ABSTRACT-Extension of axons and dendrites in neurons may compensate for and repair damaged neuronal networks in the dementia brain. To find out drugs capable of regenerating the neuronal network, we focused on several herbal drugs belonging to the genus Panax, kinds of Ginseng, and investigated neurite outgrowth activity of their extracts and compounds. We found that the methanol extracts of Ginseng (root of P. ginseng), Notoginseng (root of P. notoginseng) and Ye-Sanchi in Chinese (rhizome of a relative to P. vietnamensis) increased neurite outgrowth in SK-N-SH cells. The protopanaxadiol-type saponins, ginsenosides Rb 1 and Rb 3 , and notoginsenosides R 4 and Fa isolated from Ye-Sanchi extract extended neurites, while protopanaxatriol-, ocotillol-and oleanane-type saponins had no effect on the neurite outgrowth. The percentage of cells with multipolar neurites and number of varicosities were intensely high in cells treated with the methanol extract of Ye-Sanchi as well as ginsenosides Rb 1 and Rb 3 , and notoginsenosides R 4 and Fa. Both phosphorylated NF-H-expressing neurites and MAP2-expressing ones were extended by treatment with those saponins and the extract. Especially, longer neurites were mainly positive for phosphorylated NF-H. These results suggest that protopanaxadiol-type saponins enhance axonal and dendritic formation activity.Keywords: Ginseng, Protopanaxadiol saponin, Axon, Dendrite, SK-N-SH cell Despite the growing social problem of dementia, there is not yet any drug available for reliable treatment against dementia. Cholinomimetic agents in the form of acetylcholine esterase inhibitors are primarily used in the treatment of dementia patients. These drugs, however, just slow down the progression of dementia rather than actually restoring brain function. Regardless of the type (Alzheimer's or cerebrovascular), dementia is induced by neuronal degeneration and atrophy. Inhibiting the cause of the disease, an accumulation of amyloid b in Alzheimer's brain (1 -3), and attempts for neuroprotection have lately been considered attractive. Such protective measures may reduce progression of dementia, but can not recover severe disfunction of the brain. Therefore, one strategy for achieving an irreversible amelioration of dementia may be reconstruction of synaptic formation in the brain. Although it is difficult to repair neurons or to increase cell number after neurodegeneration in the central nervous system, new synapses could possibly be formed through the activation of remaining immature and mature neurons. Since synaptic formation is based on neurite outgrowth and dendrite and axon maturation, drugs activating these steps could possibly initiate a recovery of brain function.Ginseng, root of Panax ginseng, is the most famous drug in traditional medicine as a tonic and an anti-amnesic agent. It has been reported that significant improvement in learning and memory was observed in brain-damaged rats (4, 5) and aged rats (5) after oral administration of ginseng powder. Furthermore, neurites of rat culture...