Korun Zeynep Ece Utkan, Gocmez Semil Selcen, Furat Selenay, Sarihan Kubra Kavram, Eraldemir Fatma Ceyla, Akpulat Huseyin Askin, Sahin Deniz, Yildiz Sule
Department of Obstetrics and Gynecology, Yeditepe University Kozyatagi Hospital, Istanbul, Turkey.
Institute of Health Sciences, Department of Stem Cell, Kocaeli University, Kocaeli, Turkey.
Reprod Sci. 2025 Jul;32(7):2453-2466. doi: 10.1007/s43032-025-01885-9. Epub 2025 Jun 23.
Alchemilla vulgaris has traditionally been used to treat gynecologic diseases. The anti-inflammatory and vasorelaxant effects of the extract of A. vulgaris (AVE) have been reported in previous studies. This study aimed to investigate the effects of A. vulgaris on PCOS, one of the most common metabolic disorders in adult women of reproductive age, accompanied by inflammation and vascular endothelial dysfunction, in an experimental animal model. Three groups of prepubertal female Wistar rats were established: PCOS, Control, and PCOS + AVE groups. Subcutaneous dehydroepiandrosterone (DHEA) was administered for 35 days to the PCOS and PCOS + AVE groups. The rats in the PCOS + AVE group were orally administered AVE (50 mg/100 g bw/day) for 35 days. Systemic blood pressure, vascular endothelial function, ovarian morphology, and endocrine biomarker levels were measured at the end of the experiment. TNF-α levels were also evaluated in the thoracic aorta and ovaries. Hormonal imbalances, ovarian morphological changes, and endothelial dysfunction were observed in the PCOS group, which returned to the controls after AVE treatment. Furthermore, AVE attenuated the aortic and ovarian levels of TNF-α in the PCOS group. Our study suggests that AVE may have beneficial effects in the treatment of PCOS due to its anti-inflammatory and vasculoprotective properties.
皱叶委陵菜传统上用于治疗妇科疾病。先前的研究报道了皱叶委陵菜提取物(AVE)的抗炎和血管舒张作用。本研究旨在通过实验动物模型,探究皱叶委陵菜对多囊卵巢综合征(PCOS)的影响,PCOS是育龄成年女性中最常见的代谢紊乱疾病之一,伴有炎症和血管内皮功能障碍。建立三组青春期前雌性Wistar大鼠:PCOS组、对照组和PCOS + AVE组。对PCOS组和PCOS + AVE组皮下注射脱氢表雄酮(DHEA),持续35天。PCOS + AVE组大鼠口服AVE(50 mg/100 g体重/天),持续35天。实验结束时测量全身血压、血管内皮功能、卵巢形态和内分泌生物标志物水平。还评估了胸主动脉和卵巢中的TNF-α水平。PCOS组出现激素失衡、卵巢形态变化和内皮功能障碍,AVE治疗后恢复至对照水平。此外,AVE降低了PCOS组主动脉和卵巢中的TNF-α水平。我们的研究表明,由于其抗炎和血管保护特性,AVE可能对PCOS治疗具有有益作用。