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白藜芦醇对子宫内膜异位症的潜在治疗作用及分子机制综述

Review of the Potential Therapeutic Effects and Molecular Mechanisms of Resveratrol on Endometriosis.

作者信息

Jiang Tao, Chen Yuan, Gu Xia, Miao Mengyue, Hu Daifeng, Zhou Hui, Chen Jing, Teichmann Alexander Tobias, Yang Youzhe

机构信息

Sichuan Provincial Center for Gynaecology and Breast Diseases, The Affiliated Hospital of Southwest Medical University, Luzhou, 646000, People's Republic of China.

Academician (Expert) Workstation of Sichuan Province, Luzhou, 646000, People's Republic of China.

出版信息

Int J Womens Health. 2023 May 12;15:741-763. doi: 10.2147/IJWH.S404660. eCollection 2023.

Abstract

Endometriosis is a hormone-dependent inflammatory disease characterized by the existence of endometrial tissues outside the uterine cavity. Pharmacotherapy and surgery are the current dominant management options for endometriosis. The greater incidence of recurrence and reoperation after surgical treatment as well as the adverse effects of medical approaches predispose patients to potential limitations for their long-term usage. Consequently, it is essential to explore novel supplementary and alternative drugs to ameliorate the therapeutic outcomes of endometriotic patients. Resveratrol is a phenolic compound that has attracted increasing interest from many researchers due to its pleiotropic biological activities. Here, we review the possible therapeutic efficacies and molecular mechanisms of resveratrol against endometriosis based on in vitro, animal, and clinical studies. The potential mechanisms of resveratrol include anti-proliferative, pro-apoptotic, anti-angiogenic, anti-oxidative stress, anti-invasive and anti-adhesive effects, thereby suggesting that resveratrol is a promising candidate for endometriosis. Because most studies have investigated the effectiveness of resveratrol on endometriosis via in vitro trials and/or experimental animal models, further high-quality clinical trials should be undertaken to comprehensively estimate the clinical application feasibility of resveratrol on endometriosis.

摘要

子宫内膜异位症是一种激素依赖性炎症性疾病,其特征是子宫腔外存在子宫内膜组织。药物治疗和手术是目前子宫内膜异位症的主要治疗选择。手术治疗后复发和再次手术的发生率较高,以及药物治疗的不良反应,使患者在长期使用这些方法时可能受到限制。因此,探索新型补充和替代药物以改善子宫内膜异位症患者的治疗效果至关重要。白藜芦醇是一种酚类化合物,因其多效生物活性而受到越来越多研究人员的关注。在此,我们基于体外、动物和临床研究,综述白藜芦醇治疗子宫内膜异位症的可能疗效和分子机制。白藜芦醇的潜在机制包括抗增殖、促凋亡、抗血管生成、抗氧化应激、抗侵袭和抗黏附作用,这表明白藜芦醇是子宫内膜异位症的一个有前景的候选药物。由于大多数研究通过体外试验和/或实验动物模型研究了白藜芦醇对子宫内膜异位症的有效性,因此应开展进一步的高质量临床试验,以全面评估白藜芦醇在子宫内膜异位症临床应用的可行性。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1d28/10187648/d207c9516f49/IJWH-15-741-g0001.jpg

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