers

PMID28055331
PMCPMC6373469
OpenAlexW2570434430

What Socratic holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.