Kumari Punam, Barbhuiya Pervej Alom, Warjri Ireenia, Pathak Manash Pratim
Faculty of Pharmaceutical Science, Assam Down Town University, Sankar Madhab Path, Gandhi Nagar, Panikhaiti, Guwahati, Assam, India, PIN - 781026.
Curr Top Med Chem. 2025 Aug 5. doi: 10.2174/0115680266370871250726131232.
Polycystic ovary syndrome (PCOS) is a common endocrine and metabolic disorder affecting 70-75% of women. This condition is frequently linked with large and dysfunctional ovaries, high levels of androgens, and insulin resistance. A variety of conventional treatments, including metformin, oral contraceptives, and anti-androgen agents, have been used to treat PCOS and its complications, but they have been linked to several negative side effects, including hyperkalemia, weight gain, cardiovascular and hepatic toxicity, vitamin B12 and folic acid deficiency. As a result, there is growing interest in natural methods as complementary or alternative approaches to mitigate these side effects. According to several studies, traditionally used Natural oils (NOs) from various sources have been utilized to identify their ameliorating characteristics against PCOS. The paper aims to study pre-clinical investigations and clinical studies of NOs from different sources against PCOS and gives a comprehensive overview of controlling PCOS. Also, it highlights and tabulates the prominent bioactive phytoconstituents from the reported NOs and their mechanism of action.
For this review purpose, the authors have gone through a vast number of scientific literature from different scientific databases like Google Scholar, ScienceDirect, Web of Science, and PubMed.
Mentha spicata L., Foeniculum vulgare Mill., Linum usitatissimum L., Nigella sativa L., Bambusa bambos (L.) Voss, Thuja occidentalis L., Syzygium aromaticum L., Pimpinella anisum L., Rosa canina L., Cocos nucifera L., Oenothera biennis L., Corylus avellana L., and fish oil have been reported to have anti-PCOS activity by maintaining body weight, testosterone, LH, FSH levels, and improving ovarian cysts.
NOs derived from plant and animal sources show promise in treating PCOS by balancing hormone levels, enhancing ovarian morphology, and alleviating metabolic symptoms. However, significant clinical trials and molecular research are required to evaluate their therapeutic potential, identify suitable dosages, investigate their precise mechanisms of action, and ensure long-term safety and efficacy in PCOS management.
Further research is needed to understand the molecular mechanisms of NOs responsible for anti-PCOS activity. Studies are needed to concentrate on their mechanisms of action, routes of impact, safe dosage, and potential side effects to ensure their efficacy and safety in treating PCOS.
多囊卵巢综合征(PCOS)是一种常见的内分泌和代谢紊乱疾病,影响着70%-75%的女性。这种病症常与卵巢肿大及功能失调、雄激素水平升高和胰岛素抵抗有关。多种传统治疗方法,包括二甲双胍、口服避孕药和抗雄激素药物,已被用于治疗PCOS及其并发症,但它们与一些负面副作用相关,包括高钾血症、体重增加、心血管和肝脏毒性、维生素B12和叶酸缺乏。因此,人们越来越关注将天然方法作为减轻这些副作用的补充或替代方法。根据多项研究,来自各种来源的传统使用的天然油(NOs)已被用于确定它们对PCOS的改善特性。本文旨在研究不同来源的NOs针对PCOS的临床前研究和临床研究,并全面概述PCOS的控制方法。此外,它突出显示并列表了已报道的NOs中的主要生物活性植物成分及其作用机制。
为了进行本次综述,作者查阅了来自谷歌学术、科学Direct、科学网和PubMed等不同科学数据库的大量科学文献。
据报道,留兰香、小茴香、亚麻、黑种草、簕竹、北美香柏、丁香、茴芹、犬蔷薇、椰子、月见草、榛子和鱼油通过维持体重、睾酮、促黄体生成素、促卵泡生成素水平以及改善卵巢囊肿而具有抗PCOS活性。
来自植物和动物来源的NOs在通过平衡激素水平、改善卵巢形态和减轻代谢症状来治疗PCOS方面显示出前景。然而,需要进行大量临床试验和分子研究来评估它们的治疗潜力、确定合适的剂量、研究其确切作用机制,并确保在PCOS管理中的长期安全性和有效性。
需要进一步研究以了解NOs具有抗PCOS活性的分子机制。需要开展研究集中关注其作用机制、影响途径、安全剂量和潜在副作用,以确保它们在治疗PCOS中的有效性和安全性。