Abstract:The anti-inflammatory effects and underlying molecular mechanisms of Panax quinquefolius polysaccharide (AGP) combined with rare ginsenosides (HTS) on lipopolysaccharide (LPS)-induced inflammation in RAW264.7 cells were investigated. The cell viability was evaluated using the CCK-8 assay after treatment with various concentrations of AGP, HTS, and their combination. the safe concentration ranges of the agents and the optimal modeling concentration of LPS were determined. The experiment was divided into the following groups: the blank control group, the model group, the HTS group, the AGP group, and the HTS+AGP group. After 24 hours of treatment, cell morphology was observed under an inverted microscope. NO production was measured using the Griess method. The levels of TNF-α and IL-6 were determined by ELISA. Furthermore, the expression of TNF-α, CD68, and CD163 was analyzed by immunofluorescence and RT-qPCR. The cell survival rate in the HTS+AGP group was found to be significantly higher than that in the HTS group alone, with IC?? values determined to be 280.50 μg·mL?1 and 149.40μg·mL?1, respectively. Furthermore, AGP alone was observed to promote cell proliferation. In the LPS-induced inflammatory model, the release of NO was significantly inhibited by HTS+AGP intervention. Similarly, the levels of TNF-α (Model:473.12 pg·mL?1; HTS+AGP:366.58 pg·mL?1) and IL-6 (Model:61.92 pg·mL?1; HTS+AGP:33.07 pg·mL?1) were also markedly suppressed. As indicated by RT-qPCR and immunofluorescence results, the mRNA expression of M1 markers (CD68 and TNF-α) was significantly downregulated, while the mRNA expression of the M2 marker (CD163) was upregulated by HTS+AGP treatment, effectively reversing the LPS-induced shift toward M1 macrophage polarization. In summary, the combined application of AGP and HTS enhances the anti-inflammatory effect by inhibiting the release of inflammatory factors and promoting the polarization of macrophages toward the M2 phenotype. This mechanism is associated with the regulation of macrophage polarization status.