The effect of broccoli extract and soy isoflavones on endometrial implants and oxidative parameters in female rat model of endometriosis

Author:

Sabetian Soudabeh1,Dialameh Parimah Archin2,Tanideh Nader3,Gharesifard Behrooz4,Ahmadi Moslem4,Valibeigi Maryam4,Kumar Perikala Vijayananda5,Siahbani Sarah5,Jahromi Bahia Namavar2

Affiliation:

1. Infertility Research Center, Shiraz University of Medical Sciences, Shiraz, Iran

2. Department of Obstetrics and Gynecology, School of Medicine, Shiraz University of Medical Sciences, Shiraz, Iran

3. Department of Pharmacology, School of Medicine, Shiraz University of Medical Sciences, Shiraz, Iran

4. Department of Immunology, School of Medicine, Shiraz University of Medical Sciences, Shiraz, Iran

5. Department of Pathology, School of Medicine, Shiraz University of Medical Sciences, Shiraz, Iran

Abstract

Abstract Background: Endometriosis is a gynecological disorder characterized by the growth of endometrial tissue outside the uterine cavity that is associated with chronic pelvic pain, subfertility and 1-3% increased risk of ovarian cancer. The purpose of the study was to investigate the effect of broccoli extract (BE) alone and in combination with soy isoflavones (SI) on endometrial implants in female rat. Method: In this study, endometriosis was induced surgically in 40 mature female rats. The rats were divided into 5 groups that were treated by oral gavage for 6 weeks with 0.5 ml of saline 0.9%/day (control group), BE (3000 mg/kg/day), SI (50mg/kg/day), BE/soy isoflavones (BE 3000 mg/kg/day + soy isoflavones 50mg/kg/day) and diphereline as a standard medication (3 mg/kg) intramuscularly. At the end of treatments, the volume and histopathology of the endometrial implants were compared among the 5 groups. The serum levels of oxidative parameters including Superoxide dismutase (SOD), Malondialdehyde (MDA) and tumor necrosis factor alpha (TNF-α) were also compared between the groups. Results: The volume of the implants significantly decreased in diphereline group (p = 0.002). The histopathological grade of endometrial implants in BE/SI and diphereline group were significantly decreased compared to the control group (p = 0.001). The serum levels of SOD in BE group were enhanced significantly in comparison to the control group (p = 0.034). Conclusion: BE in combination with SI decreased the growth and histopathologic grades of transplanted endometrial implants. These herbal compounds may have the potential to be used as an alternative medication for the treatment of endometriosis

Publisher

Research Square Platform LLC

Reference37 articles.

1. Arafah M, Rashid S, MJ.A.i.AP Akhtar. Endometriosis: a comprehensive review. 2021;28(1):30–43.

2. Español F, Endometriosis is a disease where tissue similar to the lining of the uterus grows outside the uterus, causing pain and/or infertility (1). Endometriosis affects roughly 10%(190 million) of reproductive age women and girls globally (2). It is a chronic disease associated with severe, life-impacting pain during periods, sexual intercourse, bowel movements and/or urination, chronic pelvic pain, abdominal bloating, nausea. 2021.

3. Assaf L, Eid AA, Nassif JJLS, Role of ampk/mtor, mitochondria, and ros in the pathogenesis of endometriosis. 2022: p. 120805.

4. Comparing the effects of glycyrrhiza glabra root extract, a cyclooxygenase-2 inhibitor (celecoxib) and a gonadotropin-releasing hormone analog (diphereline) in a rat model of endometriosis;Jahromi BN,2019

5. Clemenza S, et al. Endometriosis-Induced Pain: The Treatment Strategy, in Endometriosis Pathogenesis, Clinical Impact and Management. Springer; 2021. pp. 41–50.

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