Ma Congshun, Xiang Qianru, Song Ge, Wang Xuefei
NHC Key Laboratory of Male Reproduction and Genetics, Guangzhou, China.
Department of Reproductive Medicine Center, Guangdong Provincial Reproductive Science Institute (Guangdong Provincial Fertility Hospital), Guangzhou, China.
Front Pharmacol. 2022 Dec 16;13:1006678. doi: 10.3389/fphar.2022.1006678. eCollection 2022.
Polycystic ovary syndrome (PCOS) is a reproductive endocrine disease, and results to opsomenorrhea or amenorrhea, hairy, acne, acanthosis, infertility, abortion. In the long term, PCOS may also increase the risk of endometrial cancer, diabetes, hypertension, dyslipidemia and other diseases. Till now there is no specific drug for PCOS due to the unclearness of the cause and pathogenesis, as current treatments for PCOS only target certain symptoms. Quercetin (QUR) is a flavonoid drug widely found in Chinese herbal medicines, fruits, leaves, vegetables, seeds and plants roots. Studies on other diseases have found that QUR has anti-oxidant, anti-inflammatory, anti-insulin resistance, anti-cancer and other effects. Some studies have shown that serum testosterone (T), luteinizing hormone (LH), the LH/follicule-stimulating hormone (FSH) ratio, fasting glucose, fasting insulin, HOMA-IR and lipid levels are reduced in PCOS patients with QUR treatment. However, the mechanisms of QUR in PCOS patients have not been completely elucidated. In this review, we retrospect the basic characteristics of QUR, and tudies, animal experiments and clinical trials of QUR and plant extracts containing QUR in the treatment of PCOS. We also summarized the effects and mechanism of QUR in ovarian cells and PCOS model rats, the changes in relevant parameters after QUR administration in PCOS patients, and its potentially therapeutic applications.
多囊卵巢综合征(PCOS)是一种生殖内分泌疾病,会导致月经稀发或闭经、多毛、痤疮、黑棘皮症、不孕、流产。长期来看,PCOS还可能增加子宫内膜癌、糖尿病、高血压、血脂异常等疾病的风险。由于病因和发病机制尚不明确,目前尚无针对PCOS的特效药物,现有的PCOS治疗方法仅针对某些症状。槲皮素(QUR)是一种广泛存在于中药材、水果、树叶、蔬菜、种子和植物根部的黄酮类药物。对其他疾病的研究发现,QUR具有抗氧化、抗炎、抗胰岛素抵抗、抗癌等作用。一些研究表明,接受QUR治疗的PCOS患者的血清睾酮(T)、黄体生成素(LH)、LH/促卵泡生成素(FSH)比值、空腹血糖、空腹胰岛素、HOMA-IR和血脂水平有所降低。然而,QUR在PCOS患者中的作用机制尚未完全阐明。在本综述中,我们回顾了QUR的基本特性,以及QUR和含QUR的植物提取物治疗PCOS的研究、动物实验和临床试验。我们还总结了QUR在卵巢细胞和PCOS模型大鼠中的作用及机制、PCOS患者服用QUR后相关参数的变化及其潜在的治疗应用。