Okay Gülin, Kırıcı Pınar, Mavral Nihal, Utkan Korun Zeynep Ece, Annac Ebru, Kaplan Selçuk
Department of Obstetric and Gynecology, Izmir Economy University Faculty of Medicine, Medicalpoint Hospital, Izmir, Turkey.
Department of Obstetric and Gynecology, Adıyaman University Faculty of Medicine, Adıyaman, Turkey.
Med Princ Pract. 2024 Apr 10;33(4):1-7. doi: 10.1159/000538595.
Chronic inflammation is considered to be of key importance in the pathogenesis of polycystic ovarian syndrome (PCOS). Ganoderma lucidum polysaccharide (GLP) and Hypericum perforatum (HP) have been reported to have anti-inflammatory and antioxidant activities. We studied the effects of these agents on ovarian tissue in a rat model of experimental PCOS.
Forty-two Sprague-Dawley female rats were divided into 6 groups with 7 animals in each group as listed below: Group 1: Control, Group 2: PCOS, Group 3: PCOS + HP, Group 4: HP only, Group 5: PCOS+ GLP, Group 6: GLP only. At the end of the experimental procedures, all the animals underwent bilateral oophorectomy and blood samples were collected. Ovarian tissue and blood samples were used for biochemical and histopathological analysis.
Follicle degeneration in the PCOS group showed a statistically significant increase compared to the other groups (p < 0.05). Cystic follicles were significantly reduced in the PCOS+GLP and PCOS+HP groups as compared to the PCOS group. Levels of tumor necrosis factor-alpha (TNF-α) and interleukin-6 (IL-6) were elevated in PCOS rats (p < 0.01). Levels of sex hormone binding globulin (SHBG) levels were diminished (p < 0.01). Levels of malondialdehyde (MDA) and insulin-like growth factor 1 (IGF-1) were increased in PCOS rats as compared to the other groups (p < 0.02, p < 0.02, respectively). GLP supplementation diminished the levels of IGF-1 and MDA. GLP or HP supplementation increased reduced glutathione (GSH).
GLP and HP treatment normalizes SHBG levels while correcting PCOS-induced hyperandrogenemia. Both herbs regulate the redox balance by decreasing the levels of MDA and increasing the level of GSH.
慢性炎症被认为在多囊卵巢综合征(PCOS)的发病机制中至关重要。据报道,灵芝多糖(GLP)和贯叶连翘(HP)具有抗炎和抗氧化活性。我们在实验性PCOS大鼠模型中研究了这些药物对卵巢组织的影响。
42只Sprague-Dawley雌性大鼠分为6组,每组7只,分组如下:第1组:对照组;第2组:PCOS组;第3组:PCOS + HP组;第4组:仅HP组;第5组:PCOS + GLP组;第6组:仅GLP组。实验结束时,所有动物均接受双侧卵巢切除术并采集血样。卵巢组织和血样用于生化和组织病理学分析。
与其他组相比,PCOS组的卵泡变性有统计学意义的增加(p < 0.05)。与PCOS组相比,PCOS + GLP组和PCOS + HP组的囊性卵泡明显减少。PCOS大鼠中肿瘤坏死因子-α(TNF-α)和白细胞介素-6(IL-6)水平升高(p < 0.01)。性激素结合球蛋白(SHBG)水平降低(p < 0.01)。与其他组相比,PCOS大鼠中丙二醛(MDA)和胰岛素样生长因子1(IGF-1)水平升高(分别为p < 0.02,p < 0.02)。补充GLP可降低IGF-1和MDA水平。补充GLP或HP可增加还原型谷胱甘肽(GSH)。
GLP和HP治疗可使SHBG水平正常化,同时纠正PCOS诱导的高雄激素血症。两种草药均通过降低MDA水平和增加GSH水平来调节氧化还原平衡。