1.Advances of the mechanism study on Chinese herb monomers in improving premature ovarian failure
Rugen YAN ; Yuqi WANG ; Jing HE ; Yin CHEN ; Pingping CAI ; Changzhong LI
China Pharmacy 2022;33(21):2685-2688
Premature ovarian failure (POF) is a common gynecological endocrine disease ,which can cause follicular development stagnation or premature failure in the ovary ,leading to ovarian function loss ,and seriously affecting women ’s physical and mental health . Traditional Chinese medicine shows less toxicity and side effects but significant effect in the treatment of POF . Chinese herb monomers are the active ingredients of traditional Chinese medicine that exert their effects ,and their chemical structure are determined . From the perspective of Chinese herb monomers ,the author reviewed the mechanism of their effect on improving POF . The results showed that icariin ,quercetin,resveratrol and ginsenoside Rg 1 could improve the ovarian function of POF model animals by activating the phosphatidylinositol 3-kinase/protein kinase B signaling pathway ,inhibiting oxidative stress and apoptosis of granulosa cells ,promoting ovarian autophagy ,and regulating the level of sex hormones ;puerarin and resveratrol can improve the ovarian function of POF model by interfering with Wnt/ β-catenin signaling pathway ,reducing oxidative stress response ,and inhibiting follicular atresia . Although the Chinese herb monomers have certain effect in improving POF,most of them remain in the experimental stage ,and the clinical efficacy in improving POF cannot be objectively evaluated . In the future ,the development of new dosage forms of Chinese herb monomers should be strengthened to lay a foundation for the development of new drugs for treating POF .