Background: Alternative medicines are frequently used by patients with
breast cancer for general health benefits. American ginseng, an herba
l remedy, purportedly alleviates treatment-induced postmenopausal symp
toms. Methods: Estrogenic potential of American ginseng root extract t
o induce the expression of pS2, an estrogen-regulated gene, was evalua
ted in breast cancer cell lines MCF-7, T-47D, and BT-20 by Northern an
d Western blot analysis. Competitive studies were performed with ginse
ng in combination with tamoxifen. Cell proliferation assays were perfo
rmed using the tetrazolium dye procedure and direct cell count. Result
s: Ginseng and estradiol induce the expression of pS2 RNA and protein
in MCF-7 cells, whereas tamoxifen suppresses expression. Neither ginse
ng nor estradiol induced increased pS2 expression in T-47D or BT-20 ce
ll lines. Although estradiol exhibited a proliferative effect and tamo
xifen had an inhibitory effect, ginseng demonstrated no significant ef
fect on cell proliferation. Conclusions: The results of this study sug
gest that ginseng may exhibit estrogenlike effects on estrogen recepto
r-positive breast cancer cells by inducing pS2 expression and that the
effect of ginseng may be mediated in part through the estrogen recept
or. Because ginseng does not exhibit a proliferative effect, it may pl
ay a protective role against breast cancer rather than serve as a mito
gen.